Presentation
Headaches.
Patient Data
Age: 13 years
Gender: Female
From the case:
Neurofibromatosis type 1 - CNS manifestations
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MRI of the brain demonstrates fusiform enlargement of the optic apparatus, including the posterior optic nerves, optic chiasm, optic tracts, and into the midbrain and basal ganglia.
There are abnormal hyperintensities on FLAIR, and T2WI of the dentate nuclei, posterior aspect of the midbrain, thalami, globi pallidi, and the splenium of the corpus callosum in keeping with foci of abnormal signal (FASI).
Case Discussion
The case illustrates typical neurological manifestations of NF type 1 such as the FASI and an extensive optic pathway glioma in a child with known NF1.
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