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表现为类卒中综合征的巴洛同心性硬化。

Baló's concentric sclerosis presenting as a stroke-like syndrome.

作者信息

Mowry Ellen M, Woo John H, Ances Beau M

机构信息

Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA.

出版信息

Nat Clin Pract Neurol. 2007 Jun;3(6):349-54. doi: 10.1038/ncpneuro0522.

DOI:10.1038/ncpneuro0522
PMID:17549061
Abstract

BACKGROUND

A 37-year-old woman without important previous medical history presented to an emergency room with acute onset of left-sided weakness and numbness. Examination revealed left-sided hemiparesis (in the arm greater than in the leg) and hypoesthesia.

INVESTIGATIONS

Routine laboratory testing, lumbar puncture, dynamic susceptibility contrast perfusion study, longitudinal brain MRI, and magnetic resonance spectroscopy were performed.

DIAGNOSIS

Balós concentric sclerosis.

MANAGEMENT

Intravenous methylprednisolone followed by oral steroid taper.

摘要

背景

一名37岁既往无重要病史的女性因急性左侧肢体无力和麻木就诊于急诊室。检查发现左侧偏瘫(上肢重于下肢)及感觉减退。

检查

进行了常规实验室检查、腰椎穿刺、动态磁敏感对比灌注研究、头颅MRI及磁共振波谱分析。

诊断

巴洛同心性硬化。

治疗

静脉注射甲泼尼龙,随后口服激素逐渐减量。

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1
Baló's concentric sclerosis presenting as a stroke-like syndrome.表现为类卒中综合征的巴洛同心性硬化。
Nat Clin Pract Neurol. 2007 Jun;3(6):349-54. doi: 10.1038/ncpneuro0522.
2
Diffusion abnormality in Balo's concentric sclerosis: clues for the pathogenesis.
Eur Neurol. 2005;53(1):42-4. doi: 10.1159/000084264.
3
"Clues on Balo's concentric sclerosis evolution from serial analysis of ADC values".通过对表观扩散系数(ADC)值的系列分析探究巴洛同心性硬化的演变线索
Int J Neurosci. 2016;126(1):88-95. doi: 10.3109/00207454.2014.989524. Epub 2015 Jan 5.
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First use of alemtuzumab in Balo's concentric sclerosis: a case report.首次使用阿仑单抗治疗同心圆性硬化症:病例报告。
Mult Scler. 2013 Oct;19(12):1673-5. doi: 10.1177/1352458513498129. Epub 2013 Jul 25.
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Concentric sclerosis: imaging diagnosis and clinical analysis of 3 cases.
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Peripheral late reactivation of a previously typical monofocal Baló's concentric sclerosis lesion.先前典型的单灶 Baló 同心圆性硬化病灶的外周晚期再激活。
Mult Scler. 2015 Jul;21(8):1080-3. doi: 10.1177/1352458515586087. Epub 2015 May 26.
7
Balo's concentric sclerosis.巴洛同心性硬化
Lancet. 2010 Jul 17;376(9736):189. doi: 10.1016/S0140-6736(09)61876-6.
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Early diagnosis of Balo's concentric sclerosis by diffusion tensor tractography: a case report and literature review.基于扩散张量纤维束成像技术对巴洛同心性硬化的早期诊断:一例报告及文献综述
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Serial proton MR spectroscopy and diffusion tensor imaging in infantile Balo's concentric sclerosis.婴儿型巴洛同心性硬化的连续质子磁共振波谱和扩散张量成像
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Technology insight: can neuroimaging provide insights into the role of ischemia in Baló's concentric sclerosis?技术洞察:神经影像学能否为巴洛同心性硬化中缺血的作用提供见解?
Nat Clin Pract Neurol. 2007 Jun;3(6):341-8. doi: 10.1038/ncpneuro0519.

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