Retinal Exam: Annual ophthalmoscopy starting at age 5.
Blood Pressure: Regular monitoring for catecholamine crisis.
Biochemistry: Annual plasma/urine metanephrines starting at age 5 for early detection of Phaeochromocytoma.
Imaging Intervals
CNS (MRI Brain/Spine): Every 2 years starting at age 11–14.
Abdomen (MRI or Ultrasound): Annual or biennial starting at age 15 to screen for RCC and Pancreatic NETs.
CLINICAL INSIGHT
Practical Pearls
The "3.0 cm" Rule in RCC
Audiology Note
CLINICAL INSIGHT
Evidence Base
Primary Source
The VHL Handbook.
VHL Alliance.VHL Alliance Guidelines2020
VHL Syndrome Surveillance Checklist
Surveillance Checklist0 / 5
VHL surveillance guidelines aim to detect tumors early when they are most treatable. Genetic testing for RET/VHL should be offered to all family members at risk.