Locations:

Were you diagnosed with neurofibromatosis as a child? Or did you recently learn you have it? Either way, you probably have questions about your symptoms — and how to manage them.

Three types of this genetic disorder affect your nervous system. The first usually starts during childhood, while the others don’t surface until adulthood. No matter what, managing neurofibromatosis is a lifelong journey.

Working with healthcare providers you trust can make things easier. At Cleveland Clinic, you’ll find experts who will be on your side. Our team offers complete care for neurofibromatosis, from diagnosis to ongoing treatment. We’re here to care for all of you — your body, mind, and emotions.

Why Choose Cleveland Clinic for Neurofibromatosis Care?

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Skilled collaborative providers:

Neurofibromatosis can affect different parts of your body. A care team of providers from different specialties will provide highly personalized testing and treatment. Your MyChart account connects you and your care team to all your health information — including appointment notes, test results and medications. Meet our team.

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Innovation and research:

Cleveland Clinic leads and takes part in many research studies to advance patient care by exploring new drugs, surgery techniques and other treatments. Through clinical trials, you may be able to help test new treatments before they’re widely available. Ask your care team if you qualify for any current studies.

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Trusted experts:

People travel from all over the country — and the world — for our nationally ranked neurological care. Our team has hundreds of skilled providers working together to pinpoint your diagnosis, plan your care and support you across every step.

Understanding the Types of Neurofibromatosis

There are three kinds of neurofibromatosis. Each affects different parts of your body:

  • Neurofibromatosis type 1 (NF1): The most common type is usually found in early childhood and can affect you your whole life. It often causes harmless tumors under your skin called (neurofibromas) and brown areas café-au-lait spots on your skin. It can also affect your vision and other parts of your body.
  • NF-2-related schwannomatosis:If you have NF2, you were most likely diagnosed in adolescence or early adulthood. Previously known as neurofibromatosis type 2, it affects nerves linked to hearing and balance (auditory and vestibular nerves). Benign nerve tumors (acoustic neuromas or vestibular schwannomas) are common in this rarer type of neurofibromatosis.
  • Schwannomatosis:The rarest type of neurofibromatosis causes lumps called schwannomas to grow on your nerves. These lumps are usually benign, but they can still hurt and make it harder to move or keep your balance. We tell the types of schwannomatosis apart by the gene changes that cause them.

Diagnosing Neurofibromatosis at Cleveland Clinic

Neurofibromatosis and schwannomatosis show up differently for each person. That’s why it’s important to get a diagnosis and treatment from experienced healthcare providers. When you visit Cleveland Clinic, you’ll have an expert team to help you understand what to expect from tests and treatment.

What to expect at your first visit

When you come for your first appointment, your provider will take time to get to know you and understand your condition. They’ll ask a lot of questions so they can get a better idea of what’s happening, like:

  • If you already know you have neurofibromatosis, when were you diagnosed?
  • What symptoms do you have and when did you first notice them?
  • Have these symptoms been getting worse and affecting your daily life?
  • Have you been diagnosed with any other health conditions?
  • Does anyone else in the family have neurofibromatosis?

Your provider will also do a physical exam to check for signs of neurofibromatosis, like tumors, skin spots or heart problems. You might also have a hearing test and eye exam.

If you have tumors you can see or feel, your provider take a small sample (biopsy) to check if they are cancer. You may also have blood tests to check your overall health and rule out other problems.

Our team may also order imaging tests like an MRI or CT scan to get a closer look at your brain and nervous system.
Because neurofibromatosis is passed down through families, your provider will likely suggest genetic testing as part of your care.

Meet Our Neurofibromatosis Team

Our team-based approach to care means you have all the specialty providers you need working together (and with you) to plan and manage your treatment, like:

Depending on your needs, you may also see specialists in fields like pain management, fertility and mental health.

Locations

We offer treatment for neurofibromatosis at the following location in Northeast Ohio.

Treating Neurofibromatosis at Cleveland Clinic

No matter what type of neurofibromatosis you have, it’s something you’ll manage throughout your life. Our team cares for the many symptoms that come with NF, including:

Treatment can look different for each person, so your care team will help create a plan that’s right for you. This might include medicine, surgery, or regular checkups to keep an eye on things.

Regular checkups and tests

You’ll have regular testing and visits with your care team. These visits are a great time to share an update on your symptoms and any other concerns. We’ll use these checkups to track tumor growth, vision and hearing problems, and more. These visits also allow us to treat any complications quickly.

Sometimes, your provider may choose to keep an eye on your symptoms rather than start treatment right away. This may be the case if they’re stable and aren’t interfering with your daily life.

Your providers can recommend oral or IV (through a vein) medications to manage pain, or physical therapy to help with movement problems. They may also talk with you about hearing aids, glasses and other tools to help with everyday living.

Surgery

Tumors from neurofibromatosis can cause problems with hearing, balance, movement, and more. Your care team may suggest surgery to remove all or part of a tumor, depending on its size, where it is and your symptoms. Some types of neurofibromatosis can also lead to cataracts, cloudy areas on your eyes’ lenses that can cause vision loss. We may recommend surgery for those too.

Radiation therapy and chemotherapy

We also can shrink tumors using radiation or chemotherapy. Computer-guided Gamma Knife® surgery treats tumors with highly focused radiation in a single dose.

Support and counseling

Living with a long-term condition like neurofibromatosis can be stressful — and you may decide you need extra help. Our caring providers can connect you and your family with counselors, support groups, and other resources.

Taking the Next Step

Taking care of yourself when you have neurofibromatosis means making good choices every day. Having compassionate and skilled healthcare providers by your side can make this easier. Our team will work with you to create a care plan that fits your needs and goals. We want to support you in living your life to the fullest.

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