Understanding the Types of Neurofibromatosis
There are three kinds of neurofibromatosis. Each affects different parts of your body:
- Neurofibromatosis Type 1 (NF1):This is the most common type. It’s usually diagnosed in early childhood and can affect you throughout your life. Symptoms often cause noncancerous (benign) tumors underneath your skin (neurofibromas) and brown café-au-lait spots on top of it. It can also affect your vision and other parts of your body.
- NF-2 related Schwannomatosis (NF2): This type, previously known as neurofibromatosis type 2, is most often diagnosed in adolescence or early adulthood. NF2 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:This is the rarest kind of neurofibromatosis. Benign schwannomas grow on your body’s nervous system. They can cause pain and affect movement, balance and more.
These conditions can also cause problems with your heart, veins, bones and even your ability to learn.
Diagnosing Neurofibromatosis at Cleveland Clinic
Neurofibromatosis affects each person differently. So that’s why it’s important to confirm a diagnosis with healthcare providers familiar with treating this genetic condition. When you come to Cleveland Clinic, you’ll meet with an experienced provider who’ll go over what to expect from testing and treatment.
What to expect at your first visit
Meeting new healthcare providers can be stressful. So can having an ongoing (chronic) condition like neurofibromatosis. So, it’s not unusual to be a little unsettled at your first appointment. That’s why your provider will take time to get to know you. 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?
- When did you first notice these symptoms?
- Have these symptoms been getting worse?
- How are your symptoms affecting your life?
- Have you been diagnosed with any other health conditions?
- Does anyone else in the family have neurofibromatosis?
Your provider will also give you a physical exam to look for signs of neurofibromatosis — like tumors, spots on your skin or problems with your vision, hearing or heart. This may include a hearing test and eye exam.
If you have tumors they can see or feel, your provider may do a biopsy to make sure they’re benign neurofibromas. You may have blood tests to check your overall health and rule out other conditions. You may also have imaging tests like an MRI or CT scan so your provider can look closely at your brain and nervous system.
Because neurofibromatosis is a genetic (inherited) condition, your provider will usually recommend you have genetic testing as part of your evaluation.
Meet Our Neurofibromatosis Team
Our team-based approach to care means you’ll have all the specialty providers you need working together to plan your ongoing treatment, like:
0 Providers Who Treat Neurofibromatosis
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, you’ll need to manage it for life. Your care team will go over the treatments they feel may work best for you.
Regular checkups and tests
You’ll have regular testing and visits with our care team. These visits are a great time to talk about any troublesome symptoms. We also keep an eye on how or if your condition is progressing. We can track tumor growth, vision and hearing problems and more. These checkups also let us quickly catch and treat any complications.
Your providers can recommend 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 daily life.
Surgery
If you have tumors from neurofibromatosis, they can cause problems with your hearing, balance, movement and more. Your care team may recommend surgery to remove all or part of the tumor depending on its size, location and your symptoms. Some kinds of neurofibromatosis can trigger cataracts that cause vision loss. We may also recommend surgery for those.
Radiation therapy and chemotherapy
We also can shrink tumors using radiation or chemotherapy. One possibility, computer-guided Gamma Knife® surgery treats tumors with highly focused radiation in a single dose.
Taking the Next Step
When you have a chronic condition like neurofibromatosis, each day involves taking care of yourself in the best way possible. Doing this can be easier when you have the support of compassionate, skilled healthcare providers. Our team is here to help you along the best path with a care plan that meets your needs and goals. We want to help you keep living your life to the fullest.
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