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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
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