%0 Case Reports
%T A fortuitous discovery of a neurofibroma in a female patient with type 1 neurofibromatosis: a case report.
%A Harrabi F
%A Methnani J
%A Houssem A
%A Abdelkader M
%A Mehdi BL
%A Amine SM
%A Mohamed BM
%A Ali BA
%J J Int Med Res
%V 50
%N 12
%D Dec 2022
%M 36510447
%F 1.573
%R 10.1177/03000605221139716
%X Neurofibromatosis type 1 (NF1) is a neurocutaneous condition with an autosomal dominant pattern of inheritance. This congenital disease is characterized by a wide spectrum of clinical manifestations and degree of severity. This case report describes a female patient in her early 20s who presented with a complaint of lumbosciatica-like pain evolving for several months. The condition initially escaped the attention of clinicians until a lumbar computed tomography scan and spinal magnetic resonance imaging were performed. The patient was then transferred to the general surgery department, where a clinical diagnosis of NF1 was established. The clinical manifestations were specific for this disease, including café-au-lait macules, plexiform neurofibroma, and a history of neurofibromatosis in her mother. The patient underwent surgical resection of the neurofibroma, which resulted in a favorable outcome. However, 2 years later, a new mass attached to the second lumbar spinal nerve was revealed by a follow-up computed tomography scan. Long-term and close follow-up of NF1 is required because of the high risk of malignancy and recurrence in NF1 patients.