Mehl. Phakomatoses (neurocutaneous) 04-08 (1) Flashcards
Neurofibromatosis type I (NF1).
NF1; AD; chromosome 17
.
Neurofibromas,
café au lait spots (hyperpigmented macules),
axillary/groin freckling,
Lisch nodules (iris hamartomas),
pheochromocytoma,
optic nerve glioma,
oligodendroglioma,
ependymoma.
Neurofibromatosis type I (NF1).
……
café au lait spots (hyperpigmented macules),
axillary/groin freckling,
Lisch nodules (iris hamartomas),
pheochromocytoma,
optic nerve glioma,
oligodendroglioma,
ependymoma.
Neurofibromatosis type I (NF1).
Neurofibromas
Neurofibromas,
……
axillary/groin freckling,
Lisch nodules (iris hamartomas),
pheochromocytoma,
optic nerve glioma,
oligodendroglioma,
ependymoma.
Neurofibromatosis type I (NF1).
café au lait spots (hyperpigmented macules)
Neurofibromas,
café au lait spots (hyperpigmented macules),
….
Lisch nodules (iris hamartomas),
pheochromocytoma,
optic nerve glioma,
oligodendroglioma,
ependymoma.
Neurofibromatosis type I (NF1).
axillary/groin freckling
Neurofibromas,
café au lait spots (hyperpigmented macules),
axillary/groin freckling,
…..
pheochromocytoma,
optic nerve glioma,
oligodendroglioma,
ependymoma.
Neurofibromatosis type I (NF1).
Lisch nodules (iris hamartomas)
Neurofibromas,
café au lait spots (hyperpigmented macules),
axillary/groin freckling,
Lisch nodules (iris hamartomas),
….
optic nerve glioma,
oligodendroglioma,
ependymoma.
Neurofibromatosis type I (NF1).
pheochromocytoma
Neurofibromas,
café au lait spots (hyperpigmented macules),
axillary/groin freckling,
Lisch nodules (iris hamartomas),
pheochromocytoma,
….
oligodendroglioma,
ependymoma.
Neurofibromatosis type I (NF1).
optic nerve glioma
Neurofibromas,
café au lait spots (hyperpigmented macules),
axillary/groin freckling,
Lisch nodules (iris hamartomas),
pheochromocytoma,
optic nerve glioma,
….
ependymoma.
Neurofibromatosis type I (NF1).
oligodendroglioma
Neurofibromas,
café au lait spots (hyperpigmented macules),
axillary/groin freckling,
Lisch nodules (iris hamartomas),
pheochromocytoma,
optic nerve glioma,
oligodendroglioma,
…
Neurofibromatosis type I (NF1).
ependymoma
Neurofibromatosis type I (NF1) - need to screen ophtalmo for optic nerve glioma = very important, buvo CMS
.
Neurofibromatosis type II (NF2)
NF2; AD; chromosome 22
.
Neurofibromatosis type II (NF2).
In kids, sometimes causes bilateral cataracts.
Bilateral acoustic schwannomas + meningioma
in adults.
.
In kids, sometimes causes bilateral cataracts. Dx?
Neurofibromatosis type II (NF2).
Bilateral acoustic schwannomas + meningioma
in adults. Dx?
Neurofibromatosis type II (NF2).
Tuberous sclerosis (TSC).
TSC1; AD; chromosome 9; hamartin
TSC2 ; AD; chromosome 16; tuberin
.
Tuberous sclerosis (TSC).
Periventricular nodules (tubers) on MRI of head,
seizures,
adenoma sebaceum (angiofibromas),
subungual fibromas,
renal angiomyolipoma,
cardiac rhabdomyoma,
hypopigmented macules (“ashleaf spots”), hyperpigmented velvety lesions (“shagreen patches”).
.
Tuberous sclerosis (TSC).
…
seizures,
adenoma sebaceum (angiofibromas),
subungual fibromas,
renal angiomyolipoma,
cardiac rhabdomyoma,
hypopigmented macules (“ashleaf spots”), hyperpigmented velvety lesions (“shagreen patches”).
Periventricular nodules (tubers) on MRI of head
Tuberous sclerosis (TSC).
Periventricular nodules (tubers) on MRI of head,
..
adenoma sebaceum (angiofibromas),
subungual fibromas,
renal angiomyolipoma,
cardiac rhabdomyoma,
hypopigmented macules (“ashleaf spots”), hyperpigmented velvety lesions (“shagreen patches”).
seizures
Tuberous sclerosis (TSC).
Periventricular nodules (tubers) on MRI of head,
seizures,
..
subungual fibromas,
renal angiomyolipoma,
cardiac rhabdomyoma,
hypopigmented macules (“ashleaf spots”), hyperpigmented velvety lesions (“shagreen patches”).
adenoma sebaceum (angiofibromas),
Tuberous sclerosis (TSC).
Periventricular nodules (tubers) on MRI of head,
seizures,
adenoma sebaceum (angiofibromas),
…
renal angiomyolipoma,
cardiac rhabdomyoma,
hypopigmented macules (“ashleaf spots”), hyperpigmented velvety lesions (“shagreen patches”).
subungual fibromas
Tuberous sclerosis (TSC).
Periventricular nodules (tubers) on MRI of head,
seizures,
adenoma sebaceum (angiofibromas),
subungual fibromas,
…
cardiac rhabdomyoma,
hypopigmented macules (“ashleaf spots”), hyperpigmented velvety lesions (“shagreen patches”).
renal angiomyolipoma
Tuberous sclerosis (TSC).
Periventricular nodules (tubers) on MRI of head,
seizures,
adenoma sebaceum (angiofibromas),
subungual fibromas,
renal angiomyolipoma,
…
hypopigmented macules (“ashleaf spots”), hyperpigmented velvety lesions (“shagreen patches”).
cardiac rhabdomyoma
Tuberous sclerosis (TSC).
Periventricular nodules (tubers) on MRI of head,
seizures,
adenoma sebaceum (angiofibromas),
subungual fibromas,
renal angiomyolipoma,
cardiac rhabdomyoma,
…
hyperpigmented velvety lesions (“shagreen patches”).
hypopigmented macules (“ashleaf spots”),
Tuberous sclerosis (TSC).
Periventricular nodules (tubers) on MRI of head,
seizures,
adenoma sebaceum (angiofibromas),
subungual fibromas,
renal angiomyolipoma,
cardiac rhabdomyoma,
hypopigmented macules (“ashleaf spots”),
….
hyperpigmented velvety lesions (“shagreen patches”)
Von Hippel-Lindau
VHL; AD; chromosome 3.
.
Cerebellar/retinal hemangioblastomas, bilateral renal cell carcinoma, pancreatic cysts. Dx?
Von Hippel-Lindau
Von Hippel-Lindau
…
bilateral renal cell carcinoma,
pancreatic cysts.
Cerebellar/retinal hemangioblastomas
Von Hippel-Lindau
Cerebellar/retinal hemangioblastomas,
…
pancreatic cysts.
bilateral renal cell carcinoma
Von Hippel-Lindau
Cerebellar/retinal hemangioblastomas,
bilateral renal cell carcinoma,
…
pancreatic cysts
Sturge-Weber
Not inherited; somatic mosaicism of GNAQ gene
.
Sturge-Weber
Port wine stain birth mark (nevus flammeus; may also present as violaceous papules in temporal distribution), leptomeningeal angioma (presenting as seizure); glaucoma.
.
Sturge-Weber
…
leptomeningeal angioma (presenting as seizure); glaucoma.
Port wine stain birth mark (nevus flammeus; may also present as violaceous papules in temporal distribution)
Sturge-Weber
Port wine stain birth mark (nevus flammeus; may also present as violaceous papules in temporal distribution), …
glaucoma.
leptomeningeal angioma (presenting as seizure);
Sturge-Weber
Port wine stain birth mark (nevus flammeus; may also present as violaceous papules in temporal distribution), leptomeningeal angioma (presenting as seizure);
…
glaucoma.