Baló's concentric sclerosis presenting as a stroke-like syndrome.
BACKGROUND
A 37-year-old woman without important previous medical history presented to an emergency room with acute onset of left-sided weakness and numbness. Examination revealed left-sided hemiparesis (in the arm greater than in the leg) and hypoesthesia.


METHODS
Routine laboratory testing, lumbar puncture, dynamic susceptibility contrast perfusion study, longitudinal brain MRI, and magnetic resonance spectroscopy were performed.


METHODS
Balós concentric sclerosis.


RESULTS
Intravenous methylprednisolone followed by oral steroid taper.
Mowry
Ellen M
EM
Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
Woo
John H
JH
Ances
Beau M
BM
D000328:Adult; D003937:Diagnosis, Differential; D002549:Diffuse Cerebral Sclerosis of Schilder / Q000188:drug therapy / Q000473:pathology* / Q000503:physiopathology*; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D006801:Humans; D008775:Methylprednisolone / Q000627:therapeutic use*; D018696:Neuroprotective Agents / Q000627:therapeutic use*; D020521:Stroke / Q000473:pathology*; D014057:Tomography, X-Ray Computed
D018696:Neuroprotective Agents; D008775:Methylprednisolone