Vickaryous Kailee, Poli De Frias Fernando, Gonzalez George A
Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.
Internal Medicine, Mount Sinai Medical Center, Miami, USA.
Cureus. 2023 Oct 10;15(10):e46803. doi: 10.7759/cureus.46803. eCollection 2023 Oct.
Balo's concentric sclerosis (BCS) is a rare demyelinating disorder of the central nervous system (CNS). Distinguishing BCS from other demyelinating disorders such as multiple sclerosis (MS) or from neoplasms can be difficult clinically; however, MRI aids in the identification of the disease. We describe the case of a 37-year-old female presenting with sudden onset of neurologic symptoms associated with a solitary rounded white-matter lesion suggestive of BCS. This rare disorder can present with heterogenous symptoms, imaging findings, and response to treatment. Furthermore, more in-depth analysis of the presentations and treatment outcomes of BCS are necessary in order to create a more robust plan of care.
巴洛同心圆性硬化(BCS)是一种罕见的中枢神经系统(CNS)脱髓鞘疾病。临床上,将BCS与其他脱髓鞘疾病如多发性硬化症(MS)或肿瘤区分开来可能很困难;然而,磁共振成像(MRI)有助于该疾病的识别。我们描述了一例37岁女性病例,该患者突然出现神经系统症状,并伴有一个提示BCS的孤立圆形白质病变。这种罕见疾病可表现出多样的症状、影像学表现及对治疗的反应。此外,有必要对BCS的临床表现和治疗结果进行更深入的分析,以制定更完善的护理方案。