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Background Multiple studies have shown a higher proportion of economically disadvantaged patients present for emergent treatment of aneurysmal subarachnoid hemorrhage than for elective treatment of an unruptured intracranial aneurysm (UIA) as compared to patients with a higher socioeconomic background. This study aims to determine how UIA were identified and to compare the new patient referral pattern across socioeconomic groups as measured by the Area Deprivation Index (ADI).Methods We retrospectively identified one year of consecutive new outpatient referrals for UIA to a single Comprehensive Stroke Center from May 2024 to April 2025 based on ICD-10 coding. Demographic, referral, and radiographic information was collected. Multivariable logistic regressions were used to examine the relationship between socioeconomic factors and aneurysm discovery and characterization.Results 185 consecutive new patient visits were identified, of which 176 were confirmed to have UIA. Patients were distributed across five ADI quintiles: Q1 7(4%), Q2 40(23%), Q3 56(32%), Q4 44(25%), and Q5 16(9%). No significant difference was identified in whether aneurysms were identified via outpatient work-up or emergency room/hospitalization (p=.566) across those quintiles. Additionally, no differences were found between presenting symptoms that led to imaging, or in aneurysm size and morphology.Conclusion No significant differences were found in UIA identification patterns across socioeconomic factors such as ADI. Further work is needed to generalize this finding beyond a single center and geography.Disclosures M. Paez: None. H. Greene: None. L. Ramirez: None. A. Paul: None. N. Field: None.