A rare case of the late onset of Balo concentric sclerosis
https://doi.org/10.24884/1607-4181-2024-31-1-70-76
Abstract
Balo concentric sclerosis is considered a fulminant demyelinating disease that is characterized by the formation of specific concentric foci in the white matter of the brain that resemble sawing trees. This article describes the clinical case of a patient who has come with complaints of weakness and stiffness in the lower limbs, more in the left leg, a feeling of stiffness and tension in the left hand, the inability to walk without aids. Taking into account the complaints, the clinical picture and the pre-test: laboratory examination of blood and liquor, magnetic resonance imaging (MRI) of the brain and thoracic spine with contrast, the patient was diagnosed with multiple sclerosis, secondary-spineprogressive current (Balo variant), reliable according to the 2017 McDonald Criteria. The following is a literature review describing the pathogenesis, clinical profile, diagnostic approaches and treatment options for the disease.
About the Authors
V. A. Shidlovsky
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Shidlovsky Viktor A., Neurologist of the Neurological Department № 2 of the Clinic of the Research Institute of Neurology
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
Authors declare no conflict of interest
E. A. Gorkova
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Gorkova Evgeniia A., Neurologist of the Neurological Department № 2 of the Clinic of the Research Institute of Neurology
Saint Petersburg
Competing Interests:
Authors declare no conflict of interest
A. A. Yakovlev
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Yakovlev Aleksei A., Cand. of Sci. (Med.), Doctor of the Highest Category, Neurologist, Doctor of Physical Therapy and Sports Medicine, Reflexologist, Head of the Neurological Department № 2 of the Clinic of the Research Institute of Neurology, Assistant of the Department of Neurology and Manual Medicine
Saint Petersburg
Competing Interests:
Authors declare no conflict of interest
T. V. Lalayan
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Lalayan Tigran V., Associate Professor of the Department of Neurology and Manual Medicine, Faculty of Postgraduate Education
Saint Petersburg
Competing Interests:
Authors declare no conflict of interest
A. G. Smochilin
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Smochilin Andrei G., Neurologist of the Neurological Department № 2 of the Clinic of the Research Institute of Neurology
Saint Petersburg
Competing Interests:
Authors declare no conflict of interest
References
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For citations:
Shidlovsky V.A., Gorkova E.A., Yakovlev A.A., Lalayan T.V., Smochilin A.G. A rare case of the late onset of Balo concentric sclerosis. The Scientific Notes of the Pavlov University. 2024;31(1):70-76. (In Russ.) https://doi.org/10.24884/1607-4181-2024-31-1-70-76
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