Skip to main content
Log in

Neurofibromatosen

Neurofibromatoses

  • Leitthema
  • Published:
Der Radiologe Aims and scope Submit manuscript

Zusammenfassung

Die Neurofibromatosen zählen zu den vererbbaren neurokutanen Syndromen, den Phakomatosen, zu deren Gruppe neben der Neurofibromatose Typ 1 (NF1) und Typ 2 (NF2) auch die Schwannomatose zählt. Als gemeinsames Merkmal weisen sie eine Prädisposition zur Entwicklung von Tumoren, die von den Schwann-Zellen der Nervenscheiden ausgehen, auf. Im Hinblick auf die Genetik und das klinische Erscheinungsbild der Erkrankungen handelt es sich jedoch um unterschiedliche Entitäten, die auch im folgenden Beitrag gesondert abgehandelt werden. Neben der Darstellung der typischen klinischen Befunde und der Diagnosekriterien werden die für die jeweilige Erkrankung charakteristischen Bildbefunde demonstriert, insbesondere hinsichtlich der Rolle der bildgebenden Verfahren bei der Diagnosestellung, im Verlauf und bei der Prognoseabschätzung dieser multisystemischen Erkrankungen.

Abstract

Neurofibromatosis type 1 (NF1) and type 2 (NF2) are hereditary autosomal dominant neurocutaneous disorders, the phacomatoses, characterized by the development of tumors derived from the cells of the peripheral nerve sheath and also includes schwannomatosis. Regarding the clinical and genetic aspects they are, however, two distinct entities which are described separately in the following review. In addition to the typical clinical presentation and diagnostic criteria, characteristic imaging findings are presented especially in terms of the role of imaging in the diagnosis, follow-up and assessment of prognostic aspects in these multisystemic disorders.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6

Literatur

  1. Antinheimo J, Sankila R, Carpén O et al (2000) Population-based analysis of sporadic and type 2 neurofibromatosis-associated meningeomas and schwannomas. Neurology 54(1):71–76

    Article  PubMed  CAS  Google Scholar 

  2. Aoki S, Barkovich AJ, Nihimura K et al (1989) Neurofibromatosis type 1 & 2: cranial MR findings. Radiology 172:527–534

    PubMed  CAS  Google Scholar 

  3. Baehring JM, Betensky RA, Batcherlor TT (2003) Malignant peripheral nerve sheath tumor: the clinical spectrum and outcome of treatment. Neurology 61:696–698

    Article  PubMed  Google Scholar 

  4. Baser ME, Freidman JM, Aeschliman D et al (2002) Predictors of the risk of mortality in neurofibromatosis 2. Am J Hum Genet 71(4):715–723

    Article  PubMed  PubMed Central  Google Scholar 

  5. Baser ME, Friedman JM, Wallace AJ et al (2002) Evaluation of clinical diagnostic criteria of neurofibromatosis 2. Neurology 59:1759–1765

    Article  PubMed  CAS  Google Scholar 

  6. Bilaniuk LT, Malloy PT, Zimmermann RA et al (1997) Neurofibromatosis type 1: brainstem tumors. Neuroradiology 39:642–653

    Article  PubMed  CAS  Google Scholar 

  7. Deimling A, Perry A (2007) Neurofibromatosis type 1. In: Louis DN, Oghaki H, Wiestler OD, Cavenee WK (Hrsg) World Health Organization classification of tumours of the central nervous system. IARC Press, Lyon, S 205–209

  8. DiPaolo DP, Zimmermann RA, Rorke LB et al (1995) Neurofibromatosis type 1: pathologic substrate of high-signal-intensity foci in the brain. Radiology 195:721–724

    PubMed  CAS  Google Scholar 

  9. Evans DGR (2009) Neurofibromatosis type 2 (NF2): a clinical and molecular review. Orphanet J Rare Dis 19(4):16

    Article  Google Scholar 

  10. Evans DGR, Huson S, Donnai D et al (1992) A clinical study of type2 neurofibromatosis. Q J Med 84:603–618

    PubMed  CAS  Google Scholar 

  11. Evans DGR, Huson SM, Donnai D et al (1992) A genetic study of type 2 neurofibromatosis in the United Kingdom 1: prevalence, mutation rate, fitness and confirmation of maternal transmission effect on severity. J Med Genet 29:841–846

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  12. Evans DGR, Ramsden R, Birch J (1999) Pediatric presentation of type 2 neurofibromatosis. Arch Dis Child 81:496–499

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  13. Evans DGR, Ramsden R, Huson SM et al (1993) Type 2 neurofibromatosis: the need of supraregional care? J Laryngol Otol 107:401–406

    Article  PubMed  CAS  Google Scholar 

  14. Ferner RE, Chaudhuri R, Bingham J et al (1993) The nature and evolution of increased intensity T2 weighted lesions and their relationship to intellectual impairment. J Neurol Neurosurg Psychiatry 56:492–495

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  15. Ferner RE, Gutmann DH (2002) International Consensus Statement on malignant peripheral nerve sheath tumors in neurofibromatosis. Cancer Res 62:1573–1577

    PubMed  CAS  Google Scholar 

  16. Hottinger AF, Khakoo Y (2009) Neurooncology of neurofibromatosis type 1. Curr Treat Options Neurol 11:306–314

    Article  PubMed  Google Scholar 

  17. King A, Biggs N, Ramsden RT et al (2005) Spinal tumors in neurofibromatosis type 2: is emerging knowledge of genotype predictive of natural history? J Neurosurg Spine 2(5):574–579

    Article  PubMed  Google Scholar 

  18. Levisohn PM, Mikhael MA, Rothman SM (1978) Cerebrovascular changes in neurofibromatosis. Dev Med Child Neurol 20:789–793

    Article  PubMed  CAS  Google Scholar 

  19. Listernick R, Charrow J, Greenwald MJ et al (1989) Optic gliomas in children with neurofibromatosis type 1. J Pediatr 114:788–792

    Article  PubMed  CAS  Google Scholar 

  20. Mautner VF, Lindenau M, Baser ME et al (1996) The neuroimaging and clinical spectrum of neurofibromatosis 2. Neurosurgery 38:880–885

    Article  PubMed  CAS  Google Scholar 

  21. o A (o J) National Institutes of Health Consensus Development Conference Statement: neurofibromatosis. Arch Neurol 45:575–578

  22. Parry DM, Eldridge R, Kaiser-Kupfer MI et al (1994) Neurofibromatosis 2 (NF2): clinical characteristics of 63 affected individuals and clinical evidence for heterogenitiy. Am J Med Genet 52:450–451

    Article  PubMed  CAS  Google Scholar 

  23. Patil S, Chamberlain RS (2012) Neoplasms associated with germline and somatic NF1 gene mutations. Oncologist 17:101–116

    Article  PubMed  PubMed Central  Google Scholar 

  24. Patronas NJ, Courcoutsakis N, Bromley CM et al (2001) Intramedullary and spinal canal tumors in patients with neurofibromatosis 2: MR imaging findings and correlation with genotype. Radiology 218(2):434–442

    Article  PubMed  CAS  Google Scholar 

  25. Rainov NG, Heidecke V, Burkert W (1995) Thoracic and lumbar meningocele in neurofibromatosis type 1: report oft wo cases and review of the literature. Neurosurg Rev 18:127–134

    Article  PubMed  CAS  Google Scholar 

  26. Rosser T, Packer RJ (2002) intracranial neoplasms in children with neurofibromatosis 1. J Child Neurol 17:630–636

    Article  PubMed  Google Scholar 

  27. Rouleau GA, Merel P, Lutchman M et al (1993) Alteration in a new gene encoding a putative membrane-organizing protein causes neurofibromatosis type 2. Nature 363:515–521

    Article  PubMed  CAS  Google Scholar 

  28. Sorensen SA, Mulvihill JJ, Nielsen A (1986) Long-term follow-up of von Recklinghausen neurofibromatosis: survival and malignant neoplasms. N Engl J Med 314:1010–1015

    Article  PubMed  CAS  Google Scholar 

  29. Troffater JA, MacCollin MM, Rutter JL, Murrell JR et al (1993) A novel moezin-, ezrin-radixin-like gene is a candidatefor the neurofibromatosis 2 tumor suppressor. Cell 72:791–800

    Article  Google Scholar 

Download references

Einhaltung ethischer Richtlinien

Interessenkonflikt. A. Zimmer gibt an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A. Zimmer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zimmer, A. Neurofibromatosen. Radiologe 53, 1077–1083 (2013). https://doi.org/10.1007/s00117-013-2555-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00117-013-2555-9

Schlüsselwörter

Keywords

Navigation