2009Cases JournalOpen access

Magnetic resonance findings of neurofibromatosis type 2: a case report

Gabriela Spilberg, Edson Marchiori, Emerson L. Gasparetto, Rafael Ferracini Cabral, Tatiana Chinem Takayassu, Raquel Batista, Isabela Garcia Vieira

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Abstract

Neurofibromatosis type 2 is an inherited autosomal dominant syndrome, characterized by multiple neoplasms of the central and peripheral nervous system associated with ocular abnormalities. The most common tumor associated with the disease is the vestibulocochlear schwannoma (VIII cranial nerve), and as many as 10% of patients with this tumor have neurofibromatosis type 2. In this report we aim to present a 34-year-old male who was seen for bilateral hearing loss. During his workup, which included cranial computer tomography, he was found to have multiple intracranial masses. Cranial and whole spine magnetic resonance imaging showed bilateral vestibulocochlear schwannoma, multiple meningiomas, and one intramedullary tumor. Based on clinical and imaging findings the diagnostic of neurofibromatosis type 2 was made.

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Neurofibromatosis type 2 is an inherited autosomal dominant syndrome, characterized by multiple neoplasms of the central and peripheral nervous system associated with ocular abnormalities. The most common tumor associated with the disease is the vestibulocochlear schwannoma (VIII cranial nerve), and as many as 10% of patients with this tumor have neurofibromatosis type 2. In this report we aim to present a 34-year-old male who was seen for bilateral hearing loss. During his workup, which included cranial computer tomography, he was found to have multiple intracranial masses. Cranial and whole spine magnetic resonance imaging showed bilateral vestibulocochlear schwannoma, multiple meningiomas, and one intramedullary tumor. Based on clinical and imaging findings the diagnostic of neurofibromatosis type 2 was made.

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Available abstract

Neurofibromatosis type 2 is an inherited autosomal dominant syndrome, characterized by multiple neoplasms of the central and peripheral nervous system associated with ocular abnormalities. The most common tumor associated with the disease is the vestibulocochlear schwannoma (VIII cranial nerve), and as many as 10% of patients with this tumor have neurofibromatosis type 2. In this report we aim to present a 34-year-old male who was seen for bilateral hearing loss. During his workup, which included cranial computer tomography, he was found to have multiple intracranial masses. Cranial and whole spine magnetic resonance imaging showed bilateral vestibulocochlear schwannoma, multiple meningiomas, and one intramedullary tumor. Based on clinical and imaging findings the diagnostic of neurofibromatosis type 2 was made.

Key concepts: Neurofibromatosis, Schwannoma, Medicine, Neurofibromatosis type 2, Magnetic resonance imaging, Vestibulocochlear nerve, Pathology, Radiology

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