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Comprehensive analysis of dural ectasia in 150 patients with a causative FBN1 mutation

The purpose of this study was to perform a comprehensive study of dural ectasia (DE) related to FBN1 mutations. We performed a database analysis of two German metropolitan regions of 150 patients (68 men, 82 women; mean age 35 ± 16 years). All patients had a FBN1 mutation and underwent dural magneti...

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Published in:Clinical genetics 2014-09, Vol.86 (3), p.238-245
Main Authors: Sheikhzadeh, S., Sondermann, C., Rybczynski, M., Habermann, C.R., Brockstaedt, L., Keyser, B., Kaemmerer, H., Mir, T., Staebler, A., Robinson, P.N., Kutsche, K., Berger, J., Blankenberg, S., von Kodolitsch, Y.
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creator Sheikhzadeh, S.
Sondermann, C.
Rybczynski, M.
Habermann, C.R.
Brockstaedt, L.
Keyser, B.
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Mir, T.
Staebler, A.
Robinson, P.N.
Kutsche, K.
Berger, J.
Blankenberg, S.
von Kodolitsch, Y.
description The purpose of this study was to perform a comprehensive study of dural ectasia (DE) related to FBN1 mutations. We performed a database analysis of two German metropolitan regions of 150 patients (68 men, 82 women; mean age 35 ± 16 years). All patients had a FBN1 mutation and underwent dural magnetic resonance imaging. Age was 35 in 36 patients. Prevalence of dural ectasia was 89% with criteria of Oosterhof and Habermann, 83% with Fattori, 78% with Lundby, and 59% with Ahn. DE was less frequent in patients
doi_str_mv 10.1111/cge.12264
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We performed a database analysis of two German metropolitan regions of 150 patients (68 men, 82 women; mean age 35 ± 16 years). All patients had a FBN1 mutation and underwent dural magnetic resonance imaging. Age was &lt;16 years in 20, 16–25 in 27, 26–35 in 67, and &gt;35 in 36 patients. Prevalence of dural ectasia was 89% with criteria of Oosterhof and Habermann, 83% with Fattori, 78% with Lundby, and 59% with Ahn. DE was less frequent in patients &lt;16 years with Ahn and Fattori. DE related to skeletal manifestations with all criteria, to aortic Z‐scores and mitral valve prolapse with criteria of Habermann and Lundby, and to age with criteria of Fattori. The Fattori‐grade of DE increased with age, aortic Z‐scores, and skeletal score points. There was no consistent relationship of DE with any type of FBN1 mutation. DE is frequent in patients with FBN1 mutations irrespective of age and its severity increases during life. Criteria of Oosterhof and Habermann yielded most consistent diagnostic results. DE relates to skeletal involvement, aortic Z‐scores, and mitral valve prolapse.</description><identifier>ISSN: 0009-9163</identifier><identifier>EISSN: 1399-0004</identifier><identifier>DOI: 10.1111/cge.12264</identifier><identifier>PMID: 23991918</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Age Factors ; Aorta - pathology ; Dilatation, Pathologic - epidemiology ; Dilatation, Pathologic - genetics ; Dilatation, Pathologic - pathology ; Dura Mater - pathology ; dural ; ectasia ; FBN1 ; Female ; Fibrillin-1 ; Fibrillins ; Genetic disorders ; Germany - epidemiology ; Humans ; Logistic Models ; Magnetic Resonance Imaging ; Male ; Marfan syndrome ; Microfilament Proteins - genetics ; Middle Aged ; Mitral Valve Prolapse - pathology ; Mutation ; Mutation - genetics ; Odds Ratio ; Phenotype ; Prevalence ; Statistics, Nonparametric</subject><ispartof>Clinical genetics, 2014-09, Vol.86 (3), p.238-245</ispartof><rights>2013 John Wiley &amp; Sons A/S. 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Criteria of Oosterhof and Habermann yielded most consistent diagnostic results. 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Criteria of Oosterhof and Habermann yielded most consistent diagnostic results. DE relates to skeletal involvement, aortic Z‐scores, and mitral valve prolapse.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>23991918</pmid><doi>10.1111/cge.12264</doi><tpages>8</tpages></addata></record>
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source Wiley:Jisc Collections:Wiley Read and Publish Open Access 2024-2025 (reading list)
subjects Adult
Age Factors
Aorta - pathology
Dilatation, Pathologic - epidemiology
Dilatation, Pathologic - genetics
Dilatation, Pathologic - pathology
Dura Mater - pathology
dural
ectasia
FBN1
Female
Fibrillin-1
Fibrillins
Genetic disorders
Germany - epidemiology
Humans
Logistic Models
Magnetic Resonance Imaging
Male
Marfan syndrome
Microfilament Proteins - genetics
Middle Aged
Mitral Valve Prolapse - pathology
Mutation
Mutation - genetics
Odds Ratio
Phenotype
Prevalence
Statistics, Nonparametric
title Comprehensive analysis of dural ectasia in 150 patients with a causative FBN1 mutation
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