Management of Children with Optic Gliomas and Neurofibromatosis Type 1

Giorgio Attina, Palma Maurizi, Silvia Triarico, Michele Antonio Capozza, Alberto Romano, Stefano Mastrangelo and Antonio Ruggiero

Pediatric Oncology Unit, Fondazione Policlinico Universitario A.Gemelli IRCCS, Universita’ Cattolica Sacro Cuore, Rome, Italy.

Corresponding Author E-mail: antonio.ruggiero@unicatt.it

Abstract: Optic pathway gliomas (OPG)  are a common cancer in children with neurofibromatosis type 1. OPGs can cause clinical symptoms such as  reduction of visual acuity, alterations of the visual field, pallor of the optical papilla, strabismus, endocrinological alterations up to diencephalic syndrome.The current guidelines provide for wait and see as the main approach if the tumor is not causing visual deterioration and adopting treatment only in the event of significant impairment of the visual function. Therefore, it is essential to early detect the visual deterioration changes as well as  the identification of children eligible for treatment.

Keywords: Children; Neurofibromatosis Type 1; Optic Pathway Glioma

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