The dictum is that unruptured
aneurysm is usually asymptomatic unless they grow large or press vital structures in the
brain. Otherwise, ruptured aneurysms can cause subarachnoid hemorrhage with symptoms of sudden onset severe headaches, brief loss of vision or consciousness, stiff neck. Unruptured aneurysm manifests as double vision, new unexplained headaches and pain above and behind the eyes. I would strongly suggest an urgent neurosurgical evaluation.