TABLE 1.
Clinical Presentation Leading to CCM Diagnosis | ||||
---|---|---|---|---|
Characteristic | Incidental & Seizure (n = 118) | SH (n = 74) | Total (n = 192) | p Value* |
Age at diagnosis, yrs (range) | 37.7 ± 18.0 (0.5–76) | 33.7 ± 20.1 (0.3–72) | 36.2 ± 18.9 (0.3–76) | 0.2 |
Age at first visit, yrs (range) | 41.7 ± 17.7 (4–80) | 38.5 ± 19.2 (1–72) | 40.5 ± 18.3 (1–80) | 0.2 |
Sex | ||||
Male | 27 (22.9%) | 29 (39.2%) | 56 (29.2%) | 0.1 |
Female | 91 (77.1%) | 45 (60.8%) | 136 (70.8%) | 0.3 |
Genotype | ||||
Sporadic/solitary | 75 (63.6%) | 33 (44.6%) | 108 (56.3%) | 0.2 |
Familial/multifocal | ||||
CCM1 | 12 (10.2%) | 15 (20.3%) | 27 (14.1%) | 0.1 |
CCM2 | 7 (5.9%) | 3 (4.1%) | 10 (5.2%) | 0.7 |
CCM3 | 10 (8.5%) | 12 (16.2%) | 22 (11.5%) | 0.2 |
Multifocal unknown genotype | 14 (11.9%) | 11 (14.9%) | 25 (13.0%) | 0.6 |
Primary CCM location† | ||||
Lobar | 72 (61.0%) | 19 (25.7%) | 91 (47.4%) | 0.003 |
Deep | 20 (17.0%) | 10 (13.5%) | 30 (15.6%) | 0.6 |
Cerebellar | 13 (11.0%) | 3 (4.1%) | 16 (8.3%) | 0.1 |
Brainstem | 13 (11.0%) | 42 (56.8%) | 55 (28.7%) | <0.0001 |
No. of AC & SH | ||||
AC | 20 | 33 | 53 | |
SH | 12 | 19 | 31 | |
Total follow-up | ||||
Patient-years | 244.0 | 167.7 | 411.7 | |
Lesion-years | 2338.6 | 164.7 | 2503.3 | |
Rate in patient-years (95% CI) | ||||
AC | 8.2% (5.4–12.5) | 19.7% (15.0–26.7) | 12.9% (10.0–16.6) | 0.003 |
SH | 4.9% (2.8–8.5) | 11.3% (7.4–17.3) | 7.5% (5.4–10.6) | 0.03 |
Rate in lesion-years (95% CI) | ||||
AC | 2.1% (1.6–2.7) | 3.0% (1.3–7.2) | 2.1% (1.6–2.8) | 0.4 |
SH | 0.7% (0.4–1.1) | 9.1% (5.6–14.8) | 1.2% (0.9–1.8) | <0.0001 |
NLF | ||||
SWI | 22 | 40 | 62 | |
T2-weighted imaging | 5 | 19 | 24 | |
Rate of NLF in familial/multifocal cases (95% CI) | ||||
SWI | 23.2% (16.1–33.5) | 34.0% (26.5–43.8) | 29.2% (23.7–36.0) | 0.2 |
T2-weighted imaging | 5.3% (2.2–12.4) | 16.2% (10.7–24.4) | 11.3% (7.8–16.5) | 0.03 |
Comparison between patients with SH and those presenting incidentally or with seizures.
In cases with multiple lesions, the symptomatic lesion was considered primary, and the largest lesion was considered primary if all were asymptomatic.