Intelligence Over Time in Children with Neurofibromatosis Type 1 Based on a Structured Natural History-Study

Sandra van Abeelen1, Jos G M Hendriksen1,2, Anton de Louw1

  • 1Kempenhaeghe, Centre for Neurological Learning Disabilities, Heeze, the Netherlands.

Journal of Child Neurology
|February 17, 2026
PubMed

Insights

Intelligence in children with neurofibromatosis type 1 (NF1) remains stable overall. Performance IQ may dip at age 11 but recovers by age 15, warranting neurocognitive monitoring.

Area of Science:

  • Neuroscience
  • Pediatrics
  • Genetics

Background:

  • Neurofibromatosis type 1 (NF1) is a genetic disorder that can affect cognitive development.
  • Understanding intelligence trajectories in NF1 is crucial for early intervention.

Purpose of the Study:

  • To examine the developmental course of intelligence in children with NF1.
  • To identify factors influencing cognitive changes in NF1.
  • To assess the gap between Performance IQ (PIQ) and Verbal IQ (VIQ) over time.

Main Methods:

  • Cross-sectional and longitudinal study design.
  • Involved 397 children with NF1 assessed at ages 3, 6, 11, and 15 years.
  • Utilized a comprehensive neuropsychological test battery.

Main Results:

  • Overall intelligence remained stable in children with NF1 from ages 3 to 15.
  • A transient decrease in PIQ at age 11 was observed, with recovery by age 15.
  • The gap between PIQ and VIQ narrowed over time.
  • Maternal education, inheritance mode, and ADHD were not significant predictors of cognitive changes.

Conclusions:

  • Intelligence is generally stable in children with NF1, but neurocognitive monitoring is advised.
  • The critical period for attention and learning issues is between ages 6 and 11.
  • Monitoring can help manage potential attention and learning difficulties associated with NF1.

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