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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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
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author Shala, Nexhmedin
Tolaj, Ilir
Jashari, Fisnik
Malazogu, Edita
Shala, Argjend
Bajraktari, Gentiant
Ahmetgjekaj, Ilir
Dreshaj, Shemsedin
author_facet Shala, Nexhmedin
Tolaj, Ilir
Jashari, Fisnik
Malazogu, Edita
Shala, Argjend
Bajraktari, Gentiant
Ahmetgjekaj, Ilir
Dreshaj, Shemsedin
author_sort Shala, Nexhmedin
collection PubMed
description 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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spelling pubmed-106166662023-11-01 Baló Concentric Sclerosis Mimicking Encephalitis with Seizures and Progressive Aphasia in a 26-Year-Old Woman: A Challenging Diagnostic Dilemma Shala, Nexhmedin Tolaj, Ilir Jashari, Fisnik Malazogu, Edita Shala, Argjend Bajraktari, Gentiant Ahmetgjekaj, Ilir Dreshaj, Shemsedin Case Rep Neurol Single Case – General Neurology 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. S. Karger AG 2023-10-06 /pmc/articles/PMC10616666/ /pubmed/37915316 http://dx.doi.org/10.1159/000534358 Text en © 2023 The Author(s). Published by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution 4.0 International License (CC BY) (http://www.karger.com/Services/OpenAccessLicense). Usage, derivative works and distribution are permitted provided that proper credit is given to the author and the original publisher.
spellingShingle Single Case – General Neurology
Shala, Nexhmedin
Tolaj, Ilir
Jashari, Fisnik
Malazogu, Edita
Shala, Argjend
Bajraktari, Gentiant
Ahmetgjekaj, Ilir
Dreshaj, Shemsedin
Baló Concentric Sclerosis Mimicking Encephalitis with Seizures and Progressive Aphasia in a 26-Year-Old Woman: A Challenging Diagnostic Dilemma
title Baló Concentric Sclerosis Mimicking Encephalitis with Seizures and Progressive Aphasia in a 26-Year-Old Woman: A Challenging Diagnostic Dilemma
title_full Baló Concentric Sclerosis Mimicking Encephalitis with Seizures and Progressive Aphasia in a 26-Year-Old Woman: A Challenging Diagnostic Dilemma
title_fullStr Baló Concentric Sclerosis Mimicking Encephalitis with Seizures and Progressive Aphasia in a 26-Year-Old Woman: A Challenging Diagnostic Dilemma
title_full_unstemmed Baló Concentric Sclerosis Mimicking Encephalitis with Seizures and Progressive Aphasia in a 26-Year-Old Woman: A Challenging Diagnostic Dilemma
title_short Baló Concentric Sclerosis Mimicking Encephalitis with Seizures and Progressive Aphasia in a 26-Year-Old Woman: A Challenging Diagnostic Dilemma
title_sort baló concentric sclerosis mimicking encephalitis with seizures and progressive aphasia in a 26-year-old woman: a challenging diagnostic dilemma
topic Single Case – General Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616666/
https://www.ncbi.nlm.nih.gov/pubmed/37915316
http://dx.doi.org/10.1159/000534358
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