A Rare Case of a Balo's Concentric Sclerosis-Like Lesion in a Young Adult Woman

Kailee Vickaryous; Fernando Poli De Frias; George A Gonzalez

doi:10.7759/cureus.46803

A Rare Case of a Balo's Concentric Sclerosis-Like Lesion in a Young Adult Woman

Cureus. 2023 Oct 10;15(10):e46803. doi: 10.7759/cureus.46803. eCollection 2023 Oct.

Authors

Kailee Vickaryous¹, Fernando Poli De Frias², George A Gonzalez³

Affiliations

¹ Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.
² Internal Medicine, Mount Sinai Medical Center, Miami, USA.
³ Neurology, Mount Sinai Medical Center, Miami, USA.

Abstract

Balo's concentric sclerosis (BCS) is a rare demyelinating disorder of the central nervous system (CNS). Distinguishing BCS from other demyelinating disorders such as multiple sclerosis (MS) or from neoplasms can be difficult clinically; however, MRI aids in the identification of the disease. We describe the case of a 37-year-old female presenting with sudden onset of neurologic symptoms associated with a solitary rounded white-matter lesion suggestive of BCS. This rare disorder can present with heterogenous symptoms, imaging findings, and response to treatment. Furthermore, more in-depth analysis of the presentations and treatment outcomes of BCS are necessary in order to create a more robust plan of care.

Keywords: balo's concentric sclerosis; brain mri; demyelinating disorders; multiple sclerosis; neurodegenerative disorders; neurologic symptoms; relapsing-remitting.

Publication types

Case Reports