ABSTRACT
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.
Subject(s)
Female , Humans , Young Adult , Abscess , Adrenal Cortex Hormones , Biopsy , Brain , Brain Neoplasms , Developing Countries , Diagnosis , Diagnosis, Differential , Diffuse Cerebral Sclerosis of Schilder , Follow-Up Studies , Magnetic Resonance Imaging , Multiple Sclerosis , Neoplasm Metastasis , Prevalence , Sclerosis , Tuberculoma , Tuberculosis , Tuberculosis, PulmonaryABSTRACT
Non-ketotic hyperglycemia (NKH) is often related to various types of epileptic seizures. However, aphasic seizures associated with NKH have been rarely reported. A 60-year-old diabetic woman was admitted with language disturbance. She presented recurrent motor aphasia and EEG demonstrated ictal rhythmic discharges initiated from left frontal lobe. The seizures disappeared after introduction of carbamazepine and successful control of serum glucose. She remained seizure-free for three months after discharge. We report a case of NKH, manifested by aphasic seizures.