Neurofibromatosis type 2-related schwannomatosis - An update

Semin Pediatr Neurol. 2024 Dec:52:101171. doi: 10.1016/j.spen.2024.101171. Epub 2024 Nov 9.

Abstract

Neurofibromatosis type 2-related schwannomatosis (NF2-SWN) is an autosomal dominant inherited disorder with 100 % penetrance associated with pathogenic variants of the NF2 gene on the long arm of chromosome 22. It was previously known as central neurofibromatosis and neurofibromatosis type 2. NF2-SWN has a global incidence of about 1 in 50,000. This disorder is characterized by the formation of multiple types of central nervous system tumors. While bilateral vestibular schwannomas affect more than 95 % of individuals with NF2-SWN, meningiomas, ependymomas, gliomas, other schwannomas, and ophthalmologic abnormalities are also common. Careful dermatologic, ophthalmologic, and neurologic examination can identify signs of NF2-SWN to allow timely initiation of disease specific treatment. Most patients benefit from multimodal treatment, including surgery.

Keywords: Cafe au lait; Child neurology; Ependymoma; Meningioma; NF2; NF2-SWN; Neurofibromatosis; Schwannomatosis; Vestibular schwannomas; pediatric neurology.

MeSH terms

  • Humans
  • Neurilemmoma* / genetics
  • Neurilemmoma* / pathology
  • Neurilemmoma* / therapy
  • Neurofibromatoses* / complications
  • Neurofibromatoses* / therapy
  • Neurofibromatosis 2* / complications
  • Neurofibromatosis 2* / diagnosis
  • Neurofibromatosis 2* / genetics
  • Neurofibromatosis 2* / therapy
  • Skin Neoplasms* / pathology
  • Skin Neoplasms* / therapy

Supplementary concepts

  • Schwannomatosis