Different subtypes of collateral vessels in hemorrhagic moyamoya disease with p.R4810K variant

Abstract Background The aim of this study was to investigate the hemorrhgic sites and collateral vessels in hemorrhagic MMD with the p.R4810K variant. Methods Hemorrhage sites were classified as either anterior or posterior. Collateral vessels were classified into three subtypes according to origin:...

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Main Authors: Peicong Ge, Qian Zhang, Xun Ye, Xingju Liu, Xiaofeng Deng, Jia Wang, Rong Wang, Yan Zhang, Dong Zhang, Jizong Zhao
Format: Article
Language:English
Published: BMC 2020-08-01
Series:BMC Neurology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12883-020-01884-0
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author Peicong Ge
Qian Zhang
Xun Ye
Xingju Liu
Xiaofeng Deng
Jia Wang
Rong Wang
Yan Zhang
Dong Zhang
Jizong Zhao
author_facet Peicong Ge
Qian Zhang
Xun Ye
Xingju Liu
Xiaofeng Deng
Jia Wang
Rong Wang
Yan Zhang
Dong Zhang
Jizong Zhao
author_sort Peicong Ge
collection DOAJ
description Abstract Background The aim of this study was to investigate the hemorrhgic sites and collateral vessels in hemorrhagic MMD with the p.R4810K variant. Methods Hemorrhage sites were classified as either anterior or posterior. Collateral vessels were classified into three subtypes according to origin: lenticulostriate anastomosis, thalamic anastomosis, and choroidal anastomosis. Hemorrhage sites and collateral vessels were compared between patients with wild-type p.R4810K variant (GG) and patients with heterozygous p.R4810K variant (GA) after 1:1 propensity score matching. Results A total of 130 hemorrhagic MMD patients were included in present study, 21 pairs (42 hemorrhagic hemispheres) were obtained after 1:1 propensity score. In GA group, 16 hemispheres (76.2%) presented anterior hemorrhage, and 5 hemispheres (23.8%) presented with posterior hemorrhage. In GG group, 13 hemispheres (61.9%) presented anterior hemorrhage, and 8 hemispheres (38.1%) presented with posterior hemorrhage. No significant differences were found in hemorrhagic sites between two matched groups (P > 0.05). Of 21 hemispheres in GA group, 10 (47.6%) exhibited lenticulostriate anastomosis, 6 (28.6%) thalamic anastomosis, and 6 (28.6%) choroidal anastomosis. Of 21 hemispheres in GG group, 3 (14.3%) exhibited lenticulostriate anastomosis, 5 (23.8%) thalamic anastomosis, and 9 (42.9%) choroidal anastomosis. There was significant difference in lenticulostriate anastomosis between two matched groups (P = 0.045). After adjustment the age, sex, and PCA involvement, we found that lenticulostriate anastomosis was associated with p.R4810K variant (OR, 5.995; 95% CI, 1.296–27.737; P = 0.022). Conclusion Lenticulostriate anastomosis might be associated with p.R4810K variant. Whereas hemorrhagic sites, thalamic anastomosis, and choroidal anastomosis might not be associted withp.R4810K variant.
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spelling doaj.art-3d767bc23112437cb9f1e17e7ba8582d2022-12-22T00:43:06ZengBMCBMC Neurology1471-23772020-08-012011610.1186/s12883-020-01884-0Different subtypes of collateral vessels in hemorrhagic moyamoya disease with p.R4810K variantPeicong Ge0Qian Zhang1Xun Ye2Xingju Liu3Xiaofeng Deng4Jia Wang5Rong Wang6Yan Zhang7Dong Zhang8Jizong Zhao9Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityAbstract Background The aim of this study was to investigate the hemorrhgic sites and collateral vessels in hemorrhagic MMD with the p.R4810K variant. Methods Hemorrhage sites were classified as either anterior or posterior. Collateral vessels were classified into three subtypes according to origin: lenticulostriate anastomosis, thalamic anastomosis, and choroidal anastomosis. Hemorrhage sites and collateral vessels were compared between patients with wild-type p.R4810K variant (GG) and patients with heterozygous p.R4810K variant (GA) after 1:1 propensity score matching. Results A total of 130 hemorrhagic MMD patients were included in present study, 21 pairs (42 hemorrhagic hemispheres) were obtained after 1:1 propensity score. In GA group, 16 hemispheres (76.2%) presented anterior hemorrhage, and 5 hemispheres (23.8%) presented with posterior hemorrhage. In GG group, 13 hemispheres (61.9%) presented anterior hemorrhage, and 8 hemispheres (38.1%) presented with posterior hemorrhage. No significant differences were found in hemorrhagic sites between two matched groups (P > 0.05). Of 21 hemispheres in GA group, 10 (47.6%) exhibited lenticulostriate anastomosis, 6 (28.6%) thalamic anastomosis, and 6 (28.6%) choroidal anastomosis. Of 21 hemispheres in GG group, 3 (14.3%) exhibited lenticulostriate anastomosis, 5 (23.8%) thalamic anastomosis, and 9 (42.9%) choroidal anastomosis. There was significant difference in lenticulostriate anastomosis between two matched groups (P = 0.045). After adjustment the age, sex, and PCA involvement, we found that lenticulostriate anastomosis was associated with p.R4810K variant (OR, 5.995; 95% CI, 1.296–27.737; P = 0.022). Conclusion Lenticulostriate anastomosis might be associated with p.R4810K variant. Whereas hemorrhagic sites, thalamic anastomosis, and choroidal anastomosis might not be associted withp.R4810K variant.http://link.springer.com/article/10.1186/s12883-020-01884-0Hemorrhgic sitesCollateral vesselP.R4810 K vaiantMoyamoya diseaseHemorrhage
spellingShingle Peicong Ge
Qian Zhang
Xun Ye
Xingju Liu
Xiaofeng Deng
Jia Wang
Rong Wang
Yan Zhang
Dong Zhang
Jizong Zhao
Different subtypes of collateral vessels in hemorrhagic moyamoya disease with p.R4810K variant
BMC Neurology
Hemorrhgic sites
Collateral vessel
P.R4810 K vaiant
Moyamoya disease
Hemorrhage
title Different subtypes of collateral vessels in hemorrhagic moyamoya disease with p.R4810K variant
title_full Different subtypes of collateral vessels in hemorrhagic moyamoya disease with p.R4810K variant
title_fullStr Different subtypes of collateral vessels in hemorrhagic moyamoya disease with p.R4810K variant
title_full_unstemmed Different subtypes of collateral vessels in hemorrhagic moyamoya disease with p.R4810K variant
title_short Different subtypes of collateral vessels in hemorrhagic moyamoya disease with p.R4810K variant
title_sort different subtypes of collateral vessels in hemorrhagic moyamoya disease with p r4810k variant
topic Hemorrhgic sites
Collateral vessel
P.R4810 K vaiant
Moyamoya disease
Hemorrhage
url http://link.springer.com/article/10.1186/s12883-020-01884-0
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