Neurofibromatosis type 1 (NF1) is a common autosomal dominant neurogen
etic disorder in which affected patients develop both benign and malig
nant tumors at an increased frequency.(1) Neurofibromatosis type 1 aff
ects approximately 1 in 3000 individuals worldwide, without regard to
sex, race, or ethnic background. The hallmark of the clinical disorder
is the development of pigmentary lesions (cafe au lait spots, skinfol
d freckling, and Lisch nodules), distinctive skeletal lesions (sphenoi
d wing dysplasia and pseudoarthrosis), and tumors, such as optic pathw
ay gliomas and neurofibromas. In addition to these clinical features,
40% to 60% of children with NF1 manifest specific learning disabilitie
s, including attention deficit hyperactivity disorder and deficits in
visuospatial processing.