[4] In fact, labelling this disorder neurofibromatosis type 2 is a misnomer, because neurofibromas are not a part of its constellation of abnormalities. Instead, patients with this disease have: These features give rise to the acronym MISME, which describes Multiple Inherited Schwannomas Meningiomas and Ependymomas 4. Neurofibromatosis (NF) type 2 is characterized by multiple cranial nerve schwannomas, but associated peripheral and cutaneous neurofibromas are uncommon. Rare Autosomal Dominant; Neurocutaneous Disorder. These are benign (noncancerous) tumors that occur on the nerves for balance and hearing leading to the inner ear. Perform CT scanning only in patients with neurofibromatosis type 2 (NF2) in whom MRI is contraindicated, because MRI provides superior tumor imaging and … 2000;37 (12): 897-904. ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. The term neurofibromatosis 2 is a misnomer because neurofibromas are not seen with NF-2. 5. Genetic Disorders. It plays a role in contact inhibition of growth and has tumor suppressor function at least in part according to this mechanism 9. Neurofibromatosis Type II, AKA NF2 is inherited as an autosomal dominant condition, although half of affected individuals have NF2 as a result of a new (de novo) gene mutation. In the spine of NF-2 patients, schwannomas and meningiomas have equal incidences and may occur simultaneously. Any two of: meningioma, schwannoma, glioma, neurofibroma, posterior subcapsular lenticular opacities 3. Dominant means that only one altered copy of a gene is necessary to have the condition. Neurofibromatosis Type 2 Epidemiology. neurofibromatosis type 2 gene encodes merlin (also known as schwannomin), a tumor suppressor . The main manifestation of the condition is the development of bilateral benign brain tumors in the nerve sheath of the cranial nerve VIII, which is the "auditory-vestibular nerve" that transmits sensory information from the inner ear to the brain. 35 (5): 537. Neurofibromatosis affects 1:2500-3000 individuals 3. Patients with vestibular schwannomas typically present with symptoms of hearing loss in the second and third decades and 30s. In the other half, the disease is due to a de novo mutation 6. Schwannomas can involve other cranial nerves, most frequently III and V. 2 As such, the most common presenting clinical symptoms include hearing loss, dizziness, headaches, diplopia, and facial weakness. Lippincott Williams & Wilkins. In half of the cases, the disease is inherited as an autosomal dominant condition. Although these tumors are benign, they can cause hearing and balance problems. What is neurofibromatosis type 2?Neurofibromatosis type 2 (NF2) is a hereditary condition most commonly associated with bilateral vestibular schwannomas, also known as acoustic neuromas. Despite sharing the same name, the two types of neurofibromatosis are separate conditions that have different causes and symptoms. 6. {"url":"/signup-modal-props.json?lang=us\u0026email="}, {"containerId":"expandableQuestionsContainer","displayRelatedArticles":true,"displayNextQuestion":true,"displaySkipQuestion":true,"articleId":4967,"mcqUrl":"https://radiopaedia.org/articles/neurofibromatosis-type-2-3/questions/1714?lang=us"}. A All individuals inherit two copies of each gene. Subjects who inherit a mutated allele of the NF2 gene inevitably develop schwannomas, affecting particularly the superior vestibular branch of the 8th cranial nerve, usually bilaterally. Including those with cystic areas that expand the cord Courcoutsakis N, CM. 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