Molecular analysis of thrombophilic risk factors in patients with dural arteriovenous fistulas

J Neurol. 2002 Jun;249(6):680-2. doi: 10.1007/s00415-002-0690-8.

Abstract

Dural arteriovenous fistulas (DAVFs) are direct artery-to-cerebral venous sinus shunts. Our recent finding of a significantly increased prevalence of factor V (FV) Leiden in patients with DAVFs prompted us to evaluate prothrombinG20210A, MTHFRC677T, beta-fibrinogenG455A, PAI-14G/5G and FXIIIVal34Leu as additional risk factors for thrombophilia in 26 patients with DAVFs and a group of age- and gender-matched controls. There was no significantly increased prevalence of these risk factors in DAVF patients. We conclude that FV Leiden is of pathogenetic significance in the aetiology of a subgroup of DAVFs whereas the other thrombophilic risk factors are not likely to be involved.

MeSH terms

  • Aged
  • Case-Control Studies
  • Central Nervous System Vascular Malformations / blood*
  • Central Nervous System Vascular Malformations / genetics*
  • Central Nervous System Vascular Malformations / physiopathology
  • Cranial Sinuses / pathology
  • Cranial Sinuses / physiopathology*
  • Factor V / genetics
  • Factor V / metabolism
  • Factor XIII / genetics
  • Factor XIII / metabolism
  • Female
  • Fibrinogen / genetics
  • Fibrinogen / metabolism
  • Gene Frequency
  • Genetic Predisposition to Disease / genetics
  • Humans
  • Male
  • Methylenetetrahydrofolate Reductase (NADPH2)
  • Middle Aged
  • Mutation / genetics
  • Oxidoreductases Acting on CH-NH Group Donors / genetics
  • Oxidoreductases Acting on CH-NH Group Donors / metabolism
  • Plasminogen Activator Inhibitor 1 / genetics
  • Plasminogen Activator Inhibitor 1 / metabolism
  • Polymorphism, Genetic / genetics
  • Protein C / genetics
  • Protein C / metabolism
  • Prothrombin / genetics
  • Prothrombin / metabolism
  • Risk Factors
  • Thrombophilia / blood
  • Thrombophilia / complications*
  • Thrombophilia / genetics*

Substances

  • Plasminogen Activator Inhibitor 1
  • Protein C
  • factor V Leiden
  • Factor V
  • Prothrombin
  • Fibrinogen
  • Factor XIII
  • Oxidoreductases Acting on CH-NH Group Donors
  • Methylenetetrahydrofolate Reductase (NADPH2)