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논문 기본 정보

자료유형
학술저널
저자정보
강현택 (순천향대학교 의과대학 부천병원 이비인후-두경부외과학교실) 이재용 (순천향대학교) 이윤지 (순천향대학교 의과대학 부천병원 이비인후-두경부외과학교실) 이세아 (순천향대학교) 전병열 (순천향대학교) 이종대 (순천향대학교)
저널정보
대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후-두경부외과학회지 제64권 제10호
발행연도
2021.10
수록면
703 - 710 (8page)

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Background and Objectives Neurofibromatosis type 2 (NF2) is a rare autosomal dominantdisorder characterized as bilateral vestibular schwannoma (VS), various brain and spinal tumors. This study is aimed to investigate the relationship between the genotypes and phenotypesof NF2 found in the Korean population. Subjects and Method We retrospectively reviewed 11 patients who were diagnosed withNF2 and observed them for more than a year. NF2 gene mutations were detected using Sangersequencing and multiplex ligation-dependent probe amplification (MLPA). The mutationswere classified into tissue mosaicism, classic, and severe genotypes according to the UK NF2genetic severity score. Tumor load was assessed by reviewing MR images and audiologicalfindings were analyzed. Results We identified 7 cases (63.6%) of mutations from 11 patients who were diagnosedwith NF2. While three patients showed classic and four showed severe genotypes, four patientswere presumed as tissue mosaicism. The patients with severe genotypes didn’t show more severeclinical manifestations in terms of tumor load and hearing. Four patients with tissue mosaicismwere detected in the older age group than those with mutation. Of the five patients whohad serviceable bilateral hearing at the initial diagnosis, all maintained their serviceable hearingduring the follow-up. Conclusion Our results, which showed that the clinical manifestations of NF2 found in theKorean population have no correlation with the genotype findings, are not in agreement withprevious studies. However, further studies with larger sample sizes are needed to give moreappropriate counsel.

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