Chen C J, Ro L S, Chang C N, Ho Y S, Lu C S
Department of Radiology, Chang Gung Memorial Hospital, Medical College, Taipei, Taiwan.
J Comput Assist Tomogr. 1996 Sep-Oct;20(5):732-5. doi: 10.1097/00004728-199609000-00008.
We report serial MRI studies in a patient with Balò's concentric sclerosis, who presented with a progressive weakness in the right limbs of 10 day duration. Serial MR images revealed several concentric lesions characterized by layer by layer of demyelinated and myelinated appearance and multiple plaques in the white matter. Pathological study of a biopsy of a concentric lesion (which was performed to rule out neoplasm) further confirmed this diagnosis. These MR findings resolved in correspondence with clinical improvement. The patient was almost completely normal 1 year later. In conclusion, in this case, we found that MRI could show the striking feature reminiscent of the histopathologic findings of Balò's concentric sclerosis and played an important role in antemortem diagnosis of this rare demyelinating disease.
我们报告了一例巴洛同心性硬化患者的系列磁共振成像（MRI）研究，该患者右肢渐进性无力持续10天。系列MR图像显示了几个同心性病变，其特征为一层一层的脱髓鞘和髓鞘形成外观，以及白质中的多个斑块。对一个同心性病变进行活检（以排除肿瘤）的病理研究进一步证实了这一诊断。这些MR表现与临床改善相一致而消退。1年后患者几乎完全正常。总之，在该病例中，我们发现MRI能够显示出令人瞩目的特征，使人联想到巴洛同心性硬化的组织病理学表现，并且在这种罕见的脱髓鞘疾病的生前诊断中发挥了重要作用。
