Morioka C, Nameta K, Komatsu Y, Tsujio T, Kondo H
Department of Neuropsychiatry, Osaka Rosai Hospital, Japan.
Psychiatry Clin Neurosci. 1996 Feb;50(1):41-4. doi: 10.1111/j.1440-1819.1996.tb01661.x.
A patient with atypical multiple sclerosis (MS) with clear concentric structure was studied using high field magnetic resonance imaging (MRI). This case was considered to be Baló's concentric sclerosis. Magnetic resonance imaging showed diffuse multiple concentric demyelinating lesions in the bilateral centrum semiovales, which finally regressed with the necrotic lesions remaining when the patient was discharged. During his clinical course, he showed some higher cerebral dysfunctions, such as memory disturbance, constructual apraxia and acalculia. He was treated with glycerin, prednisone and rehabilitation; all of which were effective in his recovery. Over a 4 month period, the patient recovered clinically, but some intellectual impairment remained.
一名具有清晰同心结构的非典型多发性硬化症（MS）患者接受了高场磁共振成像（MRI）研究。该病例被认为是巴洛同心性硬化症。磁共振成像显示双侧半卵圆中心有弥漫性多发性同心性脱髓鞘病变，患者出院时坏死性病变残留，病变最终消退。在其临床病程中，他出现了一些高级脑功能障碍，如记忆障碍、结构性失用症和失算症。他接受了甘油、泼尼松治疗及康复治疗；所有这些治疗对他的康复均有效。在4个月的时间里，患者临床康复，但仍存在一些智力障碍。
