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Balo's Concentric Sclerosis with monophasic course: A report of 2 cases
Hector R Martinez1,2, Irving Christian Rodriguez-Gonzalez1, Juan M Escamilla-Garza1,2
1Tecnologico de Monterrey, Escuela de Medicina y Ciencias de La Salud, Mexico.
Introduction:
Balo's Concentric Sclerosis (BCS) is a rare demyelinating disease sometimes considered a variant of multiple sclerosis. It is characterized by an acute or subacute neurological symptoms with characteristic MRI "onion-like" white matter lesions. BCS has a wide range of presentations but is mostly self-limiting. Steroids are indicated in patients with aggressive disease.
Case Presentation:
We report 2 cases of BCS with monophasic course of stroke-like symptoms and single periventricular concentric lamella with onion-like appearance on MRI without inflammatory reaction in the CSF. They were treated with corticosteroids achieving clinical improvement and without neurological deficit or relapse over the following years.
Clinical Discussion:
A number of cases of BCS are described in the literature that show marked recovery with early diagnosis and treatment with steroids.
Conclusion:
BCS appears to have a good prognosis when treated early in its diagnosis with steroids.
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