Bursztyn J, Rodriguez D
Service de Neuropédiatrie, Hôpital Saint-Vincent-de-Paul, Paris.
J Fr Ophtalmol. 1999 Nov;22(9):959-62.
Over a one year period, the multidisciplinary consultation of the Saint-Vincent-de-Paul Hospital for neurofibromatosis examined 26 children. Twenty-two children underwent an ophthalmological examination (21 NF1, 1 NF2). Lisch nodule was the most frequent symptom (12 cases) and corneal nerves were visible in 3 cases. We had only one case of retinal and choroidal hamartoma. Glioma was a frequent symptom (5 cases). Other signs were uncommon. The case of NF2 showed a 3rd nerve palsy and lens droplets. Our evaluation confirms the frequency of Lisch nodules as the most frequent symptom of NF1. The visibility of corneal nerves and hamartoma are suggestive signs. The glioma number fits well with its statistical frequency. One year evaluation of our NF clinic allows us to confirm the relative frequency of the different signs associated with neurofibromatosis. It emphasizes the importance of teaching its diagnosis and follow-up to ophthalmologists.
在一年的时间里,圣文森特 - 德保罗医院的神经纤维瘤病多学科会诊对26名儿童进行了检查。22名儿童接受了眼科检查(21例1型神经纤维瘤病,1例2型神经纤维瘤病)。Lisch结节是最常见的症状(12例),3例可见角膜神经。我们仅有1例视网膜和脉络膜错构瘤。胶质瘤是常见症状(5例)。其他体征不常见。2型神经纤维瘤病病例表现为动眼神经麻痹和晶状体小滴。我们的评估证实Lisch结节是1型神经纤维瘤病最常见的症状。角膜神经的可见性和错构瘤是提示性体征。胶质瘤的数量与其统计频率相符。我们神经纤维瘤病诊所的一年评估使我们能够确认与神经纤维瘤病相关的不同体征的相对频率。它强调了向眼科医生传授其诊断和随访知识的重要性。