Atormac
Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 686  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
 Search
 
  
 Resource Links
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (823 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this Article
   References
   Article Figures

 Article Access Statistics
    Viewed1025    
    Printed19    
    Emailed0    
    PDF Downloaded20    
    Comments [Add]    

Recommend this journal

 


 
Table of Contents    
NEUROIMAGES
Year : 2018  |  Volume : 66  |  Issue : 1  |  Page : 268

Reversible symptoms present in a patient with Balo's concentric sclerosis


1 Department of Neurology, University Clinical Hospital, Wroclaw, Poland
2 Department of Neurology, Wroclaw Medical University, Wroclaw, Poland
3 Department of Radiology, Wroclaw Medical University, Wroclaw, Poland

Date of Web Publication11-Jan-2018

Correspondence Address:
Dr. Edyta Dziadkowiak
Wroclaw Medical University, 213 Street Borowska, Wroclaw – 50-556
Poland
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.222885

Rights and Permissions



How to cite this article:
Dziadkowiak E, Zagrajek M, Zimny A, Paradowski B. Reversible symptoms present in a patient with Balo's concentric sclerosis. Neurol India 2018;66:268

How to cite this URL:
Dziadkowiak E, Zagrajek M, Zimny A, Paradowski B. Reversible symptoms present in a patient with Balo's concentric sclerosis. Neurol India [serial online] 2018 [cited 2019 Sep 15];66:268. Available from: http://www.neurologyindia.com/text.asp?2018/66/1/268/222885




A 43-year old woman presented with flu-like symptoms without fever, followed by bulbar palsy. Magnetic resonance imaging revealed two symmetrical, non-enhancing, T2-hyperintense, oval, frontal subcortical lesions showing an onion-skin-like pattern [Figure 1]. Cerebrospinal fluid examination showed lymphocytic pleocytosis (10/mm3) with no immunoglobulin G oligoclonal bands. Serological tests for viruses, Lyme disease, tumor markers, antinuclear antibodies, and antibodies to aquaporin-4 water channels were negative. Pattern visual evoked potential (VEP) and the analysis of electroencephalography (EEG) data were normal. Steroid therapy resolved all symptoms. Balo's concentric sclerosis is a rare variant of multiple sclerosis.[1] Concentric lesions are probably due to a reaction to an unknown neurochemical agent.[1],[2]
Figure 1: Magnetic resonance images showing two acute, symmetrical, frontal subcortical lesions with concentric layers of demyelination and preserved myelin clearly visible on T2-weighted images (a) and diffusion weighted images [DWI] (b), with restricted diffusion on DWI (b) and hypoperfusion on perfusion-weighted images (c), which regressed markedly three months later (d)

Click here to view


Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Hardy TA, Reddel SW, Barnett MH, Palace J, Lucchinetti CF, Weinshenker BG. Atypical inflammatory demyelinating syndromes of the CNS. Lancet Neurol 2016;15:967-81.  Back to cited text no. 1
    
2.
Barz H, Barz U, Schreiber A. Morphogenesis of the demyelinating lesions in Baló's concentric sclerosis. Med Hypotheses 2016;91:56-61.  Back to cited text no. 2
    


    Figures

  [Figure 1]



 

Top
Print this article  Email this article
   
Online since 20th March '04
Published by Wolters Kluwer - Medknow