Abstract
Literature consistently mentions that pregnancy and hormonal therapy probably increase the bleeding rate and seizure expression of cerebral cavernomas. Either increased hormonal activity or embryogenesis related abundant expression of some growth factors such as VEGF, bFGF, and placental growth factor during pregnancy were proposed to initiate angiogenic process and vascular proliferation in cavernomas, thereby increasing their bleeding rate and seizure expression. To reveal whether estrogen and/or progesterone have direct effect on cerebral cavernomas, their receptor expressions were studied immunohistochemically in recently excised 12 cerebral cavernomas. Study showed no expression of either estrogen or progesterone receptors in cerebral cavernomas even the staining worked well in positive control tissues of infiltrative ductal carcinoma. Aggressive behavior of cerebral cavernomas during pregnancy is a commonly proven observation and attributed to some hormonal effects. However, this effect seems not related to effect of estrogen or progesterone on cavernoma tissue via receptor binding.
References
Nov 1, 1991·Journal of Neurosurgery·J R RobinsonJ R Little
Oct 1, 1988·Neurosurgery·S L OndraE D George
Feb 1, 1986·Journal of Neurosurgery·T YamasakiR Asato
Jul 1, 1995·Journal of Neurosurgery·T AibaT Komata
May 1, 1994·Surgical Neurology·S CanaveroG B Bradac
Jan 1, 1994·Journal of Neurosurgery·Y KatayamaT Yamamoto
Apr 1, 1996·Neurosurgery·E PozzatiF Giangaspero
Jul 1, 1997·Epilepsia·A AwadaT Obeid
Jul 21, 1999·Journal of Neurosurgery·R W PorterJ M Zabramski
Apr 27, 2000·Virchows Archiv : an International Journal of Pathology·L Di TommasoM P Foschini
Feb 28, 2001·Neurosurgery·R UranishiI A Awad
Jun 21, 2001·Journal of Neurosurgery·U SureH Bertalanffy
Sep 11, 2003·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Marek ZygmuntOlin D Liang
Dec 13, 2003·Surgical Neurology·Kelly D FlemmingFredric B Meyer
Jul 25, 2006·Neurosurgical Focus·Sam Safavi-AbbasiVolker K H Sonntag
Citations
Mar 1, 2012·Journal of Neurosurgery. Spine·Mark E OppenlanderCurtis A Dickman
May 31, 2013·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Giuliana SimonazziEugenio Pozzati
Oct 10, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Lucia MerlinoMaria Grazia Piccioni
Jan 26, 2021·Stroke; a Journal of Cerebral Circulation·Nycole K JosephKelly D Flemming