Ertuğrul Ö, Çiçekçi E, Tuncer MC, Aluçlu MU. Balo’s concentric sclerosis in a patient with spontaneous remission based on magnetic resonance imaging: A case report and review of literature. World J Clin Cases 2018; 6(11): 447-454 [PMID: 30294609 DOI: 10.12998/wjcc.v6.i11.447]
Corresponding Author of This Article
Mehmet Cudi Tuncer, PhD, Full Professor, Department of Anatomy, Faculty of Medicine, University of Dicle, Fabrika Mahallesi, 760. sokak, Sunrise 2 Evleri, E Blok, Kat: 3, No: 9, Diyarbakır 21280, Turkey. drcudi@hotmail.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2018; 6(11): 447-454 Published online Oct 6, 2018. doi: 10.12998/wjcc.v6.i11.447
Balo’s concentric sclerosis in a patient with spontaneous remission based on magnetic resonance imaging: A case report and review of literature
Özgür Ertuğrul, Esra Çiçekçi, Mehmet Cudi Tuncer, Mehmet Ufuk Aluçlu
Özgür Ertuğrul, Department of Radiology, Memorial Hospital, Diyarbakır 21100, Turkey
Esra Çiçekçi, Department of Physiotherapy, University of Health Sciences, Gazi Yaşargil Education and Research Hospital, Diyarbakır 21100, Turkey
Mehmet Cudi Tuncer, Department of Anatomy, Faculty of Medicine, University of Dicle, Diyarbakır 21280, Turkey
Mehmet Ufuk Aluçlu, Department of Neurology, Faculty of Medicine, University of Dicle, Diyarbakır 21280, Turkey
Author contributions: Ertuğrul Ö, Aluçlu MU and Çiçekçi E examined patient and collected clinical data; Ertuğrul Ö performed and analyzed radiologic imaging data; Tuncer MC and Ertuğrul Ö wrote the paper; Tuncer MC, Aluçlu MU and Ertuğrul Ö edited the manuscript and had final approval.
Informed consent statement: Informed written consent was obtained from the patient prior to all procedures described in the report as well as for the use of the patient’s clinical information and images for published scientific works.
Conflict-of-interest statement: All of the authors report no relationships that could be construed as a conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Mehmet Cudi Tuncer, PhD, Full Professor, Department of Anatomy, Faculty of Medicine, University of Dicle, Fabrika Mahallesi, 760. sokak, Sunrise 2 Evleri, E Blok, Kat: 3, No: 9, Diyarbakır 21280, Turkey. drcudi@hotmail.com
Telephone: +90-412-2488001 Fax: +90-532-2744926
Received: May 18, 2018 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 Processing time: 133 Days and 3.2 Hours
ARTICLE HIGHLIGHTS
Case characteristics
In a 19-year-old woman complaining of night-raging nausea, blurred vision, and severe headache ongoing for a week was admitted in our clinic.
Clinical diagnosis
The patient underwent magnetic resonance imaging (MRI) examination at our hospital, which indicated a mass with concentric circles and peripheral vesogenic edema located right lateral to the left lateral ventricle was seen in the posterior part of the corpus callosum.
Differential diagnosis
The patient underwent a fluorodeoxyglucose positron emission tomography/computed tomography and there were no pathological findings in favor of malignancy.
Imaging diagnosis
MRI and single-voxel magnetic resonance spectroscopy were used in this case.
Treatment
The patient refused the treatment.
Related reports
Balo’s concentric sclerosis (BCS) was first described by Marburg in 1906, and in 1928, the Hungarian neuropathologist, Joseph Balo, published a report of a student. Cases related to BCS between 1985-2018 were presented in this case report together with clinical findings and results.
Term explanation
BCS is a rare monophasic demyelinating disease known as multiple sclerosis subtype. BCS may rapidly progress to become severe and fatal.
Experiences and lessons
The unexpected finding of spontaneous remission without any treatment was reported by MRI in this case. Clinicians should consider BCS is not always a fatal disease.
