Children (Feb 2025)

Clinical Associations with Lenticulostriatal Vasculopathy (LSV) at Birth: A Case–Control Study

  • Aikaterini Kyriakopoulou,
  • Kyriakos Samikos,
  • Aikaterini Kanavaki,
  • Efthymia Alexopoulou,
  • Maria Argyropoulou,
  • Theodora Psaltopoulou,
  • Christina Kanaka-Gantenbein,
  • Argyrios Dinopoulos,
  • Melpomene Giorgi,
  • Anastasia Antoniadou,
  • Iliani Filippa,
  • Nikolaos Siafakas,
  • Stylianos Serghiou,
  • Vassiliki Papaevangelou

DOI
https://doi.org/10.3390/children12020223
Journal volume & issue
Vol. 12, no. 2
p. 223

Abstract

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Objective: To investigate the clinical characteristics associated with the presence of LSV at birth. Design: Prospective 1:1 case–control study. Setting: Two tertiary neonatal units in Athens, Greece. Patients: Premature neonates (≤36 weeks gestational age) who underwent cerebral ultrasound within the first 3 weeks of life, where LSV was detected. Main outcome measure: Associations between LSV and clinical characteristics at birth. Both unmatched and matched analyses stratifying the study population by gestational week were conducted. Two-sided p-values were computed using the likelihood ratio test. Results: This study included 166 participants (83 cases and 83 controls). Neonates with LSV exhibited more concurrent cerebral findings, notably periventricular echogenicity. LSV was correlated with higher z-scores for head circumference and body length. LSV was not associated with congenital CMV. Conclusions: This study indicated a relationship between LSV and increased head circumference and body length. Further research is warranted to explore LSV’s pathophysiological mechanisms.

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