Presymptomatic diagnosis of neurofibromatosis 2 using linked genetic markers, neuroimaging, and ocular examinations

M. E. Baser, V. F. Mautner, N. K. Ragge, A. Nechiporuk, V. M. Riccardi, J. Klein, J. Sainz, S. M. Pulst

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

Neurofibromatosis 2 (NF2) is an autosomal dominant disorder that causes nervous system tumors and ocular abnormalities such as early-onset lenticular opacities. We assessed the clinical spectrum of NF2 at the time of presymptomatic DNA diagnosis in at-risk first-degree relatives. We studied five multigeneration NF2 families with short tandem repeat markers near the NF2 gene (NF2); gadolinium-enhanced high-resolution magnetic resonance imaging (GE-MRI); and ocular, dermatologic, and neurologic examinations. Eleven of 31 asymptomatic at-risk first-degree relatives were predicted by segregation analysis to be NF2 mutation carriers. Nine of the 11 NF2 mutation carriers were clinically evaluated. Four mutation carriers, including a 7- year-old, had vestibular schwannomas, early-onset cataracts, or both. However, five mutation carriers did not have clinical abnormalities, including a 38-year-old with normal cranial and spinal GE-MRIs and a normal ocular examination. These results indicate that clinical abnormalities can be present in young, but absent in middle-aged, presymptomatic NF2 mutation carriers. By identifying presymptomatic NF2 mutation carriers, DNA diagnosis of NF2 can improve genetic counseling and clinical management, and possibly reduce psychosocial difficulties in at-risk individuals.

Original languageEnglish (US)
Pages (from-to)1269-1277
Number of pages9
JournalNeurology
Volume47
Issue number5
DOIs
StatePublished - Nov 1996

ASJC Scopus subject areas

  • Clinical Neurology

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    Baser, M. E., Mautner, V. F., Ragge, N. K., Nechiporuk, A., Riccardi, V. M., Klein, J., Sainz, J., & Pulst, S. M. (1996). Presymptomatic diagnosis of neurofibromatosis 2 using linked genetic markers, neuroimaging, and ocular examinations. Neurology, 47(5), 1269-1277. https://doi.org/10.1212/WNL.47.5.1269