Explore this unique pediatric case of a 7-year-old male with a twice-ruptured AComA aneurysm, complicated by subarachnoid hemorrhage and hydrocephalus. Balloon-assisted coiling was used to treat the complex dumbbell-shaped aneurysm, offering enhanced stability and artery protection despite thrombotic risks. Dive deeper into the challenges and benefits of this technique in pediatric aneurysm treatment.