Neurofibromatosis type 2

Case contributed by Hani M. Al Salam
Diagnosis almost certain

Presentation

Known case of neurofibromatosis type 2.

Patient Data

Age: 45 years
Gender: Female
mri

There are bilateral internal auditory canals and CPA cistern enhancing masses consistent with vestibulocochlear schwannomas. Multiple extra-axial masses are also seen in the frontal, parietal and temporal regions consistent with meningiomas. Multiple similar small masses also are seen in the posterior fossa.

There is a moderately large expansile mass seen in the cervical spinal cord extending superiorly from the medulla oblongata extending down to the level C7. This showed a solid enhancing component and cystic changes.

Case Discussion

The constellation of findings are consistent with MISME syndrome.

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