Systematic review: hereditary thrombophilia associated to pediatric strokes and cerebral palsy
Objectives: This review aimed to organize and consolidate the latest knowledge about mutations and genetic polymorphisms related to hereditary thrombophilia and their potential association with pediatric stroke and cerebral palsy (CP). Sources: Scientific articles published from 1993 to 2013, writte...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | Portuguese |
| Published: |
Brazilian Society of Pediatrics
2015-01-01
|
| Series: | Jornal de Pediatria (Versão em Português) |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2255553614001463 |
| _version_ | 1811323837181067264 |
|---|---|
| author | Vinicius M. Torres Vera A. Saddi |
| author_facet | Vinicius M. Torres Vera A. Saddi |
| author_sort | Vinicius M. Torres |
| collection | DOAJ |
| description | Objectives: This review aimed to organize and consolidate the latest knowledge about mutations and genetic polymorphisms related to hereditary thrombophilia and their potential association with pediatric stroke and cerebral palsy (CP).
Sources: Scientific articles published from 1993 to 2013, written in Portuguese, English, French, and Spanish, were selected and reviewed. The publications were searched in electronic databases, and also in the collections of local libraries. The terms “hereditary thrombophilia”, “polymorphisms”, “mutation”, “pediatric strokes”, and “cerebral palsy” were used for the research.
Summary of the findings: The search in databases and in the bibliographic references retrieved 75 articles for inclusion in this review. Studies that investigated hereditary thrombophilias and their associations to CP and arterial and venous pediatric stroke presented contradictory results. The meta‐analysis and case‐control studies that showed positive results for this association described only slightly increased relative risks and sometimes had questionable conclusions. The association of two or more hereditary thrombophilias, or the association between thrombophilia and other specific clinical risk factors, suggest a higher risk of CP and pediatric stroke than isolated hereditary thrombophilia.
Conclusions: Larger, multicenter studies should be developed in order to elucidate the role of mutations leading to hereditary thrombophilia and the development of CP and pediatric stroke. The complex and multifactorial etiology of CP and stroke makes this an arduous and difficult task; however, the benefits generated by these studies are immeasurable. |
| first_indexed | 2024-04-13T14:02:17Z |
| format | Article |
| id | doaj.art-8889c038b02344ecac9c540a6e814ede |
| institution | Directory Open Access Journal |
| issn | 2255-5536 |
| language | Portuguese |
| last_indexed | 2024-04-13T14:02:17Z |
| publishDate | 2015-01-01 |
| publisher | Brazilian Society of Pediatrics |
| record_format | Article |
| series | Jornal de Pediatria (Versão em Português) |
| spelling | doaj.art-8889c038b02344ecac9c540a6e814ede2022-12-22T02:44:01ZporBrazilian Society of PediatricsJornal de Pediatria (Versão em Português)2255-55362015-01-01911222910.1016/j.jpedp.2014.08.005Systematic review: hereditary thrombophilia associated to pediatric strokes and cerebral palsyVinicius M. Torres0Vera A. Saddi1Departamento de Medicina, Pontifícia Universidade Católica de Goiás (PUC‐Goiás), Goiânia, GO, BrasilPrograma de Mestrado em Genética, Pontifícia Universidade Católica de Goiás (PUC‐Goiás), Goiânia, GO, BrasilObjectives: This review aimed to organize and consolidate the latest knowledge about mutations and genetic polymorphisms related to hereditary thrombophilia and their potential association with pediatric stroke and cerebral palsy (CP). Sources: Scientific articles published from 1993 to 2013, written in Portuguese, English, French, and Spanish, were selected and reviewed. The publications were searched in electronic databases, and also in the collections of local libraries. The terms “hereditary thrombophilia”, “polymorphisms”, “mutation”, “pediatric strokes”, and “cerebral palsy” were used for the research. Summary of the findings: The search in databases and in the bibliographic references retrieved 75 articles for inclusion in this review. Studies that investigated hereditary thrombophilias and their associations to CP and arterial and venous pediatric stroke presented contradictory results. The meta‐analysis and case‐control studies that showed positive results for this association described only slightly increased relative risks and sometimes had questionable conclusions. The association of two or more hereditary thrombophilias, or the association between thrombophilia and other specific clinical risk factors, suggest a higher risk of CP and pediatric stroke than isolated hereditary thrombophilia. Conclusions: Larger, multicenter studies should be developed in order to elucidate the role of mutations leading to hereditary thrombophilia and the development of CP and pediatric stroke. The complex and multifactorial etiology of CP and stroke makes this an arduous and difficult task; however, the benefits generated by these studies are immeasurable.http://www.sciencedirect.com/science/article/pii/S2255553614001463MutationPolymorphismsHereditary thrombophiliaPediatric strokesCerebral palsy |
| spellingShingle | Vinicius M. Torres Vera A. Saddi Systematic review: hereditary thrombophilia associated to pediatric strokes and cerebral palsy Jornal de Pediatria (Versão em Português) Mutation Polymorphisms Hereditary thrombophilia Pediatric strokes Cerebral palsy |
| title | Systematic review: hereditary thrombophilia associated to pediatric strokes and cerebral palsy |
| title_full | Systematic review: hereditary thrombophilia associated to pediatric strokes and cerebral palsy |
| title_fullStr | Systematic review: hereditary thrombophilia associated to pediatric strokes and cerebral palsy |
| title_full_unstemmed | Systematic review: hereditary thrombophilia associated to pediatric strokes and cerebral palsy |
| title_short | Systematic review: hereditary thrombophilia associated to pediatric strokes and cerebral palsy |
| title_sort | systematic review hereditary thrombophilia associated to pediatric strokes and cerebral palsy |
| topic | Mutation Polymorphisms Hereditary thrombophilia Pediatric strokes Cerebral palsy |
| url | http://www.sciencedirect.com/science/article/pii/S2255553614001463 |
| work_keys_str_mv | AT viniciusmtorres systematicreviewhereditarythrombophiliaassociatedtopediatricstrokesandcerebralpalsy AT veraasaddi systematicreviewhereditarythrombophiliaassociatedtopediatricstrokesandcerebralpalsy |