Familial neurofibromatosis type 1 cases Ⅱ.docVIP

 PAGE \* MERGEFORMAT 6 Familial neurofibromatosis type 1 cases Ⅱ Authors: Yang Xiaosheng, Wu Xiaobing, Chen Rui, Yang Wen Ren [Keywords:] fibroma According to neurofibromatosis type Ⅱ (neurofibromatosis type NF2) clinical characteristics, one cases of familial disease in patients with clinical diagnosis and treatment of the report are as follows. A medical summary of Patients, male, 37 years old. Accompanied by tingling in his right lower limb weakness for 2 years on June 28, 2007 admission. 2003 patients with right groin mass due to surgical treatment, pathological examination of nerve sheath tumors, there are a number of systemic subcutaneous mass, were not treated. In 2005 due to occipital numbness, tingling. Diagnosis of cerebellopontine angle at the right footprint, surgical treatment, pathological examination of meningioma, this to be ‘Intraspinal occupancy’ revenue in hospital. Examination: the body multiple palpable mass of varying size, the right leg shows a large non-small patches of skin pigment. The size of the skull shape as usual, no mouth twisted in a grimace, right hearing worse than the left. Right upper limb muscle strength grade Ⅴ , the right lower limb muscle strength grade Ⅲ , the left lower limb muscle strength grade Ⅳ , the left lower limb tendon hyperreflexia, left ankle cramps positive. Cremaster reflex anal reflex and not leads. MRI showed the right cerebellopontine angle Office occupancy (2cm). The cervical, thoracic and lumbar spinal sections both within and after the space-occupying lesion within the mediastinum. (The same patient NF2 Figure 1: A, B, C, D) on July 4, 2007 at the 11 general anesthesia intubation chest down to the waist two intraspinal tumor resection, intraoperative see from the chest 11 waist 2 intraspinal there are more than 10 stars of varying sizes granular mass with the nerve fibers stuck together to give each strip, the specimen shown in Figure 2, postoperative pathologic examination reported as nerve s