To compare health-related quality of life (HRQoL) in patients with familial form of cerebral cavernous malformation (fCCM) versus those with sporadic form of cerebral cavernous malformation (sCCM).
MethodsA cross-sectional observational study was conducted involving adult patients receiving outpatient care at a specialized referral center for cerebral cavernous malformation (CCM). In addition to clinic visits, demographic data and imaging were reviewed. Patients completed the Patient-Reported Outcome Measurements Information System, version 2.0 (PROMIS-29), and the EuroQol 5 dimensions 5 levels, version 3.1. Data were compared using a 2-tailed 2-sample t-test or Mann-Whitney test for continuous variables. Pearson χ2 or Fisher's exact test assessed the association between 2 categorical variables.
ResultsEighty-three patients participated in the study over one year. The average age of the participants was 45.37 years (standard deviation = 14.75), with 53 (63.86%) being female. On average, patients had 12.48 years of education (standard deviation = 3.87), and 36 (43.37%) had the familial form of the disease. No significant differences in HRQoL were observed between patients with familial fCCM and sCCM. Among symptomatic patients, there were also no differences between the 2 groups in any domain of either assessment tool. However, within the fCCM group, symptomatic individuals reported worse HRQoL in the usual activities domain of the EuroQol 5 dimensions 5 levels (P = 0.014) and the physical function domain of the PROMIS-29 (P = 0.031) when compared to asymptomatic individuals.
ConclusionsThis study found no significant differences in HRQoL between patients with fCCM and sCCM.
Key wordsBrain cavernous angioma
Cerebral cavernous malformation
Patient-reported outcome measures
Quality of life
Abbreviations and AcronymsCASHCavernous angiomas with symptomatic hemorrhage
CCMCerebral cavernous malformations
EQ-5D-5LEuroQol 5 dimensions 5 levels
fCCMFamilial form of cerebral cavernous malformation
HRQoLHealth-related quality of life
MRIMagnetic resonance imaging
PROMsPatient-reported outcomes measures
sCCMSporadic form of cerebral cavernous malformation
STROBEStrengthening the Reporting of Observational Studies in Epidemiology
SWISusceptibility-weighted imaging
© 2025 The Authors. Published by Elsevier Inc.
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