Balo's concentric lesions with concurrent features of Schilder's disease in relapsing multiple sclerosis: neuropathological findings
Autops. Case Rep
;
6(4): 21-26, Oct.-Dec. 2016. ilus, tab
Article
in English
| LILACS
| ID: biblio-905062
ABSTRACT
Atypical inflammatory demyelinating syndromes are rare neurological diseases that differ from multiple sclerosis (MS), owing to unusual clinicoradiological and pathological findings, and poor responses to treatment. The distinction between them and the criteria for their diagnoses are poorly defined due to the lack of advanced research studies. Balo's concentric sclerosis (BCS) and Schilder's disease (SD) are two of these syndromes and can present as monophasic or in association with chronic MS. Both variants are difficult to distinguish when they present in acute stages. We describe an autopsy case of middle-aged female with a chronic history of MS newly relapsed with atypical demyelinating lesions, which showed concurrent features of BCS and SD. We also describe the neuropathological findings, and discuss the overlapping features between these two variants.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Diffuse Cerebral Sclerosis of Schilder
/
Demyelinating Autoimmune Diseases, CNS
/
Multiple Sclerosis
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Autops. Case Rep
Journal subject:
Anatomia
/
Patologia Cl¡nica
/
Patologia Legal
Year:
2016
Type:
Article
Affiliation country:
Canada
Institution/Affiliation country:
McGill University/CA
/
Western University/CA
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