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Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients
Published on: March 11, 2021
Baló's concentric sclerosis presenting as a stroke-like syndrome
Ellen M Mowry1, John H Woo, Beau M Ances
1Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
Nature Clinical Practice. Neurology
|June 6, 2007
Summary
This case study highlights Baló concentric sclerosis, a rare demyelinating disease presenting with acute neurological deficits. Prompt diagnosis and steroid treatment are crucial for managing this condition.
Area of Science:
- Neurology
- Neuroimmunology
- Demyelinating Diseases
Background:
- A 37-year-old woman presented with acute left-sided hemiparesis and hypoesthesia.
- No significant prior medical history was reported.
Observation:
- Neurological examination revealed left hemiparesis, more pronounced in the arm than the leg.
- Symptoms included sensory deficits (hypoesthesia) on the left side.
Findings:
- Diagnostic investigations included routine labs, lumbar puncture, and advanced neuroimaging (perfusion study, longitudinal MRI, MR spectroscopy).
- The diagnosis of Baló concentric sclerosis was established.
Implications:
- Baló concentric sclerosis is a rare, aggressive form of demyelinating disease.
- Intravenous methylprednisolone followed by oral steroids was the chosen management strategy.
- Early diagnosis and treatment are vital for potentially improving outcomes in this condition.
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