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Updated: Aug 21, 2025

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Baló Concentric Sclerosis
Kelly Di Dier1, Marc Lemmerling2
1AZ Sint-Lucas, BE.
Journal of the Belgian Society of Radiology
|November 16, 2022
Summary
Baló concentric sclerosis is a rare form of multiple sclerosis. It is identified by a unique concentric layered pattern observed on magnetic resonance imaging scans.
Area of Science:
- Neurology
- Neuroimaging
- Demyelinating Diseases
Background:
- Multiple sclerosis (MS) encompasses various subtypes, each with distinct pathological and radiological features.
- Understanding rare MS variants is crucial for accurate diagnosis and management.
Observation:
- Baló concentric sclerosis (BCS) presents as a distinctive concentric, or "onion-skin," pattern of demyelination.
- This unique MRI finding differentiates BCS from other forms of MS.
Findings:
- The characteristic concentric rings represent alternating areas of demyelination and relative preservation of myelin.
- Magnetic resonance imaging (MRI) is the primary modality for visualizing these concentric lesions.
Implications:
- Accurate identification of Baló concentric sclerosis aids in appropriate patient management and prognosis.
- Further research into the pathogenesis of BCS may reveal novel therapeutic targets for multiple sclerosis.
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