Difference between revisions of "Neurofibromatosis"

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==NF1==
==NF1==
Features (need 2/7 to diagnose):<ref>URL: [http://emedicine.medscape.com/article/1177266-overview http://emedicine.medscape.com/article/1177266-overview]. Accessed on: 3 May 2010.</ref>
Features (need 2/7 to diagnose):<ref>URL: [http://emedicine.medscape.com/article/1177266-overview http://emedicine.medscape.com/article/1177266-overview]. Accessed on: 3 May 2010.</ref>
*Two or more [[neurofibroma]]s or one plexiform neurofibroma.
#Two or more [[neurofibroma]]s or one plexiform neurofibroma.
*Café-au-lait spots.
#*May give rise to a [[malignant peripheral nerve sheath tumour]].
*Freckles in axilla or inguinal area.
#Café-au-lait spots.
*Optic nerve glioma.
#Freckles in axilla or inguinal area.
*Iris hamartomas (Lisch nodules).
#Optic nerve glioma.
*Sphenoid dysplasia or typical long-bone abnormalities (e.g. bowing).
#Iris hamartomas (Lisch nodules).
*First-degree relative with NF1.
#Sphenoid dysplasia or typical long-bone abnormalities (e.g. bowing).
#First-degree relative with NF1.


===Mnemonic===
===Mnemonic===

Revision as of 17:56, 9 September 2011

Neurofibromatosis is a genetic conditions, also known as von Recklinghausen's disease. It is abbreviated as NF.

It comes in two flavours:

  1. NF1 (peripheral).
  2. NF2 (central).

NF1

Features (need 2/7 to diagnose):[1]

  1. Two or more neurofibromas or one plexiform neurofibroma.
  2. Café-au-lait spots.
  3. Freckles in axilla or inguinal area.
  4. Optic nerve glioma.
  5. Iris hamartomas (Lisch nodules).
  6. Sphenoid dysplasia or typical long-bone abnormalities (e.g. bowing).
  7. First-degree relative with NF1.

Mnemonic

CAFE SPOT:[2]

  • Café-au-lait spots.
  • Axillary or inguinal freckling.
  • neuroFibroma (two or more) or plexiform neurofibroma (one).
  • Eye hamartomas (Lisch nodules).
  • Skeletal abnormalities, e.g. sphenoid dysplasia, leg bowing.
  • Positive family history.
  • Optic Tumour (optic nerve glioma).

NF2

Features (need 1/3 to diagnose):[3]

  1. Bilateral CNVIII masses on imaging.
  2. Unilateral CNVIII mass + first-degree relative with NF2.
  3. First-degree relative with NF2 and 2/4 of the following:
    1. Meningioma (meningothelial meningioma).[4]
    2. Glioma.
    3. Schwannoma.
    4. Juvenile cataract.

See also

References