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Table 2 MRI and MRA findings in patients with IVS4 versus classical Fabry mutations

From: A comparison of central nervous system involvement in patients with classical Fabry disease or the later-onset subtype with the IVS4+919G>A mutation

Parameters

IVS4 mutation n = 25

Classical Fabry mutations n = 12

P-value

MRI findings

   

 Pulvinar sign, n (%)

8 (32.0)

6 (50.0)

0.4701a

  95% CI

0.15-0.54

0.21-0.79

 

 Infarct, n (%)

8 (32.0)

4 (33.3)

0.6759b

  95% CI

0.15-0.54

0.10-0.65

 

  Anterior circulation stroke

2 (8.0)

2 (16.7)

 

  Posterior circulation stroke

2 (8.0)

0

 

  Both anterior and posterior circulation stroke

4 (16.0)

2 (16.7)

 

  None of them

17 (68.0)

8 (66.7)

 

 Hemorrhage (microbleeds), n (%)

0

2 (16.7)

0.0991a

 Fazekas score, n

25

12

0.7378a

  0: No or a single punctate WM lesion

15 (60.0)

6 (50.0)

 

  1: Multiple punctate WM lesions

7 (28.0)

4 (33.3)

 

  2: Beginning of lesion confluence

2 (8.0)

2 (16.7)

 

  3: Large confluent lesion

1 (4.0)

0

 

 Height bifurcation of the BA, n

25

12

0.4276*

  0: At or below the dorsum sellae

6 (24.0)

2 (16.7)

 

  1: Within the suprasellar cistern

9 (36.0)

3 (25.0)

 

  2: At the third ventricle floor

10 (40.0)

6 (50.0)

 

  3: Indenting and elevating the third ventricle floor

0

1 (8.3)

 

  Abnormal height bifurcation

10 (40.0)

7 (58.3)

 

 Laterality of the BA, n

25

12

0.3652a

  0: Midline throughout

12 (48.0)

4 (33.3)

 

  1: Medial to lateral margins of clivus or dorsum sellae

12 (48.0)

6 (50.0)

 

  2: Lateral to lateral margins of clivus or dorsum sellae

1 (4.0)

2 (16.7)

 

  3: In the cerebellopontine angle cistern

0

0

 

 Abnormal laterality

1 (4.0)

2 (16.7)

0.2407a

 95% CI

0.00-0.20

0.02-0.48

 

MRA findings

   

 BA diameter, mm

   

  Mean (SD)

2.7 (0.6)

3.3 (0.7)

 

  95% CI

2.5-3.0

2.9-3.8

 

  Median (range)

2.7 (1.4-4.0)

3.2 (2.3-4.7)

0.0293b

 Vascular stenosis/BA hypoplasia, n c (%)

2 (8.3)

0

0.5429a

  95% CI

0.01-0.27

0.74-1.00

 
  1. BA, basilar artery; IVS4, IVS4+919G>A; MRA, magnetic resonance angiography; MRI, magnetic resonance imaging; WM, white matter
  2. aFisher’s exact test
  3. bWilcoxon rank-sum test
  4. cData missing from one IVS4 patient, thus n = 24