RT Journal Article SR Electronic T1 Diagnostic issues in a family with late onset type 2 neurofibromatosis. JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 470 OP 474 DO 10.1136/jmg.32.6.470 VO 32 IS 6 A1 Evans, D G A1 Bourn, D A1 Wallace, A A1 Ramsden, R T A1 Mitchell, J D A1 Strachan, T YR 1995 UL http://jmg.bmj.com/content/32/6/470.abstract AB We report a family with type 2 neurofibromatosis and late onset tumours. Five members of this family have developed hearing loss late in life, two of whom have only been shown to have the diagnosis in their seventies, and three other obligate gene carriers died undiagnosed at 64, 72, and 78 years of age. A missense mutation at the C-terminal end of the NF2 protein has been identified in this family and segregates with disease. The use of highly polymorphic markers for predictive testing is also shown. There appears to be an autosomal dominant form of spinocerebellar degeneration which is segregating separately to NF2 in this family, which created a diagnostic dilemma.