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Magnetic Resonance Imaging in Balo's Concentric Sclerosis. A Case Report
A Y T Al-Turkomani1, T J E Muttikkal, A Ben-Nakhi
1Department of Radiology, Mubarak Al-Kabeer Hospital; Hawally, Kuwait - aythussain@hotmail.com.
The Neuroradiology Journal
|November 22, 2013
Summary
Balo's concentric sclerosis (BCS) shows distinct concentric high signal zones on T2-weighted MRI. Recognizing this unique pattern aids in early diagnosis and treatment, improving outcomes for this rare multiple sclerosis variant.
Area of Science:
- Neurology
- Radiology
- Neuroimaging
Background:
- Balo's concentric sclerosis (BCS) is a rare variant of multiple sclerosis.
- Clinical differentiation of BCS from other neurological conditions like multiple sclerosis or neoplasms can be challenging.
Purpose of the Study:
- To highlight the pathognomonic MRI appearance of Balo's concentric sclerosis.
- To emphasize the importance of recognizing BCS on MRI for timely diagnosis and therapeutic intervention.
Main Methods:
- Analysis of T2-weighted magnetic resonance imaging (MRI) findings in patients with Balo's concentric sclerosis.
- Review of clinical presentations and diagnostic challenges associated with BCS.
Main Results:
- Concentric high signal intensity zones on T2-weighted MRI are characteristic findings suggestive of BCS.
- The distinct MRI appearance of BCS can aid in differentiating it from other conditions.
Conclusions:
- The pathognomonic MRI appearance of BCS is crucial for early diagnosis.
- Prompt diagnosis based on MRI findings can lead to earlier therapy and potentially alter the disease's previously fulminant course.
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