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Published on: January 11, 2016
Leiden V factor and spastic cerebral palsy in Mexican children
María de la Luz Arenas-Sordo1, César Zavala-Hernández, César Casiano-Rosas
1Genetics Department, National Institute of Rehabilitation, Mexico City, México. mlarenassordo@hotmail.com
Insights
The Leiden mutation of factor V is not linked to spastic hemiparesis cerebral palsy (CP) in the Mexican mestizo population. Other perinatal factors like hypoxia and maternal infections are significant risks for CP.
Area of Science:
- Neurology
- Genetics
- Perinatal Medicine
Background:
- Cerebral palsy (CP) is a motor disorder resulting from early brain development interference.
- The Leiden mutation of factor V has been proposed as a potential cause for spastic hemiparesis CP.
Purpose of the Study:
- To investigate the association between the Leiden mutation of factor V and spastic hemiparesis CP in the Mexican mestizo population.
- To identify other potential risk factors for CP in this demographic.
Main Methods:
- A case-control study was conducted.
- Included 94 patients with spastic hemiparesis CP, 120 controls, and their mothers.
Main Results:
- The Leiden mutation was not found in any patients, mothers, or controls.
- Significant risk factors identified include hypoxia (OR 7.189), smoking (OR 16.621), maternal infections (OR 7.040), shorter gestation (OR 0.866), and increased maternal age (OR 1.114).
Conclusions:
- The Leiden mutation of factor V is not a significant risk factor for spastic hemiparesis CP in the Mexican mestizo population.
- Perinatal factors such as hypoxia, smoking, maternal infections, prematurity, and maternal age are crucial risk factors for CP.
Aim:
Cerebral palsy (CP) is a persistent motor disorder that appears before the patient is 3 years old due to a nonprogressive interference in the brain's development which takes place before the central nervous system growth is complete. Causes of this have been studied, and one that has been proposed for spastic hemiparesis CP is the Leiden mutation of V factor coagulation. We want to know whether this mutation can cause CP in our population.
Materials And Methods:
We carried out a study of cases and controls with 94 patients with spastic hemiparesis CP and 120 controls as well as their mothers with their controls.
Results:
None of the patients, their mothers, or controls had the Leiden mutation; however, other risk factors were significant: hypoxia odds ratio (OR) 7.189 (2.546, 20.302) p=0.0001, smoking OR 16.621 (2.945, 93.818) p=0.001, maternal infections (urinary or vaginal) OR 7.040 (2.952, 16.789) p=0.0001, weeks of gestation OR 0.866 (0.7750, 0.999) p=0.048, and maternal age OR 1.114 (1.031, 1.204) p=0.006.
Conclusion:
Leiden mutation of factor V is not an important factor for our Mexican mestizo population; however, there are other important perinatal risk factors.
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