Published online Oct 6, 2018. doi: 10.12998/wjcc.v6.i11.447
Peer-review started: May 19, 2018
First decision: July 8, 2018
Revised: July 30, 2018
Accepted: August 6, 2018
Article in press: August 6, 2018
Published online: October 6, 2018
Balo’s concentric sclerosis (BCS) is a rare monophasic demyelinating disease known as multiple sclerosis subtype and seen as a round lesion with variable hyper and hypo-detoxification layers. Characteristic appearance can be seen as “bulb eye” or “onion bulb”. The initial terminology for this neurological disorder was leukoencephalitis periaxialis concentrica; this is defined as a disease in which the white matter of the brain is destroyed in concentric layers in such a way as to leave the axial cylinders intact. This report presents a case of BCS with spontaneous healing of the patient and a mass lesion with concentric rings adjacent to the left lateral ventricle and the posterior portion of the corpus callosum with peripheral vasogenic edema. The neurological lesion of the patient was similar to the magnetic resonance imaging and clinical findings of the BCS.
Core tip: This case report demonstrates that Balo’s concentric sclerosis (BCS) a patient with a mass lesion containing concentric rings, BCS diagnosis was reported by magnetic resonance imaging. As supported in previously reported clinical trials, BCS is not always a fatal disease and supports the definition that it may be a self-limiting disease.