Evidence map›Paper›PMID 41479609›Full record

ArticleFrontiers in neurology2025

Female hormone therapy and risk of intracranial hemorrhage and focal neurological deficits in patients with cavernous malformations of the central nervous system.

Saskia Wildi, Selina Nager, Victor Staartjes, Vittorio Stumpo, Sena Özkaratufan, Niklaus Krayenbühl, Oliver Bozinov, Luca Regli, Julia Velz

Abstract read
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Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Saskia WildiDepartment of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.
Selina NagerDepartment of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.
Victor StaartjesDepartment of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.
Vittorio StumpoDepartment of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.
Sena ÖzkaratufanDepartment of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.
Niklaus KrayenbühlDepartment of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.
Oliver BozinovDepartment of Neurosurgery, HOCH Health Ostschweiz, Cantonsspital St. Gallen, St. Gallen, Switzerland.
Luca RegliDepartment of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.
Julia VelzDepartment of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Female hormone therapy [FHT, birth control treatment and postmenopausal hormone replacement therapy (HRT)] is not withheld from patients with cerebral cavernous malformations (CCM), notwithstanding the uncertainty surrounding the impact of these medications on the risk of intracranial hemorrhage (ICH). This study aimed to evaluate the impact of female hormone therapy on the risk of ICH or focal neurological deficit (FND) in patients with CCM. Methods: The prospective institutional database was examined for all patients with CCM treated at our institution between 2006 and 2023. Inclusion criteria comprised patients with confirmed CCM diagnosis through radiological and/or histological examination, availability of baseline clinical characteristics, accessible medication history, and follow-up data. Patients were stratified based on their medical treatment regimen, which included female hormone therapy or no treatment. The study assessed the time-to-event probability and the number of events (ICH or FND) during the follow-up period. Results: A total of 328 female patients with CCM were included in the final analysis. Among them, 56 patients (17.1%) were receiving female hormone therapy. Specifically, 37 patients (11.3%) were using birth control treatments and 19 patients (5.8%) were on HRT. The mean number of ICH per patient was 0.43 (SD 1.11) in the FHT group and 0.38 (SD 0.8) in the control group ( Conclusion: The study shows that female patients with a diagnosis of cerebral cavernous malformation receiving female hormone therapy do not experience a significant higher likelihood of intracranial hemorrhage or focal neurological deficit. These findings indicate that, despite the observed tendency, female hormone therapy does not significantly alter the risk of these events in the observed female patients.

Indexed as

cavernomacerebral cavernous malformationfemale hormone therapyintracranial hemorrhageneurological deficit

Identifiers

PMID41479609
PMCPMC12753367

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