Case Report

A Case of Bing–Neel Syndrome Successfully Treated with Ibrutinib

Table 1

Summary of previously reported cases of ibrutinib use for the treatment of Bing–Neel syndrome.

Case reportNumber of patientsPrior diagnosis of WMEarlier BNS therapiesIbrutinib doseLength of response to ibrutinib

Cabannes-Hamy et al. [13]2Yes, yesR/HD-MTX/L-AC → HDAC, R-DHAC → R420 mg daily, 420 mg daily6 months, 6 months
Mason et al. [14]1YesR/HD-MTX → B → L-AC560 mg daily23 months
Varettoni et al. [15]1NoBR/IT-MTXNot reportedNot reported
Boudin et al. [16]1NoNone420 mg daily11 months

BNS = Bing–Neel syndrome; WM = Waldenström macroglobulinemia; R = rituximab; HD-MTX = high-dose methotrexate; L-AC = intrathecal liposomal cytarabine; HDAC = high-dose cytarabine; R-DHAC = rituximab, dexamethasone, high-dose cytarabine, and carboplatin; B = bendamustine; BR = bendamustine and rituximab; IT-MTX = intrathecal methotrexate.