Baló's concentric sclerosis: surviving normal myelin in a patient with a relapsing-remitting clinical course

@article{Moore2001BalsCS,
  title={Bal{\'o}'s concentric sclerosis: surviving normal myelin in a patient with a relapsing-remitting clinical course},
  author={G. R. Wayne Moore and Kenneth Berry and Jo{\"e}l J. -F. Oger and A J Prout and Douglas A Graeb and Robert A Nugent},
  journal={Multiple Sclerosis},
  year={2001},
  volume={7},
  pages={375 - 382}
}
Baló's concentric sclerosis is a demyelinating disorder in which bands of demyelination alternate with concentric bands of myelin preservation. The pathogenesis of the lesion is unknown. Previous reports using modern histopathologic techniques have shown the bands of myelin preservation to be comprised of remyelinated or partially demyelinated myelin. Here we report a case of Baló's concentric sclerosis in a 24-year-old East Indian patient with a previous history of relapsing-remitting multiple… 
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Concentric sclerosis is a rare variant of multiple sclerosis characterized by the development of alternating bands of demyelinated and myelinated white matter, forming concentric rings or irregular stripes.
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The neurological lesion of the patient was similar to the magnetic resonance imaging and clinical findings of the BCS and a mass lesion with concentric rings adjacent to the left lateral ventricle and the posterior portion of the corpus callosum with peripheral vasogenic edema was presented.
Astrocytopathy in Baló’s disease
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  • Medicine
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It is proposed that AQP4 astrocytopathy, in the absence of anti-AQP4 antibody, is characteristic of Baló’s disease and should be tested in future experimental studies.
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New reports reveal more evidence regarding the pathophysiology and treatment strategies of BCS, and magnetic resonance imaging is a primary imaging modality in the diagnosis.
Baló’s concentric sclerosis associated with primary human herpesvirus 6 infection
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Spinal cord involvement in Balo's concentric sclerosis
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Clinical and pathological findings in 12 patients with relapsing and remitting multiple sclerosis, who died during or shortly after the onset of a relapse, raise the possibility of some novel process underlying new lesion formation in multiple sclerosis.
Esclerosis concéntrica de Baló: Reporte de caso y revisión de la literatura
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Balo’s concectric sclerosis is a disease with a variable clinical course, not always fatal as previously described, but mortality is high (up to 40%), being CASO CLINICO.
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TLDR
The occurrence of small foci of acute demyelination centered on perivascular cuffs and other changes typical of both acute and chronic active multiple sclerosis may indicate that the lesion of Balo's concentric sclerosis represents an intermediate stage in the development of an established multiple sclerosis lesion.
Serial magnetic resonance imaging (MRI) study of a patient with Balo's concentric sclerosis treated with immunoadsorption plasmapheresis
TLDR
The success of immunoadsorption plasmapheresis therapy in this patient suggests that both humoral demyelinating factors and cell-mediated immunity may be involved in the pathogenesis of this disorder.
MRI features of Balo's concentric sclerosis.
TLDR
MRI findings in a 56-year-old woman with Balo's concentric sclerosis (BCS) who initially presented with a progressive hemiparesis demonstrated that BCS can run a benign prolonged course and may persist for a long time.
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We report the first antemortem diagnosis of a lesion showing Balo's concentric sclerosis. A patient with a progressive left hemiparesis had a ring-enhancing, low-density right frontal white matter
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TLDR
The findings suggest that concentric sclerosis is a variant of multiple sclerosis, that oligodendroglial loss is important in the pathogenesis of demyelination, and that partially myelinated areas probably represent stages of ongoing myelin breakdown rather than remyelinated of previously demyELinated areas.
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TLDR
It is 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.
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TLDR
MR imaging shows alternating ringlike lesions involving the deep and superficial white matter, which correspond to pathologic findings, and may play a central role in antemortem diagnosis of this rare disease, leaving more invasive diagnostic procedures for evaluation of equivocal cases.
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An appearance of concentric rings with alternating demyelinated and relatively myelin‐preserved bands was formed in patients with Balò's concentric sclerosis.
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TLDR
Proton magnetic resonance spectroscopy was carried out one and nine months after the onset of illness and it seems that this is the first report of 1H-MRS findings in Balo's concentric sclerosis.
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