Balo's Concentric Sclerosis Mimicking Tumor on Magnetic Resonance Imaging in a Young Patient

Clin Med Insights Case Rep. 2021 Jan 19:14:1179547621989673. doi: 10.1177/1179547621989673. eCollection 2021.

Abstract

Balo's concentric sclerosis (BCS) is a rare demyelinating disease known as Multiple Sclerosis (MS) lesion type III. It is a disease of the white matter of the brain characterized by a round lesion with variable concentric myelinated and demyelinated layers, appearing as "onion bulb." We present a case of BCS and discuss the imaging findings and management strategies of this disease. A 26-y-old male developed headache, weakness, and numbness of limbs. Magnetic resonance imaging (MRI) showed concentric lamellar like demyelinating lesions at the subcortical regions. The patient's neurological symptoms were consistent with the MRI findings.

Keywords: Balo’s concentric sclerosis; demyelinating; magnetic resonance imaging; multiple sclerosis; pseudotumoral lesion.

Publication types

  • Case Reports