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The etiology and background factors which cause decreases in the size of ruptured intracranial aneurysms remain unclear. To clarify the age- and sex-related differences in aneurysmal subarachnoid hemorrhage (SAH) based on a 35-year-old hospital database and demographic data. A database of patients admitted to our hospital with aneurysmal SAH from 1983 to 2017 was split into 5-year intervals and analyzed. Demographic data of the general population were also analyzed for reference. Altogether, 1,523 aneurysmal SAH events were enrolled in the