Neurofibromatosis 2 (NF2) should be suspected in young children presenting with meningiomas or certain ocular abnormalities (including retinal hamartomas, epiretinal membranes, and subcapsular cataracts); these children should be referred to specialists for diagnosis and management.
Why this matters
Vestibular symptoms secondary to bilateral vestibular schwannomas (VS) are known hallmarks of NF2 in teens/young adults, but diagnosis of NF2 in early childhood may be missed or delayed as most young children with NF2 do not present with VS.
This guidance on when to suspect NF2 could result in more timely diagnosis and treatment.
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