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Neurofibromatosis
Done by Hassan Shaker
Learning Objectives:
• Definition of Neurofibromatosis
• Symptoms of Neurofibromatosis
• Causes & Risk factors
• Complications
• Tests and diagnosis
• Treatments
Definition of Neurofibromatosis
• Neurofibromatosis is a genetic disorder that disturbs cell growth
in the nervous system, causing tumors to form on nerve
tissue(neurofibromas).
• These tumors may develop anywhere in your nervous system
• What kind of tumors are they?
The tumors are usually noncancerous (benign) due to suffix-oma, but
in some cases these tumors become cancerous (malignant)
tumors
Symptoms of NF
• Flat, light brown spots on the skin (cafe au lait)
• Freckling in the axillary or groin area.
• Soft bumps on or under the skin (neurofibromas)
• Tiny bumps on the iris of the eye (Lisch nodules)
• Bone deformities(Abnormalities in the way bones grow)
• Short stature.
• Learning disabilities.
Causes of Neurofibromatosis
The disorder is caused by a mutation in a gen on chromosome 17
Chromosome
17
Codes
for
Neurofibromin
protein
regulates Ras protein
Promotion
of cell
division
Risk factors
• The biggest risk factor is the family history, about the half is
inherited
• It is an autosomal dominant
• The remaining cases result from a spontaneous genetic
mutation occurs with unknown causes
Complications
• Neurological problems: learning disabilities.
• Appearance : such as extensive cafe au lait can cause anxiety and emotional
distress, even if they're not medically serious.
• Visual difficulties: occasionally can cause vision loss.
• Cardiovascular problems: risk of getting high blood prussure
• Skeletal problems: scoliosis & osteoporosis.
• cancer
Tests and diagnosis
1-Physical examination :
• special lamp to check your skin for light-colored cafe au lait spots.
• Eye exam for Lisch nodules
2-Imaging tests such as X-rays and MRIs, aren't always required, but they can
help identify bone abnormalities, deep tumors
3-Genetic tests
Can be conducted to identify NF
Treatments
NF cannot be cured
But it can be managed by:
1-regular monitoring
2-treat the problems when they arise
Surgery
For remove abnormal growth of tumors
For bone problems like scoliosis
Radiation therapy & chemotherapy
To treat some tumors
Summary
• It is defect in the chromosome 17
• Characterized by neurofibroma tumor.
• cannot be cured But it can be managed
References
http://www.mayoclinic.org
Robbins textbook
Medical Genetics
Quiz
Chromosome 17 in NF codes for:
A- Neurofibromin protein
B- Ras protein
C- Both of them
Quiz
Neurofibromatosis can cause tumor to growth on nerve tissue in
the nerve system. Where can these tumors can growth?
A-Brain
B- peripheral nerves system
C- Spinal cord
D- All of the above
Quiz
Does neurofibromatosis always cause the same symptoms?
A- True
B- False
Quiz
Lisch nodules in the eyes can cause vision loss as a complication
A- true
B-False
The actual cause is the malignant tumor in the optic never.
Lisch nodules are harmless and a doctor can detect these lesions using a special
instrument.

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Neurofibromatosis

  • 2. Learning Objectives: • Definition of Neurofibromatosis • Symptoms of Neurofibromatosis • Causes & Risk factors • Complications • Tests and diagnosis • Treatments
  • 3. Definition of Neurofibromatosis • Neurofibromatosis is a genetic disorder that disturbs cell growth in the nervous system, causing tumors to form on nerve tissue(neurofibromas). • These tumors may develop anywhere in your nervous system • What kind of tumors are they? The tumors are usually noncancerous (benign) due to suffix-oma, but in some cases these tumors become cancerous (malignant) tumors
  • 4. Symptoms of NF • Flat, light brown spots on the skin (cafe au lait) • Freckling in the axillary or groin area. • Soft bumps on or under the skin (neurofibromas) • Tiny bumps on the iris of the eye (Lisch nodules) • Bone deformities(Abnormalities in the way bones grow) • Short stature. • Learning disabilities.
  • 5. Causes of Neurofibromatosis The disorder is caused by a mutation in a gen on chromosome 17 Chromosome 17 Codes for Neurofibromin protein regulates Ras protein Promotion of cell division
  • 6. Risk factors • The biggest risk factor is the family history, about the half is inherited • It is an autosomal dominant • The remaining cases result from a spontaneous genetic mutation occurs with unknown causes
  • 7. Complications • Neurological problems: learning disabilities. • Appearance : such as extensive cafe au lait can cause anxiety and emotional distress, even if they're not medically serious. • Visual difficulties: occasionally can cause vision loss. • Cardiovascular problems: risk of getting high blood prussure • Skeletal problems: scoliosis & osteoporosis. • cancer
  • 8. Tests and diagnosis 1-Physical examination : • special lamp to check your skin for light-colored cafe au lait spots. • Eye exam for Lisch nodules 2-Imaging tests such as X-rays and MRIs, aren't always required, but they can help identify bone abnormalities, deep tumors 3-Genetic tests Can be conducted to identify NF
  • 9. Treatments NF cannot be cured But it can be managed by: 1-regular monitoring 2-treat the problems when they arise Surgery For remove abnormal growth of tumors For bone problems like scoliosis Radiation therapy & chemotherapy To treat some tumors
  • 10. Summary • It is defect in the chromosome 17 • Characterized by neurofibroma tumor. • cannot be cured But it can be managed
  • 12. Quiz Chromosome 17 in NF codes for: A- Neurofibromin protein B- Ras protein C- Both of them
  • 13. Quiz Neurofibromatosis can cause tumor to growth on nerve tissue in the nerve system. Where can these tumors can growth? A-Brain B- peripheral nerves system C- Spinal cord D- All of the above
  • 14. Quiz Does neurofibromatosis always cause the same symptoms? A- True B- False
  • 15. Quiz Lisch nodules in the eyes can cause vision loss as a complication A- true B-False The actual cause is the malignant tumor in the optic never. Lisch nodules are harmless and a doctor can detect these lesions using a special instrument.