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¹Zhongnan Hospital of Wuhan University, Department of Neurosurgery, Wuhan, Hubei Province, China DOI : 10.5137/1019-5149.JTN.46817-24.2 Intracranial aneurysms are rare in the pediatric population, while fusiform middle cerebral artery (MCA) aneurysms are more common. Although surgical clipping is the generally preferred treatment strategy for aneurysms, occasional recurrence may still occur after successful clipping. As expertise in the use of flow diverters in adults has developed, they have also been applied in the management of aneurysms in children. This study aims to report a case of recurrence of MCA aneurysm after clipping, which was effectively treated using the Tubridge flow diverter. In the event of a recurrently clipped aneurysm, the implementation of a flow diverter treatment may be considered. Furthermore, we investigated the use of dual antiplatelet protocols during the perioperative period in children. Keywords : Case report, Flow diverter, Pediatric, Intracranial aneurysm, Recurrence