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KMID : 0892920150240020169
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Experimental Neurobiology
2015 Volume.24 No. 2 p.169 ~ p.172
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Balo's Concentric Sclerosis Mimicking Cerebral Tuberculoma
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Son Yoo-Ri
Yang Hye-Ran
Lee Se-Hoon
Kim Jee-Young
Han Suk-Geun
Park Kyung-Seok
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Abstract
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Balo's concentric sclerosis (BCS) is considered a rare variant of multiple sclerosis, which often mimics an intracranial neoplasm or abscess. We report the case of a 21-year-old woman presenting with BCS while undergoing treatment for pulmonary tuberculosis. Initial brain magnetic resonance imaging (MRI) findings were similar to those for cerebral tuberculoma, multiple metastases, or abscesses. However, the pathognomonic concentric sclerosis characteristic of BCS was seen on MRI. The antemortem confirmatory diagnosis of BCS was made by follow-up MRI and a brain biopsy. It is suggested that BCS should be included in the differential diagnosis of cerebral tuberculoma, especially in developing countries with a high prevalence of tuberculosis.
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KEYWORD
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Balo's concentric sclerosis, multiple sclerosis, corticosteroids, cerebral tuberculoma
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