Neurocutaneous Flashcards
[Gen/Neurocutaneous/NF1]
Clinical criteria for neurofibromatosis 1? (7)
- ≥ 6 cafe au lait spots
- ≥ 2 neurofibromas of any type or ≥ 1 plexiform neurofibroma
- Freckling in the axillary or inguinal areas
- Optic glioma
- ≥ 2 Lisch nodules
- Sphenoid dysplasia or thinning of the long bone cortex, with or without pseudoarthrosis
- first decree relative with NF1
[Gen/Neurocutaneous/NF1]
Positive cafe au lait spot sizes?
> 5 mm in greatest diameter in prepubertal children
15 mm in postpubertal children
[Gen/Neurocutaneous/NF1]
Bony changes of neurofibromatosis 1? (3)
- Sphenoid wing dysplasia
- Long bone bowing - m/c tibia
- Dysplastic scoliosis
[Gen/Neurocutaneous/NF1]
Percentage of de novo AD mutation in neurofibromatosis 1?
50%
[Gen/Neurocutaneous/NF2]
Symptoms of vestibular shwannomas? (4)
- Sensorineural hearing loss
- Tinnitus
- Imbalance
- Facial weakness
[Gen/Neurocutaneous/NF2]
Diagnostic criteria for neurofibromatosis 2? (2)
- bilateral vestibular schwannomas or
- unilateral vestibular schwannoma accompanied
by 2 of the following
meningioma,
schwannoma,
neurofibroma,
glioma,
cataract in the form of subcapsular lenticular opacities,
cortical wedge cataract.
[Gen/Neurocutaneous/NF2]
Other benign tumors associated with neurofibromatosis 2? (5)
- meningioma
- schwannoma
- pheochromocytoma
- glioma
- cataract, subcapsular lenticular opacities, cortical wedge
[Gen/Neurocutaneous/TS]
Skin/nail features of tuberous sclerosis? (5)
- Hypopigmented macules (ash-leaf spots)
- Shagreen patches
- Facial angiofibromas
- Forehead plaques
- Ungal and gingival fibromas
[Gen/Neurocutaneous/TS]
Other features than skin/nail of tuberous sclerosis? (4)
- Cortical tubers and subependymal nodules
- Rhabdomyomas
- Renal angiomyolipomas or renal cysts
- Polycystic kidney disease associated with TSC 2
- Neuro: seizures, infantile spasm
[Gen/Neurocutaneous/TS]
___ % infant with tuberous sclerosis has cardiac rhabdomyomas?
And it regress in the first ___ years
50% infant with tuberous sclerosis has cardiac rhabdomyomas?
And it regress in the first 3 years
[Gen/Neurocutaneous/NF1]
Distinctive osseous lesions for neurofibromatosis type 1? (2)
- Sphenoid dysplasia
- Thinning (bowing) of the long bone cortex
[Gen/Neurocutaneous]
Diagnosis?
Cause?
Port-wine stain
Seizures, infantile spams, intellectual disability
Glaucoma, choroidal vascular anomalies
Sturge-Weber syndrome
- Cause:
Somatic mosaic mutation in GNAQ