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1

Grooters, G. S., L. H. Visser, F. Barkhof, M. S. van der Knaap, and J. T. van Asseldonk. "Mystery Case: Balo concentric sclerosis." Neurology 80, no. 7 (2013): e71-e72. http://dx.doi.org/10.1212/wnl.0b013e3182824e7d.

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2

Badar, Farheen, Ibne Ahmad, Muddassir Rashid, ShahF Azfar, and Sanna Kirmani. "Balo′s concentric sclerosis involving bilateral thalami." Neurology India 59, no. 4 (2011): 597. http://dx.doi.org/10.4103/0028-3886.84345.

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3

Harshova, S. V., and V. V. Ponomarev. "Balo concentric sclerosis: scientific review and own observation." INTERNATIONAL NEUROLOGICAL JOURNAL, no. 5.91 (October 10, 2017): 23–28. http://dx.doi.org/10.22141/2224-0713.5.91.2017.110853.

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4

Kavanagh, E. C., M. K. S. Heran, D. M. Fenton, J. S. Lapointe, R. A. Nugent, and D. A. Graeb. "Diffusion-weighted imaging findings in Balo concentric sclerosis." British Journal of Radiology 79, no. 943 (2006): e28-e31. http://dx.doi.org/10.1259/bjr/36636301.

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5

Aracil-Bolaños, I., L. Prats-Sánchez, B. Gómez-Ansón, L. Querol-Gutiérrez, F. Núñez-Marín, and J. Martí-Fàbregas. "Balo concentric sclerosis: A presentation mimicking ischaemic stroke." Neurología (English Edition) 32, no. 1 (2017): 60–61. http://dx.doi.org/10.1016/j.nrleng.2015.03.014.

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6

Aleksandrova, Iliyana, N. Topalov, E. Slavkova, et al. "Atypical imaging in children with multiple sclerosis – case presentation." Bulgarian Neurology 25, no. 1 (2024): 27–33. https://doi.org/10.5281/zenodo.15379692.

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Atypical demyelinating lesions in multiple sclerosis (MS) (tumefactive demyelinating lesions, lesions with white matter cavitation, leukodystrophy-like lesions), although rare, pose serious differential diagnostic and therapeutic problems.We present 3 clinical cases of children, one with Balo concentric sclerosis and two with multiple sclerosis (MS), who had atypical magnetic resonance findings during the course of the disease or during the initial clinical manifestation. The first patient presented with an acute hemiparesis and hemihypesthesia with MRI evidence of a rounded tumor-like periven
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7

Mnatsakanyan, G., A. Raevskaya, I. Vyshlova, and S. Karpov. "Modern ideas about concentric sclerosis Balo: a clinical case." Vrach 35, no. 3 (2024): 35–37. http://dx.doi.org/10.29296/25877305-2024-03-08.

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Balo's concentric sclerosis (BCS) is a rare demyelinating disease of the central nervous system, characterized by concentric areas of demyelination alternating with areas of preserved myelin in the form of a pathognomonic pathomorphological substrate of varying degrees of severity in the form of «annual rings on a tree cut». The pathogenesis of BCS is diverse and complex, today there are several theories of its occurrence, among which hypoxic, vascular and closely related genetic, as well as a number of other theories are distinguished. The BCS clinic is variable, represented by both focal neu
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8

Shidlovsky, V. A., E. A. Gorkova, A. A. Yakovlev, T. V. Lalayan, and A. G. Smochilin. "A rare case of the late onset of Balo concentric sclerosis." Scientific Notes of the Pavlov University 31, no. 1 (2024): 70–76. http://dx.doi.org/10.24884/1607-4181-2024-31-1-70-76.

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Balo concentric sclerosis is considered a fulminant demyelinating disease that is characterized by the formation of specific concentric foci in the white matter of the brain that resemble sawing trees. This article describes the clinical case of a patient who has come with complaints of weakness and stiffness in the lower limbs, more in the left leg, a feeling of stiffness and tension in the left hand, the inability to walk without aids. Taking into account the complaints, the clinical picture and the pre-test: laboratory examination of blood and liquor, magnetic resonance imaging (MRI) of the
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9

Yang, Yi-Chien, and Chon-Haw Tsai. "Balo concentric sclerosis in a 23-year-old man." Canadian Medical Association Journal 190, no. 31 (2018): E937. http://dx.doi.org/10.1503/cmaj.180048.

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10

Baghbanian, Seyed Mohammad, and Atieh Bakhshi. "Tumefactive Balo-Like Concentric Sclerosis in Treatment with Fingolimod." Multiple Sclerosis and Related Disorders 71 (March 2023): 104321. http://dx.doi.org/10.1016/j.msard.2022.104321.

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11

Novoselova, O. M., A. G. Il'ves, Zh I. Savintseva, L. N. Prakhova, O. V. Zaplakhova, and K. Z. Bakhtiyarova. "A case-report of Balo concentric sclerosis transformed into definite multiple sclerosis." Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova 118, no. 8 (2018): 103. http://dx.doi.org/10.17116/jnevro2018118082103.

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12

Bakhsheshian, J., M. Srikanth, and A. L. French. "Teaching NeuroImages: Acute neurologic deficits due to Balo concentric sclerosis." Neurology 84, no. 14 (2015): e109-e110. http://dx.doi.org/10.1212/wnl.0000000000001447.

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13

William L Brown, J., Joanne L. Jones, and Alasdair J. Coles. "FIRST USE OF ALEMTUZUMAB IN BALO CONCENTRIC SCLEROSIS: A CASE REPORT." Journal of Neurology, Neurosurgery & Psychiatry 84, no. 11 (2013): e2.81-e2. http://dx.doi.org/10.1136/jnnp-2013-306573.171.

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14

Chitnis, T., and T. J. Hollmann. "CADASIL mutation and Balo concentric sclerosis: A link between demyelination and ischemia?" Neurology 78, no. 3 (2012): 221–23. http://dx.doi.org/10.1212/wnl.0b013e31823fcd3c.

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15

Biedroń, Agnieszka, Aleksandra Gergont, and Sławomir Kroczka. "P46-T Unexpected electrophysiological findings in a boy with Balo concentric sclerosis." Clinical Neurophysiology 130, no. 7 (2019): e52. http://dx.doi.org/10.1016/j.clinph.2019.04.409.

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16

Ajamat, Mohammed, Aziz Ahizoun, Ayoub Elbakkal, et al. "Speech Disorders Revealing Balo's Concentric Sclerosis: A Case Report." Scholars Journal of Medical Case Reports 9, no. 7 (2021): 707–10. http://dx.doi.org/10.36347/sjmcr.2021.v09i07.005.

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Introduction: Balo's concentric sclerosis (BCS) is a particular and rare demyelinating disease of the white matter of the brain that was first described by J. Balo in 1928 and considered as a rare variant of multiple sclerosis. The clinical manifestations usually consist of aphasia, behavioral disturbances, and seizures. This term results from a pattern of concentric aspect of the lesions with alternating areas of demyelination and areas of normal myelin in various parts of the brain and spinal cord. BCS was described as monophasic, progressive, and treated as a disease with a fulminant course
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17

Bolay, Hayrunnisa, Rana Karabudak, Tuğra Tacal, Behsan Önol, Kaynak Selekler, and Okay Saribaş. "Balo-s Concentric Sclerosis Report of Two Patients with Magnetic Resonance Imaging Follow-up." Journal of Neuroimaging 6, no. 2 (1996): 98–103. http://dx.doi.org/10.1111/jon19966298.

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18

Dwivedi, Amit NandanD, Vaibhava Srivastava, Anubhav Thukral, and Kamlakar Tripathi. "A rare case of Balo concentric sclerosis showing unusual clinical improvement and response with oral prednisolone." International Journal of Applied and Basic Medical Research 2, no. 2 (2012): 136. http://dx.doi.org/10.4103/2229-516x.106358.

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19

Zeng, Chun, Junwei Xiong, Yongmei Li, et al. "Enhanced T2FNx01 weighted angiography imaging and 3-D time-resolved imaging of contrast kinetics findings in Balo′s concentric sclerosis." Neurology India 62, no. 3 (2014): 297. http://dx.doi.org/10.4103/0028-3886.136978.

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20

Nader Kawachi, Juan Alberto, María de la Luz Andrade Magdaleno, Carlos Andrés Peñaherrera, Yeni Fernández De Lara, and María Isabel Lavenant Borja. "Early diagnosis of Balo's concentric sclerosis by diffusion tensor tractography: a case report and literature review." Medwave 16, no. 02 (2016): e6402-e6402. http://dx.doi.org/10.5867/medwave.2016.02.6402.

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21

Shankar, S. K., T. V. Rao, V. K. Srivastav, S. Narula, T. Asha, and S. Das. "Balo??s concentric sclerosis." Neurosurgery, December 1989, 982. http://dx.doi.org/10.1097/00006123-198912000-00024.

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22

Thomas, Mary Therese, Molly E. Boyko, Rachel Hemsath, Kedareeshwar S. Arukala, and Victor Collier. "A Case of Balo Concentric Sclerosis: A Multiple Sclerosis Mimic." Cureus, August 17, 2024. http://dx.doi.org/10.7759/cureus.67076.

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23

Etemadifar, Masoud, Amirhossein Aghili, Saba Shojaei, Seyed-Ali Alaei, Mehri Salari, and Mahdi Norouzi. "Balo concentric sclerosis, an emerging variant of multiple sclerosis: A case-series and literature review." Journal of Neuroimmunology, January 2025, 578527. https://doi.org/10.1016/j.jneuroim.2025.578527.

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24

Shala, Nexhmedin, Ilir Tolaj, Fisnik Jashari, et al. "Baló Concentric Sclerosis Mimicking Encephalitis with Seizure and Progressive Aphasia in a 26-Year-Old Woman: A Challenging Diagnostic Dilemma." Case Reports in Neurology, October 6, 2023. http://dx.doi.org/10.1159/000534358.

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Introduction: Baló's concentric sclerosis (BCS) is a rare subtype of multiple sclerosis (MS) characterized by inflammatory demyelination within the central nervous system (CNS). Case presentation: This case report presents a challenging diagnostic scenario involving a 26-year-old woman diagnosed with BCS. Despite treatment, her condition did not ameliorate, and magnetic resonance imaging (MRI) findings remained unchanged. A subsequent stereotactic biopsy revealed tumefactive Balo disease, highlighting the intricate diagnostic and therapeutic issues surrounding BCS. Conclusion: The juxtacortica
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25

Luan, Zhuo, Khan Z. Habiba, Amy H. Sim, and Isabel V. Narvaez-Correa. "Balo Concentric Sclerosis: A Rare Variant of Multiple Sclerosis With Excellent Response to Early Steroid Treatment." Cureus, June 15, 2025. https://doi.org/10.7759/cureus.86059.

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26

Mei, Qianqian, Wei Jiang, Quanfeng Chen, Dehui Huang, and Lei Wu. "An intriguing overlapping: AQP4-IgG-positive neuromyelitis optica spectrum disorder coexisting with Balo concentric sclerosis." Journal of Neurology 272, no. 6 (2025). https://doi.org/10.1007/s00415-025-13182-1.

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27

Christina, Kamari, Galanakis Emmanouil, Raissaki Maria, Briassoulis George, Vlachaki Georgia, and Vorgia Pelagia. "Pediatric tumefactive multiple sclerosis case (with baló-like lesions), diagnostic and treatment challenges." Neurological Sciences, September 29, 2022. http://dx.doi.org/10.1007/s10072-022-06396-y.

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Abstract Background Multiple sclerosis (MS) is a demyelinating disease of the central nervous system, rare during childhood. MS variations, like tumefactive MS and Balo concentric sclerosis, constitute puzzling to treat diagnostic dilemmas for pediatric patients. Differential diagnosis, mainly from brain tumors, is an absolute necessity. In addition, apart from treating acute attacks, immunomodulatory alternatives are limited. Case We present a 12.5-year-old boy diagnosed, 5 years ago, with tumefactive relapsing–remitting MS, with severe recurrent clinical attacks. Definite diagnosis of demyel
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28

Al Ashi, Amro K., Victorien Meray, and Adnan M. Aziz. "A Rare Case of Balo Concentric Sclerosis, a Subtype of Tumefactive Multiple Sclerosis, in a 40-Year-Old Male: Case Report." Cureus, April 11, 2022. http://dx.doi.org/10.7759/cureus.24033.

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