eMedicine Specialties > Radiology > Brain/Spine

Neurofibromatosis Type 1: Multimedia

Author: Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR, LRCP, Chairman of Medical Imaging, Professor of Radiology, NGHA, King Fahad National Guard Hospital, King Abdulaziz Medical City, Riyadh, Saudi Arabia
Coauthor(s): Ian Turnbull, MD, Lecturer, Department of Radiology, University of Manchester; Consulting Neuroradiologist, Hope Hospital, Salford, Manchester and North Manchester Hospital; Sumaira MacDonald, MBChB, PhD, MRCP, FRCR, Lecturer, Sheffield University Medical School; Endovascular Fellow, Sheffield Vascular Institute; Niranjan Desai, MB, BCh, FRCR, Consultant Radiologist, Department of Diagnostic Radiology, North Manchester General Hospital, UK; Noor Bibi, MBBS, DMRD, Head, Department of Radiology, National Institute for Handicapped; Riyadh Al-Okaili, MBBS, Interventional/Therapeutic and Diagnostic Neuro-Radiologist, King Abdulaziz Medical City
Contributor Information and Disclosures

Updated: Jan 23, 2008

Multimedia

Frontal skull radiograph in a patient with NF1 sh...Media file 1: Frontal skull radiograph in a patient with NF1 shows asymmetry of the orbits but a normal sphenoid ridge.
Frontal skull radiograph in a patient with NF1 sh...

Frontal skull radiograph in a patient with NF1 shows asymmetry of the orbits but a normal sphenoid ridge.

Plain radiograph in a patient with NF1 shows a le...Media file 2: Plain radiograph in a patient with NF1 shows a left lambdoid defect (same patient as in Image 1).
Plain radiograph in a patient with NF1 shows a le...

Plain radiograph in a patient with NF1 shows a left lambdoid defect (same patient as in Image 1).

(Left) Plain radiograph of the left forearm in a ...Media file 3: (Left) Plain radiograph of the left forearm in a 15-year-old boy shows hypoplasia and deformity of the radius and ulna. Note the intramedullary sclerotic streaks within the radius and periosteal dysplasia. (Right) Compare these findings with the normal right forearm, and note the unrelated exostosis of the distal radius.
(Left) Plain radiograph of the left forearm in a ...

(Left) Plain radiograph of the left forearm in a 15-year-old boy shows hypoplasia and deformity of the radius and ulna. Note the intramedullary sclerotic streaks within the radius and periosteal dysplasia. (Right) Compare these findings with the normal right forearm, and note the unrelated exostosis of the distal radius.

Chest radiograph in a 56-year-old man with NF1 sh...Media file 4: Chest radiograph in a 56-year-old man with NF1 shows apical neurofibromas and ribbon or notched ribs. Note the myodil within the spinal canal from a previous myelography performed because of previous spinal root problems. Myodil or Pantopaque (iophendylate) is an oily contrast medium that was used for myelography in the 1960s and 1970s, but its use was abandoned because of the risk of arachnoiditis.
Chest radiograph in a 56-year-old man with NF1 sh...

Chest radiograph in a 56-year-old man with NF1 shows apical neurofibromas and ribbon or notched ribs. Note the myodil within the spinal canal from a previous myelography performed because of previous spinal root problems. Myodil or Pantopaque (iophendylate) is an oily contrast medium that was used for myelography in the 1960s and 1970s, but its use was abandoned because of the risk of arachnoiditis.

Chest radiograph in a 62-year-old patient with NF...Media file 5: Chest radiograph in a 62-year-old patient with NF1 shows interstitial fibrosis in the middle and lower zones. Note the multiple surface neurofibromas.
Chest radiograph in a 62-year-old patient with NF...

Chest radiograph in a 62-year-old patient with NF1 shows interstitial fibrosis in the middle and lower zones. Note the multiple surface neurofibromas.

Plain radiograph of the pelvis in a 28-year-old w...Media file 6: Plain radiograph of the pelvis in a 28-year-old woman shows gross deformity of the left hemipelvis and the left upper femur.
Plain radiograph of the pelvis in a 28-year-old w...

Plain radiograph of the pelvis in a 28-year-old woman shows gross deformity of the left hemipelvis and the left upper femur.

Sagittal T1-weighted unenhanced MRI scan in a 28-...Media file 7: Sagittal T1-weighted unenhanced MRI scan in a 28-year-old woman shows dural ectasia and a large lobulated anterior sacral meningocele (M) (same patient as in Image 6).
Sagittal T1-weighted unenhanced MRI scan in a 28-...

Sagittal T1-weighted unenhanced MRI scan in a 28-year-old woman shows dural ectasia and a large lobulated anterior sacral meningocele (M) (same patient as in Image 6).

Sagittal T2-weighted MRI in a 28-year-old woman s...Media file 8: Sagittal T2-weighted MRI in a 28-year-old woman shows dural ectasia and a large lobulated anterior meningocele (same patient as in Images 6-7).
Sagittal T2-weighted MRI in a 28-year-old woman s...

Sagittal T2-weighted MRI in a 28-year-old woman shows dural ectasia and a large lobulated anterior meningocele (same patient as in Images 6-7).

A 66-year-old woman with NF1 presented with pares...Media file 9: A 66-year-old woman with NF1 presented with paresthesia down the right arm. T1-weighted transaxial MRI through the cervical spine shows a low-signal-intensity mass extruding through the right foraminal canal at the C5-6 vertebral level; the mass appears to be eroding the vertebral body. The final diagnosis was a neurofibroma.
A 66-year-old woman with NF1 presented with pares...

A 66-year-old woman with NF1 presented with paresthesia down the right arm. T1-weighted transaxial MRI through the cervical spine shows a low-signal-intensity mass extruding through the right foraminal canal at the C5-6 vertebral level; the mass appears to be eroding the vertebral body. The final diagnosis was a neurofibroma.

T2-weighted transaxial MRI in a 66-year-old woman...Media file 10: T2-weighted transaxial MRI in a 66-year-old woman shows a moderately hyperintense neurofibroma (N) (same patient as in Image 9).
T2-weighted transaxial MRI in a 66-year-old woman...

T2-weighted transaxial MRI in a 66-year-old woman shows a moderately hyperintense neurofibroma (N) (same patient as in Image 9).

CT scan through the orbits in a patient with NF1 ...Media file 11: CT scan through the orbits in a patient with NF1 shows a right optic glioma.
CT scan through the orbits in a patient with NF1 ...

CT scan through the orbits in a patient with NF1 shows a right optic glioma.

A 7-year-old girl with a family history of NF1 ha...Media file 12: A 7-year-old girl with a family history of NF1 had been blind for 18 months. T2-weighted transaxial MRI shows bilateral optic nerve gliomas (arrows), as well as a right temporal lobe and left brainstem lesions, which may represent additional gliomas or spongiform white matter changes of NF1.
A 7-year-old girl with a family history of NF1 ha...

A 7-year-old girl with a family history of NF1 had been blind for 18 months. T2-weighted transaxial MRI shows bilateral optic nerve gliomas (arrows), as well as a right temporal lobe and left brainstem lesions, which may represent additional gliomas or spongiform white matter changes of NF1.

T1-weighted MRI in a 7-year-old girl with a famil...Media file 13: T1-weighted MRI in a 7-year-old girl with a family history of NF1 who had been blind for 18 months shows bilateral optic nerve gliomas (arrows) (same patient as in Image 12).
T1-weighted MRI in a 7-year-old girl with a famil...

T1-weighted MRI in a 7-year-old girl with a family history of NF1 who had been blind for 18 months shows bilateral optic nerve gliomas (arrows) (same patient as in Image 12).

Axial sonogram through the right iliac fossa in a...Media file 14: Axial sonogram through the right iliac fossa in a 28-year-old man with NF1shows a hypoechoic dumbbell-shaped neurofibroma.
Axial sonogram through the right iliac fossa in a...

Axial sonogram through the right iliac fossa in a 28-year-old man with NF1shows a hypoechoic dumbbell-shaped neurofibroma.

T1-weighted coronal MRI of the abdomen in a 28-ye...Media file 15: T1-weighted coronal MRI of the abdomen in a 28-year-old man shows a low-signal dumbbell-shaped right iliac fossa tumor, confirmed to be a neurofibroma at laparotomy (same patient as in Image 14). The patient also had sickle cell trait and presented with hematuria from a left-sided medullary cell renal carcinoma.
T1-weighted coronal MRI of the abdomen in a 28-ye...

T1-weighted coronal MRI of the abdomen in a 28-year-old man shows a low-signal dumbbell-shaped right iliac fossa tumor, confirmed to be a neurofibroma at laparotomy (same patient as in Image 14). The patient also had sickle cell trait and presented with hematuria from a left-sided medullary cell renal carcinoma.

Upper GI barium series in a 56-year-old woman wit...Media file 16: Upper GI barium series in a 56-year-old woman with NF1 shows multiple filling defects along the greater curve of the stomach due to neurofibromas. Note the multiple subcutaneous neurofibromas in the right upper quadrant.
Upper GI barium series in a 56-year-old woman wit...

Upper GI barium series in a 56-year-old woman with NF1 shows multiple filling defects along the greater curve of the stomach due to neurofibromas. Note the multiple subcutaneous neurofibromas in the right upper quadrant.

Upper GI barium series in a 56-year-old woman sho...Media file 17: Upper GI barium series in a 56-year-old woman shows multiple polypoid filling defects throughout the small bowl due to neurofibromas (same patient as in Image 16). Note the subcutaneous neurofibromas projected over the right hypochondrium.
Upper GI barium series in a 56-year-old woman sho...

Upper GI barium series in a 56-year-old woman shows multiple polypoid filling defects throughout the small bowl due to neurofibromas (same patient as in Image 16). Note the subcutaneous neurofibromas projected over the right hypochondrium.

More on Neurofibromatosis Type 1

Overview: Neurofibromatosis Type 1
Imaging: Neurofibromatosis Type 1
Follow-up: Neurofibromatosis Type 1
Multimedia: Neurofibromatosis Type 1
References

References

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Further Reading

Keywords

NF, NF1, NF-1, von Recklinghausen disease, von Recklinghausen syndrome, von Recklinghausen's disease, von Recklinghausen's syndrome, elephant man, nerve sheath tumor, neurofibromas

Contributor Information and Disclosures

Author

Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR, LRCP, Chairman of Medical Imaging, Professor of Radiology, NGHA, King Fahad National Guard Hospital, King Abdulaziz Medical City, Riyadh, Saudi Arabia
Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR, LRCP is a member of the following medical societies: American Institute of Ultrasound in Medicine, Radiological Society of North America, Royal College of Physicians, Royal College of Physicians and Surgeons of the United States, Royal College of Radiologists, and Royal College of Surgeons of England
Disclosure: Nothing to disclose.

Coauthor(s)

Ian Turnbull, MD, Lecturer, Department of Radiology, University of Manchester; Consulting Neuroradiologist, Hope Hospital, Salford, Manchester and North Manchester Hospital
Disclosure: Nothing to disclose.

Sumaira MacDonald, MBChB, PhD, MRCP, FRCR, Lecturer, Sheffield University Medical School; Endovascular Fellow, Sheffield Vascular Institute
Sumaira MacDonald, MBChB, PhD, MRCP, FRCR is a member of the following medical societies: British Medical Association, Royal College of Physicians, and Royal College of Radiologists
Disclosure: Nothing to disclose.

Niranjan Desai, MB, BCh, FRCR, Consultant Radiologist, Department of Diagnostic Radiology, North Manchester General Hospital, UK
Niranjan Desai, MB, BCh, FRCR is a member of the following medical societies: American Roentgen Ray Society, Radiological Society of North America, and Royal College of Radiologists
Disclosure: Nothing to disclose.

Noor Bibi, MBBS, DMRD, Head, Department of Radiology, National Institute for Handicapped
Disclosure: Nothing to disclose.

Riyadh Al-Okaili, MBBS, Interventional/Therapeutic and Diagnostic Neuro-Radiologist, King Abdulaziz Medical City
Riyadh Al-Okaili, MBBS is a member of the following medical societies: American College of Radiology
Disclosure: Nothing to disclose.

Medical Editor

Mahesh R Patel, MD, Chief of MRI, Department of Radiology, Santa Clara Valley Medical Center
Mahesh R Patel, MD is a member of the following medical societies: Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Robert L DeLaPaz, MD, Director, Professor, Department of Radiology, Division of Neuroradiology, Columbia University
Robert L DeLaPaz, MD is a member of the following medical societies: American Society of Neuroradiology, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

James G Smirniotopoulos, MD, Professor of Radiology, Neurology, and Biomedical Informatics, Chairman, Department of Radiology and Radiological Sciences, Uniformed Services University of the Health Sciences
James G Smirniotopoulos, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, American Society of Head and Neck Radiology, American Society of Neuroradiology, American Society of Pediatric Neuroradiology, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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