Evidence map›Paper›PMID 27758817›Full record

GuidelineHaematologica2017

Guideline for the diagnosis, treatment and response criteria for Bing-Neel syndrome.

Monique C Minnema, Eva Kimby, Shirley D'Sa, Luc-Matthieu Fornecker, Stéphanie Poulain, Tom J Snijders, Efstathios Kastritis, Stéphane Kremer, Aikaterini Fitsiori, Laurence Simon and 10 more

Abstract readPractice Guideline
In one paragraph

Guideline in Haematologica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. MYD88 mutation-positive indolent B-cell lymphoma with CNS involvement: Bing-Neel syndrome mimickers.Journal of clinical and experimental hematopathology : JCEH · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Brain lesions: is there a role for internist?Internal and emergency medicine · 2024
    Article
  16. Article
  17. Article
  18. Bing-Neel Syndrome: An Unknown GCA Mimicker.Case reports in rheumatology · 2024
    Article
  19. Review
  20. Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Monique C MinnemaDepartment of Hematology, UMC Utrecht Cancer Center, the Netherlands m.c.minnema@umcutrecht.nl.
Eva KimbyHematology Center, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
Shirley D'SaCancer Division, University College London Hospitals NHS Foundation Trust, UK.
Luc-Matthieu ForneckerDepartment of Oncology and Hematology, Hôpital Universitaires de Strasbourg and Université de Strasbourg, France.
Stéphanie PoulainService d'Hématologie-Immunologie-Cytogénétique, Centre Hospitalier de Valenciennes/Laboratoire d'Hématologie, Centre de Biologie et Pathologie, CHRU de Lille/INSERM, France.
Tom J SnijdersDepartment of Neurology & Neurosurgery, Brain Center Rudolf Magnus, UMC Utrecht, The Netherlands.
Efstathios KastritisDepartment of Clinical Therapeutics, National and Kapodistrian University of Athens, Greece.
Stéphane KremerPôle d'Imagerie-Neuroradiologie, Hôpital de Hautepierre/CHU Strasbourg, France.
Aikaterini FitsioriPôle d'Imagerie-Neuroradiologie, Hôpital de Hautepierre/CHU Strasbourg, France.
Laurence SimonDepartment of Oncology and Hematology, Hôpital Universitaires de Strasbourg and Université de Strasbourg, France.
Frédéric DaviLaboratory of Hematology, Hôpital Pitié Salpêtrière, Paris, France.
Michael LunnCentre for Neuromuscular Disease, National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Jorge J CastilloBing Center for Waldenstrom's Macroglobulinemia, Dana Farber Cancer Institute and Harvard Medical; School, Boston, MA, USA.
Christopher J PattersonBing Center for Waldenstrom's Macroglobulinemia, Dana Farber Cancer Institute and Harvard Medical; School, Boston, MA, USA.
Magali Le Garff-TavernierLaboratory of Hematology, Hôpital Pitié Salpêtrière, Paris, France.
Myrto CostopoulosLaboratory of Hematology, Hôpital Pitié Salpêtrière, Paris, France.
Véronique LeblondAP-HP Hôpital Pitié Salpêtrière, UPMC univ Paris, France.
Marie-José KerstenDepartment of Hematology, Academic Medical Center, Amsterdam, the Netherlands.
Meletios A DimopoulosDepartment of Clinical Therapeutics, National and Kapodistrian University of Athens, Greece.
Steven P TreonBing Center for Waldenstrom's Macroglobulinemia, Dana Farber Cancer Institute and Harvard Medical; School, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bing Neel syndrome is a rare disease manifestation of Waldenström's macroglobulinemia that results from infiltration of the central nervous system by malignant lymphoplasmacytic cells. In this guideline we describe the clinical symptoms, as well as the appropriate laboratory and radiological studies, that can aid in the diagnosis. The presentation of Bing Neel syndrome may be very diverse, and includes headaches, cognitive deficits, paresis, and psychiatric symptoms. The syndrome can present in patients with known Waldenström's macroglobulinemia, even in the absence of systemic progression, but also in previously undiagnosed patients. Diagnostic work-up should include cerebral spinal fluid analysis with multiparameter flow cytometry to establish B-cell clonality, protein electrophoresis and immunofixation for the detection and classification of a monoclonal protein as well as molecular diagnostic testing for immunoglobulin gene rearrangement and mutated MYD88. MRI of the brain and spinal cord is also essential. The second challenge is to expand our knowledge of prognosis and treatment outcome. Prospective clinical trials on Bing Neel syndrome patients that employ uniform treatment along with appropriate laboratory cerebral spinal fluid assessments and standardized MRI protocols will be invaluable, constituting a significant step forward in delineating treatment outcome for this intriguing disease manifestation.

Indexed as

PhenotypeAlgorithmsCombined Modality TherapyDiagnosis, DifferentialDiagnostic Tests, RoutineDisease ManagementHumansMagnetic Resonance ImagingMolecular Diagnostic TechniquesSyndromeTreatment OutcomeWaldenstrom Macroglobulinemia

Identifiers

PMID27758817
PMCPMC5210231

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.