Maternal cerebral venous thrombosis, uncommon but serious disorder, pathologic predictors and contribution of prothrombotic abnormalities

Blood Coagul Fibrinolysis. 2013 Apr;24(3):269-72. doi: 10.1097/MBC.0b013e32835bace4.

Abstract

Cerebral venous thrombosis (CVT) is a rare complication during pregnancy or the puerperium. Our aim was to identify thrombotic risk profiles that predispose to maternal CVT.The study comprised 151 individuals. All participants had a thrombotic workup that included the following: genetic markers: factor V Leiden G1691A and G20210A prothrombin mutations, methylenetetrahydrofolate reductase (MTHFR) C677T and A1298C polymorphisms; protein assays: protein C, protein S and antithrombin; other tests: blood typing and screening for hyperhomocysteinemia. Maternal CVT has been associated with factor V Leiden, the prothrombin G20210A mutation, protein C deficiency and hyperhomocysteinemia. We also speculate that non-O blood groups and preeclampsia could be independent risk factors for CVT.

MeSH terms

  • Adult
  • Antithrombin III / metabolism
  • Biomarkers / blood
  • DNA Mutational Analysis
  • Factor V / genetics
  • Female
  • Humans
  • Hyperhomocysteinemia / complications
  • Hyperhomocysteinemia / genetics*
  • Hyperhomocysteinemia / pathology
  • Intracranial Thrombosis / complications
  • Intracranial Thrombosis / genetics*
  • Intracranial Thrombosis / pathology
  • Methylenetetrahydrofolate Reductase (NADPH2) / genetics
  • Polymorphism, Single Nucleotide*
  • Pregnancy
  • Pregnancy Complications, Hematologic / genetics*
  • Pregnancy Complications, Hematologic / pathology
  • Protein C / metabolism
  • Protein S / metabolism
  • Prothrombin / genetics*
  • Risk Factors
  • Venous Thrombosis / complications
  • Venous Thrombosis / genetics*
  • Venous Thrombosis / pathology

Substances

  • Biomarkers
  • Protein C
  • Protein S
  • factor V Leiden
  • Antithrombin III
  • Factor V
  • Prothrombin
  • MTHFR protein, human
  • Methylenetetrahydrofolate Reductase (NADPH2)