Which of the following is NOT related to intracranial aneurysms?

In the context of intracranial aneurysms, the symptoms typically associated with their presence often include neck stiffness, sensitivity to light (photophobia), and vomiting. These symptoms are indicative of irritation to the meninges caused by bleeding or increased intracranial pressure, often a result of a ruptured aneurysm or the presence of an aneurysm itself.

Neck stiffness occurs due to meningitis or irritation of the lining of the brain, while sensitivity to light can result from increased intracranial pressure or irritation of the meninges. Vomiting is also common, as increased pressure in the skull can activate the vomiting center in the brain.

Hypotension, however, is not directly related to the presence of an intracranial aneurysm. While it may occur in response to other conditions or complications (such as severe bleeding or shock following a rupture), it is not a typical symptom associated with the aneurysm itself. Thus, hypotension stands out as not being an intrinsic symptom of an intracranial aneurysm, making it the correct option in this context.