Abstract
We describe a young patient with typical neurofibromatosis type 1 on the basis of a mutation in the NF1 gene, who was diagnosed with a unilateral vestibular schwannoma caused by a somatic mutation in the NF2 gene. This combination has not been described before. This report highlights the requirement for ongoing surveillance regarding other manifestations of neurofibromatosis type 2 in such patients, as mosaicism cannot be ruled out. In addition to the NF1 mutation, the NF2 mutation should be considered in such cases if pre-implantation genetic diagnosis in undertaken.
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References
NF1 diagnostic guidelines. In: National Institututes of health consensus development conference, July 13–15, 1987, Bethesda
Hoa M, Slattery WH III (2012) Neurofibromatosis 2. Otolaryngol Clin N Am 45(2):315–332 (viii)
Xu GF et al (1990) The neurofibromatosis type 1 gene encodes a protein related to GAP. Cell 62(3):599–608
Trofatter JA et al (1993) A novel moesin-, ezrin-, radixin-like gene is a candidate for the neurofibromatosis 2 tumor suppressor. Cell 72(5):791–800
Rouleau GA et al (1990) Flanking markers bracket the neurofibromatosis type 2 (NF2) gene on chromosome 22. Am J Hum Genet 46(2):323–328
Sayed AK et al (1987) Malignant schwannoma in siblings with neurofibromatosis. Cancer 59(4):829–835
Klose A et al (1998) Selective disactivation of neurofibromin GAP activity in neurofibromatosis type 1. Hum Mol Genet 7(8):1261–1268
Spits C et al (2005) Preimplantation genetic diagnosis for neurofibromatosis type 1. Mol Hum Reprod 11(5):381–387
Sherman L et al (1997) Interdomain binding mediates tumor growth suppression by the NF2 gene product. Oncogene 15(20):2505–2509
Jacoby LB et al (1994) Exon scanning for mutation of the NF2 gene in schwannomas. Hum Mol Genet 3(3):413–419
Ferner RE (2010) The neurofibromatoses. Pract Neurol 10(2):82–93
Williams VC et al (2009) Neurofibromatosis type 1 revisited. Pediatrics 123(1):124–133
Bollag G et al (1996) Loss of NF1 results in activation of the Ras signaling pathway and leads to aberrant growth in haematopoietic cells. Nat Genet 12(2):144–148
Viskochil D (2002) Genetics of neurofibromatosis 1 and the NF1 gene. J Child Neurol 17(8):562–570; discussion 571–572, 646–651
Rinaldi V et al (2012) Facial nerve outcome after vestibular schwannoma surgery: our experience. J Neurol Surg B Skull Base 73(1):21–27
Mohyuddin A et al (2002) Molecular genetic analysis of the NF2 gene in young patients with unilateral vestibular schwannomas. J Med Genet 39(5):315–322
Evans DG et al (2007) Should NF2 mutation screening be undertaken in patients with an apparently isolated vestibular schwannoma? Clin Genet 71(4):354–358
Aghi M et al (2006) Unilateral vestibular schwannoma with other neurofibromatosis type 2-related tumors: clinical and molecular study of a unique phenotype. J Neurosurg 104(2):201–207
Evans DG et al (2007) Mosaicism in neurofibromatosis type 2: an update of risk based on uni/bilaterality of vestibular schwannoma at presentation and sensitive mutation analysis including multiple ligation-dependent probe amplification. J Med Genet 44(7):424–428
Evans DG et al (2008) What are the implications in individuals with unilateral vestibular schwannoma and other neurogenic tumors? J Neurosurg 108(1):92–96
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Huq, A., Kentwell, M., Tirimacco, A. et al. Vestibular schwannoma in a patient with neurofibromatosis type 1: clinical report and literature review. Familial Cancer 14, 157–160 (2015). https://doi.org/10.1007/s10689-014-9763-y
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DOI: https://doi.org/10.1007/s10689-014-9763-y