The diagnosis and treatment of vestibular schwannoma (formerly known as acoustic neuroma) in patients with neurofibromatosis 2 (NF2) has been improved in recent years by advances in several clinical and scientific areas. Advances in imaging techniques have allowed high-resolution preoperative assessment of size, shape, and anatomic relationships of vestibular schwannomas. Advances in surgical techniques have decreased the risks of postoperative complications especially seventh and eighth nerve dysfunction.1 Finally, advances in molecular biological techniques have made possible the presymptomatic diagnosis of affected individuals in approximately two-thirds of affected families.2 The last development raises the issue of whether children with vestibular schwannomas should be identified before they develop symptoms from their tumors.
If no treatment exists for a genetic disease that primarily presents in adulthood, there is little rationale for testing children for that disease. In the case of NF2, however, not only does an effective therapy exist, but also
Harsh GR, MacCollin M, McKenna MJ, Nadol JB, Ojemann R, Short MP. Molecular Genetic Screening for Children at Risk of Neurofibromatosis 2. Arch Otolaryngol Head Neck Surg. 1995;121(5):590–591. doi:10.1001/archotol.1995.01890050078016
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