MARFANLOMB: Clinical Signs and Activity Limitations Associated With Dural Ectasia in Patients With Marfan Disease
Study Details
Study Description
Brief Summary
Primary outcome is to compare the frequency and clinical features of spinal symptoms between Marfan patients with dural ectasia (cases) and those without (controls).
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/ Frequency of orthostatic headaches
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/ Frequency of low back pain due to orthostasis
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/ Frequency of low back pain during Vasalva maneuvers
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/ Frequency of lumbar claudication
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/ Frequency of root claudication
Secondary outcomes are to compare activity limitations, quality of life and intensity of low back and radicular pain between Marfan patients with dural sac ectasia (cases) and those without (controls).
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/ Average intensity of back pain measured on a self-administered digital scale (0 = no pain and 100 = maximum pain)
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/ Average intensity of radicular pain measured on a self-administered digital scale (0 = no pain and 100 = maximum pain)
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/ Activity limitations specific to the lumbar spine measured using the self-administered Oswestry Disability Index questionnaire (ODI, 0 = no limitations and 100 = maximum limitations)
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/ Physical component of quality of life measured using the physical component of the self-administered questionnaire 12-Item Short Form Health Survey (SF-12, 9.95 = worst quality of life imaginable, 70.02 = worst quality of life imaginable )
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/ Mental component of the quality of life measured using the mental component of the SF-12 self-administered questionnaire (5.89 = worst quality of life imaginable, 71.97 = worst quality of life imaginable)
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Marfan's disease is a rare condition. Clinical phenotypes are heterogeneous. Among the abnormalities of the spine, dural ectasia is common with a prevalence of 66%. This is a major sign of Ghent's diagnostic criteria. To our knowledge, the clinical and functional signs associated with dural sac ectasia have never been described with precision. Only a few uncontrolled case series have been published. This is the case of the study by Foran and colleagues published in the American Journal of Genetics in 2005 which included 22 patients with Marfan disease with dural ectasia questioned about their symptoms and quality of life. We hypothesize the existence of a clinical and functional spinal phenotype specific to dural ectasia in patients with Marfan disease.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Case group Marfan disease according to Ghent criteria revised in 2010 with dural ectasia Patients followed at the CNMR in Bichat Adults ≥18 years old and ≤ 55 years old (to limit the incidence of degenerative lumbar pathologies) No history of lumbar surgery <1 year and without specific pathologies of the spine (tumor, infection, trauma, fracture, inflammatory rheumatism) |
Other: Questionnaire
Questionnaire
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Control group Marfan disease according to Ghent criteria revised in 2010 without dural ectasia Patients followed at the CNMR in Bichat Adults ≥18 years old and ≤ 55 years old (to limit the incidence of degenerative lumbar pathologies) No history of lumbar surgery <1 year and without specific pathologies of the spine (tumor, infection, trauma, fracture, inflammatory rheumatism) |
Other: Questionnaire
Questionnaire
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Outcome Measures
Primary Outcome Measures
- Frequency of spinal symptoms [Inclusion]
Frequency of spinal symptoms between Marfan patients with dural ectasia (cases) and those without (controls) : / Frequency of orthostatic headaches / Frequency of low back pain due to orthostasis / Frequency of low back pain during Vasalva maneuvers / Frequency of lumbar claudication / Frequency of root claudication
Secondary Outcome Measures
- Self-administered digital scale (0 = no pain and 100 = maximum pain) [Inclusion]
Intensity of low back pain between Marfan patients with dural ectasia (cases) and those without (controls) : average intensity of back pain measured on a self-administered digital scale (0 = no pain and 100 = maximum pain)
- Self-administered digital scale (0 = no pain and 100 = maximum pain) [Inclusion]
Intensity of radicular pain between Marfan patients with dural ectasia (cases) and those without (controls) : average intensity of radicular pain measured on a self-administered digital scale (0 = no pain and 100 = maximum pain)
- Oswestry Disability Index questionnaire (ODI, 0 = no limitations and 100 = maximum limitations) [Inclusion]
Limitations between Marfan patients with dural ectasia (cases) and those without (controls) : activity limitations specific to the lumbar spine measured using the self-administered Oswestry Disability Index questionnaire (ODI, 0 = no limitations and 100 = maximum limitations)
- 12-Item Short Form Health Survey (SF-12, 9.95 = worst quality of life imaginable, 70.02 = worst quality of life imaginable ) [Inclusion]
Quality of life between Marfan patients with dural ectasia (cases) and those without (controls) : physical component of quality of life measured using the physical component of the self-administered questionnaire 12-Item Short Form Health Survey (SF-12, 9.95 = worst quality of life imaginable, 70.02 = worst quality of life imaginable )
- 12-Item Short Form Health Survey (SF-12, 9.95 = worst quality of life imaginable, 70.02 = worst quality of life imaginable ) [Inclusion]
Quality of life between Marfan patients with dural ectasia (cases) and those without (controls) : mental component of the quality of life measured using the mental component of the SF-12 self-administered questionnaire (5.89 = worst quality of life imaginable, 71.97 = worst quality of life imaginable)
Eligibility Criteria
Criteria
Inclusion Criteria:
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Marfan disease according to the Ghent criteria revised in 2010
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Patients followed at the CNMR in Bichat
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Adults ≥18 years old and ≤ 55 years old (to limit the incidence of degenerative lumbar pathologies)
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Patient not opposing the research
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Mastery of the French language
Exclusion Criteria:
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History of lumbar surgery <1 year
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Specific pathologies of the spine (tumor, infection, trauma, fracture, inflammatory rheumatism)
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Inability to write, read or speak French
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Cognitive or behavioral problems making assessment impossible
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Patients receiving AME
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Patients under tutorship or curatorship
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | CNMR Bichat | Paris | IDF | France | 75018 |
Sponsors and Collaborators
- Assistance Publique - Hôpitaux de Paris
Investigators
- Principal Investigator: Christelle NGUYEN, Dr, Rehabilitation Service of the Musculoskeletal System and Spine Pathologies - Cochin Hospital - Paris
Study Documents (Full-Text)
None provided.More Information
Publications
- Böker T, Vanem TT, Pripp AH, Rand-Hendriksen S, Paus B, Smith HJ, Lundby R. Dural ectasia in Marfan syndrome and other hereditary connective tissue disorders: a 10-year follow-up study. Spine J. 2019 Aug;19(8):1412-1421. doi: 10.1016/j.spinee.2019.04.010. Epub 2019 Apr 15.
- Chuzel Q, Dupuis-Girod S, Rousset M, Decharry C, Decullier E, Pialat JB. Assessment of Dural Ectasia Using Computed Tomodensitometry as a Criterion in Marfan Syndrome. J Comput Assist Tomogr. 2019 Mar/Apr;43(2):282-287. doi: 10.1097/RCT.0000000000000822.
- Foran JR, Pyeritz RE, Dietz HC, Sponseller PD. Characterization of the symptoms associated with dural ectasia in the Marfan patient. Am J Med Genet A. 2005 Apr 1;134A(1):58-65.
- Nguyen C, Papelard A, Schnitzler A, Mangione P, Poiraudeau S, Rannou F. Congenital lumbar spinal stenosis associated with Marfan syndrome. Joint Bone Spine. 2012 Mar;79(2):199-200. doi: 10.1016/j.jbspin.2011.07.007. Epub 2011 Oct 1.
- APHP211106
- 2021-A00654-37