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Paul M. Foreman, Michelle H. Chua, Mark R. Harrigan, Winfield S. Fisher III, R. Shane Tubbs, Mohammadali M. Shoja, and Christoph J. Griessenauer

CT scan or xanthochromia in the cerebrospinal fluid. A ruptured cerebral aneurysm was confirmed by CT angiography (CTA) or digital subtraction angiography (DSA). Exclusion criteria included age < 19 years and any associated genetic disease/syndrome that could account for the presence of an intracranial aneurysm (e.g., polycystic kidney disease, Turner syndrome, Noonan syndrome, Ehler-Danlos syndrome Type 4, Marfan syndrome, neurofibromatosis Type 1), as well as systemic diseases (e.g., congestive heart failure, cirrhosis, etc.) that could affect the renin

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Paul M. Foreman, Michelle Chua, Mark R. Harrigan, Winfield S. Fisher III, Nilesh A. Vyas, Robert H. Lipsky, Beverly C. Walters, R. Shane Tubbs, Mohammadali M. Shoja, and Christoph J. Griessenauer

CSF. A ruptured cerebral aneurysm was confirmed by CT angiography (CTA) or digital subtraction angiography (DSA). Exclusion criteria included age younger than 19 years and any associated genetic disease/syndrome that could account for the presence of an intracranial aneurysm (i.e., polycystic kidney disease, Turner syndrome, Noonan syndrome, Ehler-Danlos syndrome Type 4, Marfan syndrome, and neurofibromatosis Type 1), as well as systemic diseases (i.e., congestive heart failure, cirrhosis, etc.) that could affect the renin-angiotensin system. For the purposes of the

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Christoph J. Griessenauer, R. Shane Tubbs, Paul M. Foreman, Michelle H. Chua, Nilesh A. Vyas, Robert H. Lipsky, Mingkuan Lin, Ramaswamy Iyer, Rishikesh Haridas, Beverly C. Walters, Salman Chaudry, Aisana Malieva, Samantha Wilkins, Mark R. Harrigan, Winfield S. Fisher III, and Mohammadali M. Shoja

. Exclusion criteria were age under 19 years and any associated genetic predisposition known to contribute to cerebral aneurysm formation (polycystic kidney disease, Turner syndrome, Noonan syndrome, Ehlers-Danlos syndrome Type 4, Marfan syndrome, or neurofibromatosis Type 1), as well as systemic diseases (congestive heart failure or cirrhosis) that could interfere with RAS activity. 14 The control group comprised trauma patients, 19 years of age and older, with unremarkable findings on CTA of the head and neck (no cerebral aneurysm or other vascular malformation) and

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Christoph J. Griessenauer, Robert M. Starke, Paul M. Foreman, Philipp Hendrix, Mark R. Harrigan, Winfield S. Fisher III, Nilesh A. Vyas, Robert H. Lipsky, Mingkuan Lin, Beverly C. Walters, Jean-Francois Pittet, and Mali Mathru

xanthochromia of CSF. A ruptured aneurysm as the source of hemorrhage was confirmed by CT angiography (CTA) or digital subtraction angiography (DSA). Exclusion criteria were age under 19 years and any associated genetic predisposition that could contribute to cerebral aneurysm formation (polycystic kidney disease, Turner syndrome, Noonan syndrome, Ehler-Danlos syndrome Type 4, Marfan syndrome, neurofibromatosis Type 1, etc.). The control group was composed of trauma patients, at least 19 years old, with unremarkable CT angiograms of the head and neck (no cerebral aneurysm or

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Christoph J. Griessenauer, R. Shane Tubbs, Paul M. Foreman, Michelle H. Chua, Nilesh A. Vyas, Robert H. Lipsky, Mingkuan Lin, Ramaswamy Iyer, Rishikesh Haridas, Beverly C. Walters, Salman Chaudry, Aisana Malieva, Samantha Wilkins, Mark R. Harrigan, Winfield S. Fisher III, and Mohammadali M. Shoja

ruptured cerebral aneurysm was confirmed by CT angiography (CTA) or digital subtraction angiography (DSA). Exclusion criteria were age younger than 19 years and any associated genetic syndrome that could explain the presence of a cerebral aneurysm (such as polycystic kidney disease, Ehler-Danlos syndrome Type 4, and Marfan syndrome) or systemic diseases (e.g., congestive heart failure and cirrhosis) that could interfere with RAS activity. All patients were enrolled within 72 hours of admission. General Management Patients presenting with aSAH were treated in accordance