| See
the NF Clinic: Founded in 1982 by Dr. Robert Martuza, the MGH NF Clinic was
one of the first to acknowledge the unique multi-disciplinary problems that the
NF patient and family face--and the vital role that a dedicated clinic plays in
the research community. The Neurofibromatosis Clinic offers a comprehensive initial
evaluation to all persons in whom a diagnosis of neurofibromatosis has been suggested
or confirmed. In addition to a neurological examination this includes a dermatological
evaluation and referral for neuro-ophthalmological evaluation and imaging studies.
Many persons come to the clinic with a diagnosis of "rule out neurofibromatosis"
and the role of the clinic is to clarify whether or not that diagnosis can be
made. Others come because they are a first degree relative of an NF patient and
are thus at 50-50 risk for the disease. Because so much is now known about the
natural history and genetic risks of these diseases, it is always important to
make a clear diagnosis at the onset in any one person. Once
a diagnosis of NF or a related condition is established, the staff works with
the patient and family to devise a comprehensive management plan. Many patients
require no more than an annual neurological evaluation and imaging or hearing
evaluations. Others have ongoing and complex medical issues such as the timing
of neurological surgery, or management of intractable pain or progressive disability.
Genetic counseling is relevant at almost every visit, as genetic concerns evolve
with patient's life. The role of genetic counseling is also changing as our abilities
to make molecular diagnosis improve for both NF1 and NF2. Some patients choose
to continue care in the NF clinic and others take their management plan back to
their own physicians for follow up. In all cases, the results of the evaluation
are communicated to the patient's primary care physician and any other care providors
involved with the patient and family, and the clinic staff is available to discuss
questions with care providors as needed. Other closely
affiliated physicians Robert
L. Martuza, M.D. Henry Mankin, M.D. Michael
McKenna, M.D. Neurogenetics
Clinic
See the NG Clinic:
Multidisciplinary management of inherited neurologic syndromes including tuberous
sclerosis and von Hippel-Lindau disease. Members of the unit are also active in
research into the genetic basis of and treatments for a variety of inherited neurologic
diseases. For more information
or to refer a patient contact: To
make an appointment with a physician in the Neurogenetics Unit or for general
questions contact at 726-5732. The
Von Hippel-Lindau Clinic
|