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Neurofibromatosis Type 1 Presenting With Hand Dystonia

Department of Neurology

Maria Luisa Lispi, MD

Department of Neurology

Aldo Giannotti, MD

Department of Genetics

Daniela Longo, MD

Department of Radiology Bambino Gesù Children's Hospital National Medical Research Institute Rome, Italy

Giuseppe Fariello, MD

Department of Radiology Bambino Gesù Children's Hospital National Medical Research Institute Rome, Italy

Neurofibromatosis type 1 is frequently associated with increased intensity T₂-weighted magnetic resonance imaging (MRI) brain abnormalities, called "unidentified bright objects." Unidentified bright objects are generally held to be benign and tend to decrease in size during adulthood. We describe a case of neurofibromatosis type 1 with a similar thalamic and subthalamic MRI abnormality associated with contralateral hand dystonia. Over a 2-year follow-up, the lesions showed a reduction in size apparently correlated with a reduction in symptoms. (J Child Neurol 2001;16:606-608).

Journal of Child Neurology, Vol. 16, No. 8, 606-608 (2001)
DOI: 10.1177/088307380101600815


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