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Cerebrovascular Disorders in Children With the Factor V Leiden Mutation

Neuroepidemiology Branch, National Institute of Neurological Disorders and Stroke, Bethesda, MD, lynchj{at}ninds.nih.gov

Karin B. Nelson, MD

Neuroepidemiology Branch, National Institute of Neurological Disorders and Stroke, Bethesda, MD

Cynthia J. Curry, MD

Department of Genetic Medicine, Valley Children's Hospital/University of California-San Francisco, Madera, CA

Judith K. Grether, PhD

California Birth Defects Monitoring Program, California Department of Health Services, Emeryville, CA

Since 1995, at least 128 children with a cerebrovascular disorder, cerebral palsy, or both and the factor V Leiden mutation have been reported. The majority of these strokes were in the first year of life, many of them in the perinatal period. Two thirds had an additional exogenous risk factor for thrombosis, and 42% had another recognized endogenous prothrombotic risk factor in combination with the mutation. We review the association of the factor V Leiden mutation and a cerebrovascular disorder in children younger than 16 years of age and describe the clinical features of 8 children with cerebral palsy and the Leiden mutation. This mutation should be considered in the evaluation of children with a stroke or its sequelae, including infants with perinatal stroke. (J Child Neurol 2001;16:735-744).

Journal of Child Neurology, Vol. 16, No. 10, 735-744 (2001)
DOI: 10.1177/088307380101601006


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