Bing-Neel syndrome (BNS)

Evidence-based neurology checklist on bing-neel syndrome (bns): Pathology This is central nervous system involvement by Waldenstrom’s macroglobulinaemia (WM) It results from infiltration by malignant lymphoid cells It is the first manifestation of WM in more than a third of cases Central features…

Pathology

  • This is central nervous system involvement by Waldenstrom’s macroglobulinaemia (WM)
  • It results from infiltration by malignant lymphoid cells
  • It is the first manifestation of WM in more than a third of cases

Central features

Ophthalmic features

Peripheral features

Differential diagnosis

Magnetic resonance imaging (MRI) brain

Cerebrospinal fluid (CSF) analysis

Other investigations

Treatment

Prognosis

References

  1. Simon L, Fitsiori A, Lemal R, et al. Bing-Neel syndrome, a rare complication of Waldenström macroglobulinemia: analysis of 44 cases and review of the literature. A study on behalf of the French Innovative Leukemia Organization (FILO). Haematologica 2015; 100:1587-1594.
  2. Varettoni M, Defrancesco I, Diamanti L, Marchioni E, Farina LM, Pichiecchio A. Bing-Neel syndrome: illustrative cases and comprehensive review of the literature. Mediterr J Hematol Infect Dis 2017; 9:e2017061. 
  3. Bhatti MT, Yuan C, Winter W, McSwain AS, Okun MS. Bilateral sixth nerve paresis in the Bing-Neel syndrome. Neurology 2005; 64:576-577.
  4. Welch D, Whetsell WO Jr, Weil RJ. Pathologic quiz case. A man with long-standing monoclonal gammopathy and new onset of confusion. Central nervous system involvement by Waldenström macroglobulinemia-Bing-Neel syndrome. Arch Pathol Lab Med 2002; 126:1243-1244. 
  5. Sobczak T, Alleman L, Wille H, et al. Recurrent meningitis revealing a Bing-Neel syndrome. Rev Med Interne 2021; 42:359-362. 
  6. And 10 more. Subscribe to see the full list

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