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. 2020 May 15;117(20):354–360. doi: 10.3238/arztebl.2020.0354

Table. Diagnostic criteria for the neurofibromatoses (1, e64, e65).

Type 1 neurofibromatosis (NF1) [3,4] Type 2 neurofibromatosis (NF2) [e66] Schwannomatosis [e67]
Two or more of the following features
– ≥ 6 café-au-lait spots (> 5 mm before puberty, > 15 mm after puberty)
– ≥ 2 neurofibromas or ≥ 1 plexiform neurofibroma
– axillary or inguinal freckling
– ≥ 2 Lisch nodules (iris hamartomas)
– optic nerve glioma
– typical bony changes (dysplasia of sphenoid bone, thinning of cortex in long bones [with or without pseudarthrosis])
– first-degree relative with NF1
Definite:
bilateral vestibular nerve schwannomas (VS)

or

– NF2 in a first-degree relative and
– unilateral VS and age < 30 or
– two of the following: meningioma, glioma, schwannoma, juvenile posterior lens opacification/juvenile cortical cataract

Possible or probable:
– unilateral VS and age < 30 and at least one of the following: meningioma, glioma, schwannoma, juvenile posterior lens opacification/juvenile cortical cataract
– > 2 meningiomas and VS and age < 30 or one of the following: glioma, schwannoma, juvenile posterior lens opacification/juvenile cortical cataract
Definite:
age > 30 and ≥ 2 non-intradermal schwannomas, of which at least one has been histologically confirmed, and no evidence of VS on high-resolution MRI and no constitutional NF2 mutation

or

1 histologically confirmed non-vestibular schwannoma and a first-degree relative who meets the above criteria

Possible:
age < 30 and 2 non-dermal schwannomas, of which at least one has been histologically confirmed, and no evidence of vs on high-resolution mri and no constitutional nf2 mutation

or

age > 45 and ≥ 2 non-dermal schwannomas, of which at least one has been histologically confirmed, and no manifestations of eighth cranial nerve dysfunction and no constitutional NF2 mutation

or

radiological evidence of a non-vestibular schwannoma and a first-degree relative who meets the criteria for definite schwannomatosis
Genetic tests [1]:
blood analysis for constitutional mutations and tumor analysis (if tumor material is available, fixed or frozen) for somatic mutations (mosaics)
NF1 gene analysis NF2 gene analysis NF2 gene analysis—SMARCB1/INI1, LZTR1