Baló's concentric sclerosis and tumefactive demyelination: a shared immunopathogenesis?

Abstract:

:Baló's concentric sclerosis (BCS) and tumefactive demyelination (TD) are considered atypical forms of multiple sclerosis (MS). Baló lesions are characterized by concentric rings corresponding to alternating bands of demyelination and relatively preserved myelin (Hu and Lucchinetti, 2009). Tumefactive lesions are pseudotumoural demyelinating lesions of >2 cm and may have an open ring-enhancing magnetic resonance imaging appearance (Hu and Lucchinetti, 2009; Lucchinetti et al., 2008; Altintas et al., 2012). We present a patient who developed limb weakness and focal seizures secondary to a lesion radiologically and histopathologically consistent with BCS who, six months later, developed a tumefactive demyelinating lesion. This is the first description of BCS and TD occurring in the same patient and is particularly notable because of the lack of any other more typical demyelinating lesions on the MRIs. The nature of BCS and TD in relation to more typical multiple sclerosis is discussed.

journal_name

J Neurol Sci

authors

Hardy TA,Beadnall HN,Sutton IJ,Mohamed A,Jonker BP,Buckland ME,Barnett MH

doi

10.1016/j.jns.2014.11.024

subject

Has Abstract

pub_date

2015-01-15 00:00:00

pages

279-81

issue

1-2

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(14)00752-7

journal_volume

348

pub_type

信件
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