Balo concentric sclerosis

Case contributed by Dr Matthew Lukies


Headache and left sided mixed sensory and motor symptoms.

Patient Data

Age: 65 years
Gender: Female
  • Concentric layered area of increased T2 signal in the right occipital lobe at the temporo-occipital junction measuring 2 x 2 cm, without contrast enhancement
  • Generalised cortical atrophy
  • Old left parietal infarcts
  • Advanced chronic small vessel ischaemia in the bilateral frontal and parietal lobes, as well as the pons and brain stem

Case Discussion

MRI findings in this case are most consistent with Balo concentric sclerosis, a rare subtype of multiple sclerosis

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Case information

rID: 53875
Published: 25th Aug 2017
Last edited: 5th Feb 2018
Inclusion in quiz mode: Included

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