Table 1.
Clinical diagnostic criteria for neurofibromatosis 2
NIH criteria for NF2 | Manchester criteria | NNFF criteria | Baser criteria | ||
---|---|---|---|---|---|
Presentation age <30 years (points) |
Presentation age >30 years (points |
||||
Bilateral 8th nerve masses seen by MRI with gadolinium | Bilateral vestibular schwannomas or | Confirmed definite NF2: | First-degree family relative with NF2 | 2 | 2 |
A parent, sibling, or child with NF2 and either unilateral 8th nerve mass or any one of the following | Family history of neurofibromatosis type 2 and | Bilateral VS | Unilateral VS | 4 | 1 (if <70 years) |
Neurofibroma | (1) Unilateral acoustic or | First-degree family relative with NF2 and unilateral VS, 30 years or any two of meningioma, glioma, schwannoma, juvenile lens opacity (posterior subcapsular cataract or cortical cataract) | Second VS | 2 | 3 (if <70 years) |
Meningioma | (2) Any two of: meningioma, glioma, neurofibroma, schwannoma, posterior subcapsular lenticular opacities | Presumptive or probable NF2: | One meningioma | 2 | 1 |
Glioma | (3) Unilateral VS and any two of neurofibroma, meningioma, glioma, schwannoma, or posterior subcapsular lenticular opacities | Unilateral VS <30 years and | Second meningioma | 2 | 1 |
Schwannoma | (4) Multiple meningiomas (two or more) and unilateral VS or any two of neurofibroma, glioma, schwannoma or cataract | At least one of meningioma, glioma, schwannoma, juvenile lens opacity | Cutaneous schwannoma | 2 | 1 |
Posterior capsular cataract or opacity at a young age | Multiple meningiomas (two or more) and unilateral VS <30 years or at least one of meningioma, glioma, schwannoma, juvenile lens opacity | Cranial nerve tumor; one or more; excluding VS | 2 | 1 | |
Mononeuropathy | 2 | 1 | |||
Cataract (one or more) | 2 | 0 | |||
>6 points = definite NF2 |
NF2, neurofibromatosis type 2; NNFF, National Neurofibromatosis Foundation; VS, vestibular schwannomas.