Skip to main content
Erschienen in: Child's Nervous System 10/2020

10.06.2020 | Annual issue paper

The value of screening tests in children with neurofibromatosis type 1 (NF1)

verfasst von: Eloïse Baudou, Yves Chaix

Erschienen in: Child's Nervous System | Ausgabe 10/2020

Einloggen, um Zugang zu erhalten

Abstract

Neurofibromatosis type 1 (NF1) is one of the most prevalent rare diseases. Whilst penetrance is complete by adulthood, its expressivity is extremely variable with potential multi-systemic complications. Although NF1 is diagnosed clinically, molecular analysis has a part to play in the screening of atypical forms and in genetic counselling. The screening of complications is primarily based on a full annual clinical examination and an ophthalmological examination. Targeted paraclinical examinations will be carried out when clinical signs appear (neurological, ophthalmological, cutaneous, endocrinological, orthopaedic and cardiovascular, etc.). The implementation of routine paraclinical examinations, which are stressful for families, expensive and sometimes invasive (MRI under general anaesthetic), is only of minor interest and does not lead to any change in treatment if the child is asymptomatic. Part of the consultation should focus on evaluation of psychomotor development and learning difficulties, which are common features of this condition (50%), and impact the child’s quality of life.
Fußnoten
1
INSEE 2015 Figures
 
Literatur
1.
Zurück zum Zitat National Institutes of Health Consensus Development Conference statement (1988) Neurofibromatosis. Arch Neurol (Chic) 45:575–578CrossRef National Institutes of Health Consensus Development Conference statement (1988) Neurofibromatosis. Arch Neurol (Chic) 45:575–578CrossRef
2.
Zurück zum Zitat Gutmann DH, Aylsworth A, Carey JC, Korf B, Marks J, Pyeritz RE, Rubenstein A, Viskochil D (1997) The diagnostic evaluation and multidisciplinary management of neurofibromatosis 1 and neurofibromatosis 2. JAMA 278:51–57CrossRef Gutmann DH, Aylsworth A, Carey JC, Korf B, Marks J, Pyeritz RE, Rubenstein A, Viskochil D (1997) The diagnostic evaluation and multidisciplinary management of neurofibromatosis 1 and neurofibromatosis 2. JAMA 278:51–57CrossRef
3.
Zurück zum Zitat DeBella K, Szudek J, Friedman JM (2000) Use of the national institutes of health criteria for diagnosis of neurofibromatosis 1 in children. Pediatrics 105(3 Pt 1):608–614CrossRef DeBella K, Szudek J, Friedman JM (2000) Use of the national institutes of health criteria for diagnosis of neurofibromatosis 1 in children. Pediatrics 105(3 Pt 1):608–614CrossRef
5.
Zurück zum Zitat Tadini G, Milani D, Menni F, Pezzani L, Sabatini C, Esposito S (2014) Is time to change the neurofibromatosis 1 diagnostic criteria ? European Journal of Internal Medicine 25:506–510CrossRef Tadini G, Milani D, Menni F, Pezzani L, Sabatini C, Esposito S (2014) Is time to change the neurofibromatosis 1 diagnostic criteria ? European Journal of Internal Medicine 25:506–510CrossRef
7.
Zurück zum Zitat Korf BR (1992) Diagnostic outcome in children with multiple café au lait spots. Pediatrics 90:924–927PubMed Korf BR (1992) Diagnostic outcome in children with multiple café au lait spots. Pediatrics 90:924–927PubMed
8.
Zurück zum Zitat Duong TA, Bastuji-Garin S, Valeyrie-Allanore L, Sbidian E, Ferkal S, Wolkenstein P (2011) Evolving pattern with age of cutaneous signs in neurofibromatosis type 1 : a cross sectional study of 728 patients. Dermatology 222:269–273CrossRef Duong TA, Bastuji-Garin S, Valeyrie-Allanore L, Sbidian E, Ferkal S, Wolkenstein P (2011) Evolving pattern with age of cutaneous signs in neurofibromatosis type 1 : a cross sectional study of 728 patients. Dermatology 222:269–273CrossRef
9.
Zurück zum Zitat Ferner RE, Huson SM, Thomas N, Moss C, Willshaw H, Evans DG, Upadhyaya M, Towers R, Gleeson M, Steiger C, Kirby A (2007) Guidelines for the diagnosis and management of individuals with neurofibromatosis 1. J Med Genet 44(2):81–88CrossRef Ferner RE, Huson SM, Thomas N, Moss C, Willshaw H, Evans DG, Upadhyaya M, Towers R, Gleeson M, Steiger C, Kirby A (2007) Guidelines for the diagnosis and management of individuals with neurofibromatosis 1. J Med Genet 44(2):81–88CrossRef
10.
Zurück zum Zitat Burkitt Wright EM, Sach E, Sharif S, Quarrell O, Caroll T, Whitehouse RW, Upadhyaya M, Huson SM, Evans DG (2013) Can the diagnosis of NF1 be excluded clinically? A lack of pigmentary findings in families with spinal neurofibromatosis demonstrates a limitation of clinical diagnosis. J Med Genet 50(9):606–613CrossRef Burkitt Wright EM, Sach E, Sharif S, Quarrell O, Caroll T, Whitehouse RW, Upadhyaya M, Huson SM, Evans DG (2013) Can the diagnosis of NF1 be excluded clinically? A lack of pigmentary findings in families with spinal neurofibromatosis demonstrates a limitation of clinical diagnosis. J Med Genet 50(9):606–613CrossRef
11.
Zurück zum Zitat Williams VC, Lucas J, Babcock MA, Gutmann DH, Korf B, Maria BL (2009) Neurofibromatosis type 1 revisited. Pediatrics 123(1):124–133CrossRef Williams VC, Lucas J, Babcock MA, Gutmann DH, Korf B, Maria BL (2009) Neurofibromatosis type 1 revisited. Pediatrics 123(1):124–133CrossRef
12.
Zurück zum Zitat Miller DT, Freedenberg D, Schorry E, Ullrich NJ, Viskochil D, Korf BR, Council on Genetics; American College of Medical Genetics and Genomics (2019) Health supervision for children with neurofibromatosis type 1. Pediatrics 143(5):e20190660CrossRef Miller DT, Freedenberg D, Schorry E, Ullrich NJ, Viskochil D, Korf BR, Council on Genetics; American College of Medical Genetics and Genomics (2019) Health supervision for children with neurofibromatosis type 1. Pediatrics 143(5):e20190660CrossRef
13.
Zurück zum Zitat Brems H, Chmara M, Sahbatou M, Denayer E, Taniguchi K, Kato R, Somers R, Messiaen L, De Schepper S, Fryns JP, Cools J, Marynen P, Thomas G, Yoshimura A, Legius E (2007) Germline loss-of-function mutations in SPRED1 cause a neurofibromatosis 1-like phenotype. Nat Genet 39(9):1120–1126CrossRef Brems H, Chmara M, Sahbatou M, Denayer E, Taniguchi K, Kato R, Somers R, Messiaen L, De Schepper S, Fryns JP, Cools J, Marynen P, Thomas G, Yoshimura A, Legius E (2007) Germline loss-of-function mutations in SPRED1 cause a neurofibromatosis 1-like phenotype. Nat Genet 39(9):1120–1126CrossRef
14.
Zurück zum Zitat Messiaen L, Yao S, Brems H, Callens T, Sathienkijkanchai A, Denayer E, Spencer E, Arn P, Babovic-Vuksanovic D, Bay C, Bobele G, Cohen BH, Escobar L, Eunpu D, Grebe T, Greenstein R, Hachen R, Irons M, Kronn D, Lemire E, Leppig K, Lim C, McDonald M, Narayanan V, Pearn A, Pedersen R, Powell B, Shapiro LR, Skidmore D, Tegay D, Thiese H, Zackai EH, Vijzelaar R, Taniguchi K, Ayada T, Okamoto F, Yoshimura A, Parret A, Korf B, Legius E (2009) Clinical and mutational spectrum of neurofibromatosis type 1-like syndrome. JAMA 302(19):2111–2118CrossRef Messiaen L, Yao S, Brems H, Callens T, Sathienkijkanchai A, Denayer E, Spencer E, Arn P, Babovic-Vuksanovic D, Bay C, Bobele G, Cohen BH, Escobar L, Eunpu D, Grebe T, Greenstein R, Hachen R, Irons M, Kronn D, Lemire E, Leppig K, Lim C, McDonald M, Narayanan V, Pearn A, Pedersen R, Powell B, Shapiro LR, Skidmore D, Tegay D, Thiese H, Zackai EH, Vijzelaar R, Taniguchi K, Ayada T, Okamoto F, Yoshimura A, Parret A, Korf B, Legius E (2009) Clinical and mutational spectrum of neurofibromatosis type 1-like syndrome. JAMA 302(19):2111–2118CrossRef
15.
Zurück zum Zitat Brems H, Legius E (2013) Legius syndrome, an update. Molecular pathology of mutations in SPRED1. Keio J Med 62:107–112CrossRef Brems H, Legius E (2013) Legius syndrome, an update. Molecular pathology of mutations in SPRED1. Keio J Med 62:107–112CrossRef
16.
Zurück zum Zitat Wolkenstein P, Rodriguez D, Ferkal S, Gravier H, Buret V, Algans N, Simeoni MC, Bastuji-Garin S (2009) Impact of neurofibromatosis 1 upon quality of life in childhood : a cross-sectional study of 79 cases. Br J Dermatol 160(4):844–848CrossRef Wolkenstein P, Rodriguez D, Ferkal S, Gravier H, Buret V, Algans N, Simeoni MC, Bastuji-Garin S (2009) Impact of neurofibromatosis 1 upon quality of life in childhood : a cross-sectional study of 79 cases. Br J Dermatol 160(4):844–848CrossRef
17.
Zurück zum Zitat Hirbe AC, Gutmann DH (2014) Neurofibromatosis type 1 : a multidisciplinary approach to care. Lancet Neurol 13(8):834–843CrossRef Hirbe AC, Gutmann DH (2014) Neurofibromatosis type 1 : a multidisciplinary approach to care. Lancet Neurol 13(8):834–843CrossRef
18.
Zurück zum Zitat Ferrari F, Masurel A, Olivier-Faivre L, Vabres P (2014) Juvenile xanthogranuloma and nevus anemicus in the diagnosis of neurofibromatosis type 1. JAMA Dermatol 150(1):42–46CrossRef Ferrari F, Masurel A, Olivier-Faivre L, Vabres P (2014) Juvenile xanthogranuloma and nevus anemicus in the diagnosis of neurofibromatosis type 1. JAMA Dermatol 150(1):42–46CrossRef
19.
Zurück zum Zitat Raygada M, Arthur DC, Wayne AS, Rennert OM, Toretsky JA, Stratakis CA (2010) Juvenile xanthogranuloma in a child with previously unsuspected neurofibromatosis type 1 and juvenile myelomonocytic leukemia. Pediatr Blood Cancer 54(1):173–175CrossRef Raygada M, Arthur DC, Wayne AS, Rennert OM, Toretsky JA, Stratakis CA (2010) Juvenile xanthogranuloma in a child with previously unsuspected neurofibromatosis type 1 and juvenile myelomonocytic leukemia. Pediatr Blood Cancer 54(1):173–175CrossRef
20.
Zurück zum Zitat Marque M, Roubertie A, Jaussent A, Carneiro M, Meunier L, Guillot B, Pinson L, Pinson S, Bessis D (2013) Nevus anemicus in neurofibromatosis type 1 : a potential new diagnostic criterion. J Am Acad Dermatol 69(5):768-775, Nevus anemicus in neurofibromatosis type 1: A potential new diagnostic criterion. Marque M, Roubertie A, Jaussent A, Carneiro M, Meunier L, Guillot B, Pinson L, Pinson S, Bessis D (2013) Nevus anemicus in neurofibromatosis type 1 : a potential new diagnostic criterion. J Am Acad Dermatol 69(5):768-775, Nevus anemicus in neurofibromatosis type 1: A potential new diagnostic criterion.
21.
Zurück zum Zitat Friedman JM, Arbiser J, Epstein JA, Gutmann DH, Huot SJ, Lin AE, McManus B, Korf BR (2002) Cardiovascular disease in neurofibromatosis 1 : report of the NF1 Cardiovascular Task Force. Genet Med 4(3):105-111, Cardiovascular disease in neurofibromatosis 1: Report of the NF1 Cardiovascular Task Force. Friedman JM, Arbiser J, Epstein JA, Gutmann DH, Huot SJ, Lin AE, McManus B, Korf BR (2002) Cardiovascular disease in neurofibromatosis 1 : report of the NF1 Cardiovascular Task Force. Genet Med 4(3):105-111, Cardiovascular disease in neurofibromatosis 1: Report of the NF1 Cardiovascular Task Force.
22.
Zurück zum Zitat Lorenzo J, Barton B, Acosta MT, North K (2011) Mental, motor, and language development of toddlers with neurofibromatosis type 1. J Pediatr 158(4):660–665CrossRef Lorenzo J, Barton B, Acosta MT, North K (2011) Mental, motor, and language development of toddlers with neurofibromatosis type 1. J Pediatr 158(4):660–665CrossRef
24.
Zurück zum Zitat Schrimsher GW, Billingsley RL, Slopis JM, Moore BD (2003) Visual-spatial performance deficits in children with neurofibromatosis type-1. Am J Med Genet 120A(3):326–330CrossRef Schrimsher GW, Billingsley RL, Slopis JM, Moore BD (2003) Visual-spatial performance deficits in children with neurofibromatosis type-1. Am J Med Genet 120A(3):326–330CrossRef
25.
Zurück zum Zitat Beaussart M, Barbarot S, Mauger C, Roy A (2018) Systematic review and meta-analysis of executive functions in preschool and school-age children with neurofibromatosis type 1. J Int Neuropsychol Soc 24(9):977–994CrossRef Beaussart M, Barbarot S, Mauger C, Roy A (2018) Systematic review and meta-analysis of executive functions in preschool and school-age children with neurofibromatosis type 1. J Int Neuropsychol Soc 24(9):977–994CrossRef
26.
Zurück zum Zitat Chaix Y, Lauwers-Cancès V, Faure-Marie N, Gentil C, Lelong S, Schweitzer E, Castelnau P (2017) Deficit in phonological processes: a characteristic of the neuropsychological profile of children with NF1. Child Neuropsychology 24(4):558–574CrossRef Chaix Y, Lauwers-Cancès V, Faure-Marie N, Gentil C, Lelong S, Schweitzer E, Castelnau P (2017) Deficit in phonological processes: a characteristic of the neuropsychological profile of children with NF1. Child Neuropsychology 24(4):558–574CrossRef
27.
Zurück zum Zitat Lubs ML, Bauer MS, Formas ME, Djokic B (1991) Lisch nodules in neurofibromatosis type 1.N. Engl J Med 324(18):1264–1266CrossRef Lubs ML, Bauer MS, Formas ME, Djokic B (1991) Lisch nodules in neurofibromatosis type 1.N. Engl J Med 324(18):1264–1266CrossRef
28.
Zurück zum Zitat Ben-Shachar S, Dubov T, Toledano-Alhadef H, Mashiah J, Sprecher E, Constantini S, Leshno M, Messiaen LM (2017) Predicting neurofibromatosis type 1 risk among children with isolated café-au-lait macules. J Am Acad Dermatol 76(6):1077–1083CrossRef Ben-Shachar S, Dubov T, Toledano-Alhadef H, Mashiah J, Sprecher E, Constantini S, Leshno M, Messiaen LM (2017) Predicting neurofibromatosis type 1 risk among children with isolated café-au-lait macules. J Am Acad Dermatol 76(6):1077–1083CrossRef
29.
Zurück zum Zitat Sabbagh A, Pasmant E, Imbard A, Luscan A, Soaraes M, Blanché H et al (2013) NF1 molecular characterization and neurofibromatosis type 1 genotype-phenotype correlation: the French experience. Hum Mutat 34:1510–1518CrossRef Sabbagh A, Pasmant E, Imbard A, Luscan A, Soaraes M, Blanché H et al (2013) NF1 molecular characterization and neurofibromatosis type 1 genotype-phenotype correlation: the French experience. Hum Mutat 34:1510–1518CrossRef
30.
Zurück zum Zitat Kang E, Kim YM, Seo GH, Oh A, Yoon HM, Ra YS, Kim EK, Kim H, Heo SH, Kim GH, Osborn MJ, Tolar J, Yoo HW, Lee BH (2020) Phenotype categorization of neurofibromatosis type 1 and correlation to NF1 mutation types. J Hum Genet 65(2):79–89CrossRef Kang E, Kim YM, Seo GH, Oh A, Yoon HM, Ra YS, Kim EK, Kim H, Heo SH, Kim GH, Osborn MJ, Tolar J, Yoo HW, Lee BH (2020) Phenotype categorization of neurofibromatosis type 1 and correlation to NF1 mutation types. J Hum Genet 65(2):79–89CrossRef
31.
Zurück zum Zitat Ruggieri M, Huson SM (2001) The clinical and diagnostic implications of mosaicism in the neurofibromatoses. Neurology 56(11):1433–1443CrossRef Ruggieri M, Huson SM (2001) The clinical and diagnostic implications of mosaicism in the neurofibromatoses. Neurology 56(11):1433–1443CrossRef
32.
Zurück zum Zitat Baudou E, Nemmi F, Biotteau M, Maziero S, Peran P, Chaix Y (2020) Can the cognitive phenotype in neurofibromatosis type 1 (NF1) be explained by neuroimaging ? A review. Front Neurol 10:1373CrossRef Baudou E, Nemmi F, Biotteau M, Maziero S, Peran P, Chaix Y (2020) Can the cognitive phenotype in neurofibromatosis type 1 (NF1) be explained by neuroimaging ? A review. Front Neurol 10:1373CrossRef
33.
Zurück zum Zitat Lopes Ferraz Filho JR, Munis MP, Soares Souza A, Sanches RA, Goloni-Bertollo EM, Pavarino-Bertelli EC (2008) Unidentified bright objects on brain MRI in children as a diagnostic criterion for neurofibromatosis type 1. Pediatr Radiol 38(3):305–310CrossRef Lopes Ferraz Filho JR, Munis MP, Soares Souza A, Sanches RA, Goloni-Bertollo EM, Pavarino-Bertelli EC (2008) Unidentified bright objects on brain MRI in children as a diagnostic criterion for neurofibromatosis type 1. Pediatr Radiol 38(3):305–310CrossRef
34.
Zurück zum Zitat Prada CE, Hufnagel RB, Hummel TR, Lovell AM, Hopkin RJ, Saal HM, Schorry EK (2015) The use of magnetic resonance imaging screening for optic pathway gliomas in children with neurofibromatosis type 1. J Pediatr 167(4):851–856CrossRef Prada CE, Hufnagel RB, Hummel TR, Lovell AM, Hopkin RJ, Saal HM, Schorry EK (2015) The use of magnetic resonance imaging screening for optic pathway gliomas in children with neurofibromatosis type 1. J Pediatr 167(4):851–856CrossRef
35.
Zurück zum Zitat Blanchard G, Lafforgue MP, Lion-François L, Kemlin I, Rodriguez D, Castelnau P, Carneiro M, Meyer P, Rivier F, Barbarot S, Chaix Y, NF France network (2016) systematic MRI in NF1 children under six years of age for the diagnosis of optic pathway gliomas. Study and outcome of a French cohort. Eur J Paediatr Neurol 20(2):275-281. Blanchard G, Lafforgue MP, Lion-François L, Kemlin I, Rodriguez D, Castelnau P, Carneiro M, Meyer P, Rivier F, Barbarot S, Chaix Y, NF France network (2016) systematic MRI in NF1 children under six years of age for the diagnosis of optic pathway gliomas. Study and outcome of a French cohort. Eur J Paediatr Neurol 20(2):275-281.
37.
Zurück zum Zitat Huson SM, Harper PS, Compston DAS (1988) Von Recklinghausen neurofibromatosis – a clinical and population study in South-East Wales. Brain 111:1355–1381CrossRef Huson SM, Harper PS, Compston DAS (1988) Von Recklinghausen neurofibromatosis – a clinical and population study in South-East Wales. Brain 111:1355–1381CrossRef
38.
Zurück zum Zitat Mautner VF, Asuagbor FA, Dombi E, Fünsterer C, Kluwe L, Wenzel R, Widemann BC, Friedman JM (2008) Assessment of benign tumor burden by whole-body MRI in patients with neurofibromatosis 1. Neuro-Oncology 10(4):593–598CrossRef Mautner VF, Asuagbor FA, Dombi E, Fünsterer C, Kluwe L, Wenzel R, Widemann BC, Friedman JM (2008) Assessment of benign tumor burden by whole-body MRI in patients with neurofibromatosis 1. Neuro-Oncology 10(4):593–598CrossRef
39.
Zurück zum Zitat Plotkin SR, Bredella MA, Cai W, Kassarjian A, Harris GJ, Esparza S, Merker VL, Munn LL, Muzikansky A, Askenazi M, Nguyen R, Wenzel R, Mautner VF (2012) Quantitative assessment of whole-body tumor burden in adult patients with neurofibromatosis. PLoS One 7(4):e35711CrossRef Plotkin SR, Bredella MA, Cai W, Kassarjian A, Harris GJ, Esparza S, Merker VL, Munn LL, Muzikansky A, Askenazi M, Nguyen R, Wenzel R, Mautner VF (2012) Quantitative assessment of whole-body tumor burden in adult patients with neurofibromatosis. PLoS One 7(4):e35711CrossRef
40.
Zurück zum Zitat Zhang L, Dessouky R, Xi Y, Chhabra A, Le LQ (2017) Clinical value of multiparametric whole-body magnetic resonance imaging over Whole-spine magnetic resonance imaging in patients with neurofibromatosis type 1. World Neurosurg 108:729–737CrossRef Zhang L, Dessouky R, Xi Y, Chhabra A, Le LQ (2017) Clinical value of multiparametric whole-body magnetic resonance imaging over Whole-spine magnetic resonance imaging in patients with neurofibromatosis type 1. World Neurosurg 108:729–737CrossRef
41.
Zurück zum Zitat Ahlawat S, Fayad LM, Khan MS, Bredella MA, Harris GJ, Evans DG, Farschtschi S, Jacobs MA, Chhabra A, Salamon JM, Wenzel R, Mautner VF, Dombi E, Cai W, Plotkin SR, Blakeley JO, Whole Body MRI Committee for the REiNS International Collaboration; REiNS International Collaboration Members (2016) Current whole-body MRI applications in the neurofibromatoses: NF1, NF2, and schwannomatosis. Neurology 87(7 Suppl 1):S31–S39CrossRef Ahlawat S, Fayad LM, Khan MS, Bredella MA, Harris GJ, Evans DG, Farschtschi S, Jacobs MA, Chhabra A, Salamon JM, Wenzel R, Mautner VF, Dombi E, Cai W, Plotkin SR, Blakeley JO, Whole Body MRI Committee for the REiNS International Collaboration; REiNS International Collaboration Members (2016) Current whole-body MRI applications in the neurofibromatoses: NF1, NF2, and schwannomatosis. Neurology 87(7 Suppl 1):S31–S39CrossRef
Metadaten
Titel
The value of screening tests in children with neurofibromatosis type 1 (NF1)
verfasst von
Eloïse Baudou
Yves Chaix
Publikationsdatum
10.06.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
Child's Nervous System / Ausgabe 10/2020
Print ISSN: 0256-7040
Elektronische ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-020-04711-6

Weitere Artikel der Ausgabe 10/2020

Child's Nervous System 10/2020 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

CME: 2 Punkte

Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.