In short, Neurofibromatosis type 1 is a genetic disorder characterized by symptoms such as multiple large cafe au lait spots and axial/inguinal (armpit and groin,) freckling on the skin, tumors (called "fibromas,") on the skin, in the muscles, on the nerves, along the spine, and in the brain, vision problems, macrocephaly, cognitive delays and learning disorders, epilepsy, scoliosis, and fine and gross motor development delays.
It has manifested in Bug in that he has the cafe au lait spots, axial and inguinal freckling, one dermal fibroma (small skin tumor,) speech and motor delays, and macrocephaly, or a large head. Thus far, there have been no vision issues, signs of epilepsy, scoliosis, or severe tumors.
Today we met with his geneticist for his one-year follow-up exam. Over the course of the appointment, we discussed things such as Riley's first fibroma (on his lower back on the right,) his previous brain MRI, the course of treatment thus far, and predicted outcomes for the future.
His brain MRI showed no signs of tumors on the optic nerve (called optic glioma,) only some UBOs (Unidentified Bright Objects,) in his cerebellum, which are nothing to be concerned about and quite normal for a NF1 patient.
Doc said that he was unconcerned with the fibroma, and that there will undoubtedly be more that develop. Most "disfiguring" fibromas (Large ones on the skin, or ones deep within the muscle/running along multiple nerves,) would have already presented by now, so he feels we're "out of the woods" in that regard.
So far the course of treatment is to just sit back and monitor his development as he grows. The disease's progress is relatively chartable with his symptoms right now, as he is a "classic" case. His physician feels that he will definitely gain speech and articulation, but it may take time. (This was something that was great to hear, as his neurologist had left things very wide open, saying that he might speak, he might speak in a limited capacity, or he might never speak. Not very comforting there.) As far as the hypotonia and hyper-extension, that is something that will probably be a lifelong struggle. Having him in OT is a good thing, and letting him ride once a week is even better.
Overall, it was a good visit. It put some fears to rest and clarified a few points that we had been flailing around. (Mainly, "does he need a full-body MRI?" and "Does he really need another MRI in six months?")