Basic and advanced imaging of a case of Balò's concentric sclerosis
(C) Perfusion MRI analysis, based on four regions of interest depicted in D (A, pink, B, white, C, blue, D, red) suggests that the central layers of the ring are more perfused compared to the peripheral ones. n The spectroscopic image (figure 2B) of the lesion documented increased choline peak and d...
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| Vydané v: | BMJ case reports Ročník 2013; s. bcr2012008413 |
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| Hlavní autori: | , , , |
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| Jazyk: | English |
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25.01.2013
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| Abstract | (C) Perfusion MRI analysis, based on four regions of interest depicted in D (A, pink, B, white, C, blue, D, red) suggests that the central layers of the ring are more perfused compared to the peripheral ones. n The spectroscopic image (figure 2B) of the lesion documented increased choline peak and decreased N-acetyl aspartate peak, but normal peaks in the normal appearing white matter near the lesion.1 The perfusion analysis (figure 2C), based on four different regions of interest (figure 2D), suggested a decreasing gradient of perfusion from the centre to the periphery of the lesion, supporting the hypothesis that the centre of the ring corresponds anatomically to a deep venous vessel.3 Authors are not aware of previous report of perfusion studies in Balò's sclerosis. n Cerebrospinal fluid analysis detected oligoclonal bands, without anti-aquaporin-4 antibodies. The right paresis fully recovered after 2 weeks and has not relapsed after 11 months. n The 8 months follow-up MRI showed a reduction in the lesion volume and absence of new demyelinating lesions (figure 3A,B). (A) Axial fluid attenuated inversion recovery sequence and (B) sagittal T2-sequence evidence the reduction in the lesion volume compared to figure 1. |
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| AbstractList | (C) Perfusion MRI analysis, based on four regions of interest depicted in D (A, pink, B, white, C, blue, D, red) suggests that the central layers of the ring are more perfused compared to the peripheral ones. n The spectroscopic image (figure 2B) of the lesion documented increased choline peak and decreased N-acetyl aspartate peak, but normal peaks in the normal appearing white matter near the lesion.1 The perfusion analysis (figure 2C), based on four different regions of interest (figure 2D), suggested a decreasing gradient of perfusion from the centre to the periphery of the lesion, supporting the hypothesis that the centre of the ring corresponds anatomically to a deep venous vessel.3 Authors are not aware of previous report of perfusion studies in Balò's sclerosis. n Cerebrospinal fluid analysis detected oligoclonal bands, without anti-aquaporin-4 antibodies. The right paresis fully recovered after 2 weeks and has not relapsed after 11 months. n The 8 months follow-up MRI showed a reduction in the lesion volume and absence of new demyelinating lesions (figure 3A,B). (A) Axial fluid attenuated inversion recovery sequence and (B) sagittal T2-sequence evidence the reduction in the lesion volume compared to figure 1. |
| Author | Ripellino, Paolo Cantello, Roberto Leone, Maurizio A Stecco, Alessandro |
| AuthorAffiliation | 1 Department of Neurology , University of Turin , Torino , Italy 2 Department of Neurology, University of Eastern Piedmont , AOU Maggiore della Carità , Novara , Italy 3 Department of Radiology , University of Eastern Piedmont, AOU Maggiore della Carità , Novara , Italy |
| AuthorAffiliation_xml | – name: 2 Department of Neurology, University of Eastern Piedmont , AOU Maggiore della Carità , Novara , Italy – name: 3 Department of Radiology , University of Eastern Piedmont, AOU Maggiore della Carità , Novara , Italy – name: 1 Department of Neurology , University of Turin , Torino , Italy |
| Author_xml | – sequence: 1 givenname: Paolo surname: Ripellino fullname: Ripellino, Paolo organization: Department of Neurology, University of Eastern Piedmont, AOU Maggiore della Carità, Novara, Italy – sequence: 2 givenname: Alessandro surname: Stecco fullname: Stecco, Alessandro organization: Department of Radiology, University of Eastern Piedmont, AOU Maggiore della Carità, Novara, Italy – sequence: 3 givenname: Maurizio A surname: Leone fullname: Leone, Maurizio A organization: Department of Neurology, University of Eastern Piedmont, AOU Maggiore della Carità, Novara, Italy – sequence: 4 givenname: Roberto surname: Cantello fullname: Cantello, Roberto organization: Department of Neurology, University of Eastern Piedmont, AOU Maggiore della Carità, Novara, Italy |
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| Cites_doi | 10.1259/bjr/36636301 10.1371/journal.pone.0000150 |
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| References | Karaarslan, Altintas, Senol (R1) 2001; 22 Khonsari, Calvez (R3) 2007; 2 Kavanagh, Heran, Fenton (R2) 2006; 79 Kavanagh, Heran, Fenton 2006; 79 Karaarslan, Altintas, Senol 2001; 22 Khonsari, Calvez 2007; 2 2025082801370632000_2013.jan25_1.bcr2012008413.2 2025082801370632000_2013.jan25_1.bcr2012008413.3 Karaarslan (2025082801370632000_2013.jan25_1.bcr2012008413.1) 2001; 22 17225855 - PLoS One. 2007;2(1):e150 16823051 - Br J Radiol. 2006 Jul;79(943):e28-31 11498428 - AJNR Am J Neuroradiol. 2001 Aug;22(7):1362-7 |
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| Title | Basic and advanced imaging of a case of Balò's concentric sclerosis |
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