Pediatric schwannomatosis, a rare but distinct form of neurofibromatosis

Pediatr Radiol. 2016 Mar;46(3):430-5. doi: 10.1007/s00247-015-3482-x. Epub 2015 Nov 6.

Abstract

Schwannomatosis is the third major form of neurofibromatosis, distinct from neurofibromatosis type 2 (NF2) and type 1 (NF1). This condition is rare with a variable phenotypic presentation and complex molecular and genetic findings. In this case, a previously healthy teenager was found to have multiple spinal lesions and an enhancing right parotid mass on MRI. On extensive further work-up, this patient met the existing clinical criteria for schwannomatosis. This case report aims to review the clinical features and current diagnostic criteria for schwannomatosis and compare it to NF1 and NF2. Special emphasis will be placed on imaging features that should prompt the radiologist to suggest this rare diagnosis.

Keywords: Adolescent; Magnetic resonance imaging; Neurofibromatosis; Schwannomatosis; Spinal cord; Spine.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Diagnosis, Differential
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Male
  • Neurilemmoma / diagnostic imaging*
  • Neurofibromatoses / diagnostic imaging*
  • Neurofibromatosis 1 / diagnostic imaging*
  • Neurofibromatosis 2 / diagnosis*
  • Parotid Neoplasms / diagnostic imaging*
  • Rare Diseases / diagnostic imaging
  • Skin Neoplasms / diagnostic imaging*

Supplementary concepts

  • Schwannomatosis