Dammann, Philipp and Wrede, Karsten and Zhu, Yuan and Matsushige, Toshinori and Maderwald, Stefan and Umutlu, Lale and Quick, Harald H. and Hehr, Ute and Rath, Matthias and Ladd, Mark E. and Felbor, Ute and Sure, Ulrich (2017) Correlation of the venous angioarchitecture of multiple cerebral cavernous malformations with familial or sporadic disease: a susceptibility-weighted imaging study with 7-Tesla MRI. JOURNAL OF NEUROSURGERY, 126 (2). pp. 570-577. ISSN 0022-3085, 1933-0693
Full text not available from this repository. (Request a copy)Abstract
OBJECTIVE Multiple cerebral cavernous malformations (CCMs) are rare lesions that occur in sporadic or familial form. Depending on the disease form, the natural history and treatment of the lesions strongly vary. Molecular analysis of an underlying germline mutation (CCM1-3) is the most sensitive screening method to distinguish between sporadic and familial cases. However, based on the different pathomechanisms that are believed to be involved in either form, significant distinctions in the CCM-associated cerebral venous angioarchitecture should be detectable. This has not been systematically studied. METHODS A consecutive series of 28 patients with multiple CCMs (681 total) diagnosed on 1.5-T MRI underwent genetic screening for CCM1-3 mutations and high-resolution susceptibility-weighted imaging (SWI) of the cerebral venous angioarchitecture with 7-T MRI. Imaging data were analyzed to examine the CCM-associated venous angioarchitecture. Results were correlated with findings of molecular analysis for CCM1-3 mutations. RESULTS Two different SWI patterns (sporadic and familial) were found. The presence of associated developmental venous anomalies correlated with negative screening for germline mutations (11 sporadic) in all cases. All patients with confirmed familial disease showed normal underlying venous angioarchitecture. Additionally, a very unusual case of a probable somatic mutation is presented. CONCLUSIONS The SWI results of the venous angioarchitecture of multiple CCMs correlate with sporadic or familial disease. These results are consistent with the theory that venous anomalies are causative for the sporadic form of multiple CCMs.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | BRAIN; APPEARANCE; VARIANTS; LESION; CCM; susceptibility-weighted imaging; SWI; high-field MRI; magnetic resonance imaging; cerebral cavernous malformations; familial disease; familial cavernomatosis; CCM1-3; vascular disorders |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Humangenetik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 13:01 |
| Last Modified: | 26 Feb 2019 12:29 |
| URI: | https://pred.uni-regensburg.de/id/eprint/511 |
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