Presentation
Right-sided neurological symptoms.
Patient Data
Age: 30 years
Gender: Male
From the case:
Baló concentric sclerosis
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MRI demonstrates a focal periventricular lesion with high T2, low T1 and no significant enhancement.
From the case:
Baló concentric sclerosis
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Neurofilament antibody demonstrating axonal sparing and Luxol Fast Blue showing almost complete demyelination, with myelin debris in macrophages.
Case Discussion
Although not as prominent as in some cases, there is the appearance of a number of concentric alternating high and low bands on T2 weighted imaging, which raises the possibility of Baló concentric sclerosis, a variant of MS.
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