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Poster Session I - INTRACRANIAL HEMORRHAGE 02.00 - INTRACRANIAL HEMORRHAGE - 02.02 - SAH, ANEURYSMS AND VASCULAR MALFORMATIONS P151 - ESOC25-1735 LOW GROWTH RISK OF SMALL INCIDENTAL MIDDLE CEREBRAL ARTERY ANEURYSMS Ronil Chandra 1,2 , Fergus Taylor 2 , Seana Gall 3,4 , Leon Lai 1,5 , Christopher Photopoulos 2 , Kenny Li 2 , Shreyas Honavar 2 , Lee-Anne Slater 2,6 , Thanh Phan 4,7 1 Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia, 2 NeuroInterventional Radiology, Monash Medical Centre, Monash Health, Melbourne, Australia, 3 Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia, 4 Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia, 5 Neurosurgery, Monash Medical Centre, Monash Health, Melbourne, Australia, 6 Department of Radiology and Radiological Sciences, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia, 7 Neurology, Monash Medical Centre, Monash Health, Melbourne, Australia Background and Aims: The optimal intervals for radiological surveillance of small incidental middle cerebral (MCA) aneurysms remain uncertain, with current guidelines recommending annual or biennial imaging

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Median NIHSS was 6 and 73% were deemed to have minor-moderate stroke

However, it is important to note that neurological symptoms can occur even in the absence of anaemia, particularly in patients taking folic acid supplements, which can mask the blood changes whilst neurological damage progresses