Spinal cord involvement in Balo's concentric sclerosis

被引:20
作者
Kreft, Karim L. [1 ]
Mellema, S. Jouke [2 ]
Hintzen, Rogier Q. [1 ]
机构
[1] Univ Med Ctr, Erasmus MC, Dept Neurol, NL-3000 CA Rotterdam, Netherlands
[2] Isala klin, Dept Neurol, NL-8000 GM Zwolle, Netherlands
关键词
Concentric sclerosis of Balo; Myelitis; Multiple sclerosis; Plasma exchange; MRI; MULTIPLE-SCLEROSIS; LESION DEVELOPMENT; PLASMA-EXCHANGE; ENHANCED MRI; PATIENT;
D O I
10.1016/j.jns.2008.12.030
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We present a patient with a history of myelitis, who had a steroid refractory attack of CNS inflammatory demyelinating disease that developed into cerebral concentric sclerosis of Balo after plasma exchange. The acute inflammatory disease involved the spinal cord, a phenomenon rarely demonstrated. This patient fulfilled the McDonald Criteria for multiple sclerosis. Plasmapheresis did not have a beneficial effect, but the patient stabilised at high EDSS after treatment with mitoxantron. (C) 2009 Elsevier B.V. All rights reserved.
引用
收藏
页码:114 / 117
页数:4
相关论文
共 14 条
[1]  
Chen CJ, 1999, ANN NEUROL, V46, P651, DOI 10.1002/1531-8249(199910)46:4<651::AID-ANA15>3.0.CO
[2]  
2-Y
[3]   Balo's concentric sclerosis - Evolution of active demyelination demonstrated by serial contrast-enhanced MRI [J].
Kastrup, O ;
Stude, P ;
Limmroth, V .
JOURNAL OF NEUROLOGY, 2002, 249 (07) :811-814
[4]   Balo's concentric sclerosis-like lesion in the brainstem of a multiple sclerosis patient [J].
Kishimoto, Riichiro ;
Yabe, Ichiro ;
Niino, Masaaki ;
Sato, Kazunori ;
Tsuji, Sachiko ;
Kikuchi, Seiji ;
Sasaki, Hidenao .
JOURNAL OF NEUROLOGY, 2008, 255 (05) :760-761
[5]   Balo's concentric sclerosis: surviving normal myelin in a patient with a relapsing-remitting clinical course [J].
Moore, GRW ;
Berry, K ;
Oger, JJF ;
Prout, AJE ;
Graeb, DA ;
Nugent, RA .
MULTIPLE SCLEROSIS JOURNAL, 2001, 7 (06) :375-382
[6]   BALOS CONCENTRIC SCLEROSIS - NEW OBSERVATIONS ON LESION DEVELOPMENT [J].
MOORE, GRW ;
NEUMANN, PE ;
SUZUKI, K ;
LIJTMAER, HN ;
TRAUGOTT, U ;
RAINE, CS .
ANNALS OF NEUROLOGY, 1985, 17 (06) :604-611
[7]   Technology Insight: can neuroimaging provide insights into the role of ischemia in Balo's concentric sclerosis? [J].
Mowry, Ellen M. ;
Woo, John H. ;
Ances, Beau M. .
NATURE CLINICAL PRACTICE NEUROLOGY, 2007, 3 (06) :341-348
[8]   Serial gadolinium-enhanced MRI in acute attack of multiple sclerosis treated with plasma exchange [J].
Pericot, I ;
Río, J ;
Rovira, A ;
Castellà, MD ;
Tintoré, M ;
Montalban, X .
JOURNAL OF NEUROLOGY, 2003, 250 (02) :243-244
[9]  
Sekijima Y, 1997, Mult Scler, V2, P291
[10]   Tissue preconditioning may explain concentric lesions in Balo's type of multiple sclerosis [J].
Stadelmann, C ;
Ludwin, S ;
Tabira, T ;
Guseo, A ;
Lucchinetti, CF ;
Leel-Össy, L ;
Ordinario, AT ;
Brück, W ;
Lassmann, H .
BRAIN, 2005, 128 :979-987