Increased von Willebrand factor parameters in children with febrile seizures

Astrid Pechmann1, Sven Wellmann2, Benjamin Stoecklin2

  • 1Department of Neuropediatrics and Muscle Disorders, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Plos One
|January 4, 2019
PubMed

Insights

Children with febrile seizures (FS) show higher arginine vasopressin (AVP) levels, linked to increased von Willebrand factor (VWF) parameters. VWF collagen binding activity (VWF:CB) may help diagnose FS.

Area of Science:

  • Pediatrics
  • Hematology
  • Endocrinology

Background:

  • Von Willebrand factor (VWF) orchestrates blood coagulation and wound sealing.
  • Arginine vasopressin (AVP) release stimulates secretion of high molecular weight VWF multimers.
  • Elevated AVP levels, indicated by copeptin, were observed in children with febrile seizures (FS).

Purpose of the Study:

  • To investigate the biological function of increased AVP levels in children with FS.
  • To test the hypothesis that children with FS have elevated VWF parameters alongside higher AVP levels.

Main Methods:

  • Prospective, cross-sectional study of children aged 6 months to 5 years.
  • Inclusion criteria: fever or recent FS (within 4 hours).
  • Measured serum copeptin and VWF parameters (VWF:Ag, VWF:CB, VWF multimers) in FS, febrile control, and non-febrile control groups.

Main Results:

  • Significantly higher serum copeptin levels in children with FS compared to both control groups (p<0.001).
  • Significantly higher VWF:CB levels in children with FS compared to both control groups (p=0.048).
  • Multivariate analysis identified FS and copeptin as key determinants of VWF:CB.

Conclusions:

  • Increased AVP secretion in children with FS is associated with elevated plasma VWF parameters.
  • VWF:collagen binding activity (VWF:CB) may serve as an additional biomarker for diagnosing FS.
Abstract

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