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Balo's Concentric Sclerosis In A Patient With Spontaneous Remission Based On Magnetic Resonance Imaging: A Case Report And Review Of Literature

Ertuğrul, 2018Other/Unknown

Ertuğrul, Ö., Çiçekçi, E., Tuncer, M. C., & Aluçlu, M. U. (2018). Balo's concentric sclerosis in a patient with spontaneous remission based on magnetic resonance imaging: A case report and review of literature. World journal of clinical cases, 6(11), 447–454. https://doi.org/10.12998/wjcc.v6.i11.447

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Abstract

Balo's concentric sclerosis (BCS) is a rare monophasic demyelinating disease known as multiple sclerosis subtype and seen as a round lesion with variable hyper and hypo-detoxification layers. Characteristic appearance can be seen as "bulb eye" or "onion bulb". The initial terminology for this neurological disorder was leukoencephalitis periaxialis concentrica; this is defined as a disease in which the white matter of the brain is destroyed in concentric layers in such a way as to leave the axial cylinders intact. This report presents a case of BCS with spontaneous healing of the patient and a mass lesion with concentric rings adjacent to the left lateral ventricle and the posterior portion of the corpus callosum with peripheral vasogenic edema. The neurological lesion of the patient was similar to the magnetic resonance imaging and clinical findings of the BCS.

Case Details

Disease Location

Brain

Personal Characteristics

19-year-old woman

Clinical Characteristics

- complaining of night-raging nausea, blurred vision, and severe headache for seven days - MRI, a mass with concentric circles and peripheral vasogenic edema located right lateral to the left lateral ventricle was seen in the posterior part of the corpus callosum. - characteristic MRI findings suggested the diagnosis of bcs. - after nine months, she was admitted to a neurology clinic for a severe headache.

Remission Characteristics

After 9 months there was only a t2w linear signal intensity on the MRI.

Treatment & Mechanisms