Bing-Neel Syndrome Case Report: A Previously Undocumented IgG Variant with MRI, PET/CT, and PET/MRI Imaging

Waldenstrom’s macroglobulinaemia is the most commonly reported subtype of lymphoplasmacytic lymphoma (LPL); it is characterised by IgM secretion. Neurological complications are common usually as a result of hyperviscosity. In rare cases, cells can infiltrate the central nervous system; this is known...

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Main Authors: Daniel Halperin, Simon Hallam, Athar Haroon, Tom Butler, Samir Agrawal
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2016/3931709
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author Daniel Halperin
Simon Hallam
Athar Haroon
Tom Butler
Samir Agrawal
author_facet Daniel Halperin
Simon Hallam
Athar Haroon
Tom Butler
Samir Agrawal
author_sort Daniel Halperin
collection DOAJ
description Waldenstrom’s macroglobulinaemia is the most commonly reported subtype of lymphoplasmacytic lymphoma (LPL); it is characterised by IgM secretion. Neurological complications are common usually as a result of hyperviscosity. In rare cases, cells can infiltrate the central nervous system; this is known as Bing-Neel syndrome. We report the case of a 57-year-old male with lymphoplasmacytic lymphoma of the IgG-subtype with neurological symptoms and the consequent finding of lymphoplasmacytoid cells in his cerebrospinal fluid as well as deposits on MRI and PET-CT imaging. This is the first report of Bing-Neel syndrome in IgG-subtype LPL. We discuss the biological and radiological markers of his disease, including PET imaging, which has been minimal in this area to date.
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spelling doaj-art-da81453b2e084d97b0e13c31293ed0ac2025-02-03T01:21:37ZengWileyCase Reports in Hematology2090-65602090-65792016-01-01201610.1155/2016/39317093931709Bing-Neel Syndrome Case Report: A Previously Undocumented IgG Variant with MRI, PET/CT, and PET/MRI ImagingDaniel Halperin0Simon Hallam1Athar Haroon2Tom Butler3Samir Agrawal4Whipps Cross Hospital, London E11 1NR, UKSt Bartholomew’s Hospital, London EC1A 7BE, UKSt Bartholomew’s Hospital, London EC1A 7BE, UKRoyal London Hospital, London E1 1BB, UKSt Bartholomew’s Hospital, London EC1A 7BE, UKWaldenstrom’s macroglobulinaemia is the most commonly reported subtype of lymphoplasmacytic lymphoma (LPL); it is characterised by IgM secretion. Neurological complications are common usually as a result of hyperviscosity. In rare cases, cells can infiltrate the central nervous system; this is known as Bing-Neel syndrome. We report the case of a 57-year-old male with lymphoplasmacytic lymphoma of the IgG-subtype with neurological symptoms and the consequent finding of lymphoplasmacytoid cells in his cerebrospinal fluid as well as deposits on MRI and PET-CT imaging. This is the first report of Bing-Neel syndrome in IgG-subtype LPL. We discuss the biological and radiological markers of his disease, including PET imaging, which has been minimal in this area to date.http://dx.doi.org/10.1155/2016/3931709
spellingShingle Daniel Halperin
Simon Hallam
Athar Haroon
Tom Butler
Samir Agrawal
Bing-Neel Syndrome Case Report: A Previously Undocumented IgG Variant with MRI, PET/CT, and PET/MRI Imaging
Case Reports in Hematology
title Bing-Neel Syndrome Case Report: A Previously Undocumented IgG Variant with MRI, PET/CT, and PET/MRI Imaging
title_full Bing-Neel Syndrome Case Report: A Previously Undocumented IgG Variant with MRI, PET/CT, and PET/MRI Imaging
title_fullStr Bing-Neel Syndrome Case Report: A Previously Undocumented IgG Variant with MRI, PET/CT, and PET/MRI Imaging
title_full_unstemmed Bing-Neel Syndrome Case Report: A Previously Undocumented IgG Variant with MRI, PET/CT, and PET/MRI Imaging
title_short Bing-Neel Syndrome Case Report: A Previously Undocumented IgG Variant with MRI, PET/CT, and PET/MRI Imaging
title_sort bing neel syndrome case report a previously undocumented igg variant with mri pet ct and pet mri imaging
url http://dx.doi.org/10.1155/2016/3931709
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