Ventriculitis revealing Bing-Neel syndrome in a patient without Waldenstrom's macroglobulinemia

• Published in: Clinical neurology and neurosurgery Vol. 115; no. 1; pp. 82 - 84
• Main Authors: Ritzenthaler, Thomas, Leray, Véronique, Bourdin, Gaël, Baudry, Thomas, Domnisoru, Izabela-Irina, Ghesquières, Hervé, Saint Pierre, Ghislaine, Ducray, François, Guerin, Claude
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier B.V 01-01-2013; Elsevier; Elsevier Limited
• Subjects: Bing-Neel syndrome; Biological and medical sciences; Bone marrow; Brain Neoplasms - etiology; Brain Neoplasms - pathology; Cerebral Ventriculitis - complications; Cerebral Ventriculitis - diagnosis; Cerebral Ventriculitis - drug therapy; Cerebral Ventriculitis - pathology; Chemotherapy; Diagnostic Imaging - methods; Disease; Fatal Outcome; Female; Hematologic; Humans; Lymphoma - etiology; Lymphoma - pathology; Lymphoplasmacytic lymphoma; Medical diagnosis; Medical sciences; Middle Aged; MRI; Neurology; Neurosurgery; Primary brain tumor; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Waldenstrom Macroglobulinemia; Hematologic; Bing-Neel syndrome; Lymphoplasmacytic lymphoma; Primary brain tumor; MRI; Human; Immunopathology; Nervous system diseases; Malignant hemopathy; Nuclear magnetic resonance imaging; Lymphoma; Waldenström macroglobulinemia; Intracranial tumor; Ventriculitis; Cerebral disorder; Immunoglobulinopathy; Lymphoproliferative syndrome; Surgery; Central nervous system disease; Cancer
• ISSN: 0303-8467; 1872-6968
• DOI: 10.1016/j.clineuro.2012.03.028

Chest, abdomen and pelvis CT-scan were unremarkable. Since primary lymphoma of central nervous system (CNS) was suspected, a third lumbar puncture was performed. In our case, differential diagnoses include infections like tuberculous meningitis, listeriosis or viral encephalitis (arboviruses, herpesviridae), inflammatory diseases like neurosarcoïdosis or other primary CNS lymphoma.