Station 5 PACES spot diagnosis in skin station ! Remember the criteria of diagnosis, so do not forget to check for Rinne/Weber if there is a tunning fork nearby and also ask for permission to ask about family history.Table 2 : Criteria for Neurofibromatosis
| Type 1 (Von Recklinghausen’s Disease) | Type 2 |
| · Six or more café-au-lait spots, the greatest diameter of which is more than 5 mm in prepubertal patients and more than 15 mm in postpubertal patients · Two or more neurofibromas or one plexiform neurofibroma. Plexiform neurofibroma is considered by some to be a defining lesion of neurofibromatosis type 1 · Frecking in the axilla or inguinal region (Crowe’s sign) · Optic glioma · Two or more Lisch nodules(iris hamartoma) · A distinctive osseous lesion such as sphenoid dysplasia or thinning of long bone cortex with or without pseudoarthroses · A parent, sibling or child with neurofibromatosis according to the above criteria | · Bilateral eight cranial nerve palsy confirmed by CT or MRI · A parent, sibling or child with neurofibromatosis type 2 and either unilateral eight nerve mass or any two of the following : neurofibroma, meningioma, glioma, schanoma or juvenile posterior subcapsular lenticular opacity |
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