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一名年轻患者中磁共振成像上酷似肿瘤的巴洛同心性硬化

Balo's Concentric Sclerosis Mimicking Tumor on Magnetic Resonance Imaging in a Young Patient.

作者信息

Hoang Van Trung, Trinh Cong Thao, Van Hoang Anh Thi, Nguyen Thanh Tam Thi, Chansomphou Vichit, Pham Ngoc Trinh Thi, Vo Minh Tri Thi, Nguyen Hoang Quan, Hoang Duc Thanh

机构信息

Department of Radiology, Thien Hanh Hospital, Buon Ma Thuot, Vietnam.

Department of Radiology, Hue Central Hospital, Vietnam.

出版信息

Clin Med Insights Case Rep. 2021 Jan 19;14:1179547621989673. doi: 10.1177/1179547621989673. eCollection 2021.

DOI:10.1177/1179547621989673
PMID:33786003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7960892/
Abstract

Balo's concentric sclerosis (BCS) is a rare demyelinating disease known as Multiple Sclerosis (MS) lesion type III. It is a disease of the white matter of the brain characterized by a round lesion with variable concentric myelinated and demyelinated layers, appearing as "onion bulb." We present a case of BCS and discuss the imaging findings and management strategies of this disease. A 26-y-old male developed headache, weakness, and numbness of limbs. Magnetic resonance imaging (MRI) showed concentric lamellar like demyelinating lesions at the subcortical regions. The patient's neurological symptoms were consistent with the MRI findings.

摘要

巴洛同心圆性硬化(BCS)是一种罕见的脱髓鞘疾病,被称为多发性硬化症(MS)III型病变。它是一种大脑白质疾病,其特征是有一个圆形病变,伴有可变的同心髓鞘化和脱髓鞘层,表现为“洋葱球”。我们报告一例巴洛同心圆性硬化病例,并讨论该疾病的影像学表现及治疗策略。一名26岁男性出现头痛、肢体无力和麻木。磁共振成像(MRI)显示皮质下区域有同心圆状层样脱髓鞘病变。患者的神经症状与MRI表现相符。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97ae/7960892/f9c2dec9fe9a/10.1177_1179547621989673-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97ae/7960892/11b8015cd42f/10.1177_1179547621989673-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97ae/7960892/f9c2dec9fe9a/10.1177_1179547621989673-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97ae/7960892/11b8015cd42f/10.1177_1179547621989673-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97ae/7960892/f9c2dec9fe9a/10.1177_1179547621989673-fig2.jpg

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World J Clin Cases. 2018 Oct 6;6(11):447-454. doi: 10.12998/wjcc.v6.i11.447.
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7 Tesla MRI of Balo's concentric sclerosis versus multiple sclerosis lesions.
一名40岁男性患巴洛同心圆性硬化(瘤样多发性硬化的一种亚型)的罕见病例:病例报告
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Balo's concentric sclerosis: an update and comprehensive literature review.Balo 同心圆性硬化:更新及全面文献复习。
Rev Neurosci. 2018 Nov 27;29(8):873-882. doi: 10.1515/revneuro-2017-0096.
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JAMA Neurol. 2018 Apr 1;75(4):428-435. doi: 10.1001/jamaneurol.2017.4842.
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Baló's concentric sclerosis is immunologically distinct from multiple sclerosis: results from retrospective analysis of almost 150 lumbar punctures.巴洛氏同心性硬化症在免疫学上有别于多发性硬化症:近 150 次腰椎穿刺的回顾性分析结果。
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