Baló Concentric Sclerosis Mimicking Encephalitis with Seizures and Progressive Aphasia in a 26-Year-Old Woman: A Challenging Diagnostic Dilemma

INTRODUCTION: Baló’s concentric sclerosis (BCS) is a rare subtype of multiple sclerosis characterized by inflammatory demyelination within the central nervous system. CASE PRESENTATION: This case report presents a challenging diagnostic scenario involving a 26-year-old woman diagnosed with BCS. Desp...

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Detalles Bibliográficos
Autores principales: Shala, Nexhmedin, Tolaj, Ilir, Jashari, Fisnik, Malazogu, Edita, Shala, Argjend, Bajraktari, Gentiant, Ahmetgjekaj, Ilir, Dreshaj, Shemsedin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2023
Materias:
Single Case – General Neurology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616666/
https://www.ncbi.nlm.nih.gov/pubmed/37915316
http://dx.doi.org/10.1159/000534358
Descripción
Sumario:INTRODUCTION: Baló’s concentric sclerosis (BCS) is a rare subtype of multiple sclerosis characterized by inflammatory demyelination within the central nervous system. CASE PRESENTATION: This case report presents a challenging diagnostic scenario involving a 26-year-old woman diagnosed with BCS. Despite treatment, her condition did not ameliorate, and magnetic resonance imaging (MRI) findings remained unchanged. A subsequent stereotactic biopsy revealed tumefactive Balo disease, highlighting the intricate diagnostic and therapeutic issues surrounding BCS. CONCLUSION: The juxtacortical location of the BCS lesion, as observed in our case, suggests an unfavourable prognosis due to treatment-resistant seizures.

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