Діагностика нейрофіброматозу

Type

Criteria

Neurofibromatosis type 1 (NF1)

2 of the following must be present:

  • 6 café-au-lait macules with a diameter at the widest point of > 5 mm in prepubertal patients and > 15 mm in postpubertal patients

  • 2 neurofibromas of any type or 1 plexiform neurofibroma

  • Freckling in the axillary or inguinal region

  • Optic glioma

  • 2 Lisch nodules (iris hamartomas)

  • A distinctive osseous lesion (eg, sphenoid dysplasia, thinning of long-bone cortex), with or without pseudarthrosis

  • A parent or sibling with diagnosed NF1

Neurofibromatosis type 2 (NF2)

1 of the following must be present:

  • Bilateral 8th nerve masses seen with CT or MRI

  • A parent or sibling with NF2 and either a unilateral 8th nerve mass or any 2 of the following: Neurofibroma, meningioma, glioma, schwannoma, or juvenile posterior subcapsular lenticular opacity

Schwannomatosis

  • ≥ 2 nonintradermal schwannomas (at least one pathologically determined)

  • No evidence of vestibular neuroma on high-resolution MRI

  • No known NF1 gene mutation

  • A pathologically confirmed nonvestibular schwannoma and a 1st-degree relative who meets the criteria above

Adapted from Martuza RL, Eldredge R: Neurofibromatosis 2 (bilateral acoustic neurofibromatosis). N Engl J Med 318(11):684–688, 1988; additional data from Plotkin SR, Blakeley JO, Evans DG, et al: Update from the 2011 International Schwannomatosis Workshop: From genetics to diagnostic criteria. Am J Med Genet A 161(3):405–416, 2013, and Chen SL, Liu C, Liu B, et al: Schwannomatosis: A new member of neurofibromatosis family. Chin Med J (Engl) 126(14):2656–2660, 2013.