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基于磁共振成像的自发性缓解患者的巴洛同心性硬化:一例报告及文献复习

Balo's concentric sclerosis in a patient with spontaneous remission based on magnetic resonance imaging: A case report and review of literature.

作者信息

Ertuğrul Özgür, Çiçekçi Esra, Tuncer Mehmet Cudi, Aluçlu Mehmet Ufuk

机构信息

Department of Radiology, Memorial Hospital, Diyarbakır 21100, Turkey.

Department of Physiotherapy, University of Health Sciences, Gazi Yaşargil Education and Research Hospital, Diyarbakır 21100, Turkey.

出版信息

World J Clin Cases. 2018 Oct 6;6(11):447-454. doi: 10.12998/wjcc.v6.i11.447.

DOI:10.12998/wjcc.v6.i11.447
PMID:30294609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6163147/
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.

摘要

巴洛同心圆性硬化(BCS)是一种罕见的单相脱髓鞘疾病,被认为是多发性硬化症的一种亚型,表现为具有可变的高、低脱髓鞘层的圆形病变。其特征性表现可呈“灯泡眼”或“洋葱头”样。这种神经系统疾病最初的术语是同心圆性轴周性白质脑炎;它被定义为一种大脑白质以同心圆层方式被破坏而轴突圆柱体保持完整的疾病。本报告介绍了一例BCS患者自发愈合的病例,该患者存在一个与左侧脑室和胼胝体后部相邻的伴有外周血管源性水肿的同心圆状肿块病变。患者的神经病变与BCS的磁共振成像及临床 findings相似。 (注:原文中“findings”未翻译完整,可能是“发现”等意思,需结合完整语境准确理解。)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/6163147/935bb327d81a/WJCC-6-447-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/6163147/13094950e5ff/WJCC-6-447-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/6163147/eb084f1f08cb/WJCC-6-447-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/6163147/8a1e069adf46/WJCC-6-447-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/6163147/29ee8f6d7835/WJCC-6-447-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/6163147/935bb327d81a/WJCC-6-447-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/6163147/13094950e5ff/WJCC-6-447-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/6163147/eb084f1f08cb/WJCC-6-447-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/6163147/8a1e069adf46/WJCC-6-447-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/6163147/29ee8f6d7835/WJCC-6-447-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/6163147/935bb327d81a/WJCC-6-447-g005.jpg

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Curr Probl Diagn Radiol. 2019 Jul-Aug;48(4):415-422. doi: 10.1067/j.cpradiol.2017.12.008. Epub 2018 Jan 6.
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Cocaine-induced multifocal leukoencephalopathy mimicking Balo's concentric sclerosis: A 2-year follow-up with serial imaging of a single patient.可卡因诱导的多灶性脑白质病酷似 Balo 同心圆性硬化:1 例患者的 2 年连续影像学随访。
Mult Scler Relat Disord. 2018 Jan;19:96-98. doi: 10.1016/j.msard.2017.11.011. Epub 2017 Nov 20.
3
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Biomarkers in Rare Demyelinating Disease of the Central Nervous System.中枢神经系统罕见脱髓鞘疾病的生物标志物。
Int J Mol Sci. 2020 Nov 9;21(21):8409. doi: 10.3390/ijms21218409.
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