Comparative Analysis of the Health-Related Quality of Life Between Patients with Familial and Sporadic Forms of Cerebral Cavernous Malformation

ElsevierVolume 198, June 2025, 124023World NeurosurgeryAuthor links open overlay panel, , Objective

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).

Methods

A 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.

Results

Eighty-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.

Conclusions

This study found no significant differences in HRQoL between patients with fCCM and sCCM.

Key words

Brain cavernous angioma

Cerebral cavernous malformation

Patient-reported outcome measures

Quality of life

Abbreviations and AcronymsCASH

Cavernous angiomas with symptomatic hemorrhage

CCM

Cerebral cavernous malformations

EQ-5D-5L

EuroQol 5 dimensions 5 levels

fCCM

Familial form of cerebral cavernous malformation

HRQoL

Health-related quality of life

MRI

Magnetic resonance imaging

PROMs

Patient-reported outcomes measures

sCCM

Sporadic form of cerebral cavernous malformation

STROBE

Strengthening the Reporting of Observational Studies in Epidemiology

SWI

Susceptibility-weighted imaging

© 2025 The Authors. Published by Elsevier Inc.

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