Clinicopathological characteristics of patients with Bing-Neel syndrome
Demographics . | N = 46 . |
---|---|
Age, median (range), y | 66.5 (48-85) |
Male | 26 (52.5%) |
WM disease characteristics | |
Extramedullary disease | 14/46 (30.4%) |
Bone marrow infiltration, median (range) | 20% (0-80) |
Bone marrow MYD88L265 | 27/28 (96.4%) |
Bone marrow CXCR4WHIM | 1/6 (16.7%) |
Symptoms | |
Sensory and/or motor deficits | 21 (45.7%) |
Cognitive change or confusion | 8 (17.4%) |
Cranial nerve palsy | 5 (10.9%) |
Headaches | 4 (8.7%) |
Seizures | 3 (6.5%) |
Hearing loss | 3 (6.5%) |
Ocular/orbital | 2 (4.3%) |
CSF findings | |
CSF leucocyte count median (range), /mm3 | 15.5 (1-153) |
CSF protein, median (range), g/L | 1.40 (0.25-4.69) |
CSF IgM, median (range), g/L | 4.13 (0.147-475) |
CSF MYD88L265P detected | 29/30 (96.7%) |
Imaging findings | |
Parenchymal lesions | 12 (26.1%) |
Leptomeningeal enhancement | 33 (71.7%) |
Intracranial involvement | 24 (52.2%) |
Spinal/cauda equina involvement | 27 (58.7%) |
No MRI findings but positive CSF studies | 7 (15.2%) |
Demographics . | N = 46 . |
---|---|
Age, median (range), y | 66.5 (48-85) |
Male | 26 (52.5%) |
WM disease characteristics | |
Extramedullary disease | 14/46 (30.4%) |
Bone marrow infiltration, median (range) | 20% (0-80) |
Bone marrow MYD88L265 | 27/28 (96.4%) |
Bone marrow CXCR4WHIM | 1/6 (16.7%) |
Symptoms | |
Sensory and/or motor deficits | 21 (45.7%) |
Cognitive change or confusion | 8 (17.4%) |
Cranial nerve palsy | 5 (10.9%) |
Headaches | 4 (8.7%) |
Seizures | 3 (6.5%) |
Hearing loss | 3 (6.5%) |
Ocular/orbital | 2 (4.3%) |
CSF findings | |
CSF leucocyte count median (range), /mm3 | 15.5 (1-153) |
CSF protein, median (range), g/L | 1.40 (0.25-4.69) |
CSF IgM, median (range), g/L | 4.13 (0.147-475) |
CSF MYD88L265P detected | 29/30 (96.7%) |
Imaging findings | |
Parenchymal lesions | 12 (26.1%) |
Leptomeningeal enhancement | 33 (71.7%) |
Intracranial involvement | 24 (52.2%) |
Spinal/cauda equina involvement | 27 (58.7%) |
No MRI findings but positive CSF studies | 7 (15.2%) |
MRI, magnetic resonance imaging.