Question:

What treatment for BalÃ'³`s concentric sclerosis has been reported as most successful in the literature?
1. None
2. Surgical removal of the lesion
3. Radiation
4. Corticosteroids
5. Cytotoxic agents





Answer:

The correct answer for the question "What treatment for BalÃ'³`s concentric sclerosis has been reported as most successful in the literature?" is:

4. Corticosteroids



Explanation
Corticosteroids have been reported as being an effective treatment for Baló`s concentric sclerosis. [Early diagnosis with characteristic MRI findings for BCS is important because patients have responded favorably to treatment with corticosteroids].



From the manuscript:
Bal`s concentric sclerosis: imaging findings and pathological correlation
Radiology Case. 2013 Jun; 7(6):1-8


This article belongs to the Neuro section.




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From the manuscript

Bal`s concentric sclerosis: imaging findings and pathological correlation

Free full text article: Bal`s concentric sclerosis: imaging findings and pathological correlation

Abstract
Bal`s concentric sclerosis is a primary inflammatory central nervous system demyelinating disease that is considered a rare, radiographically and pathologically distinct variant of multiple sclerosis. Bal`s concentric sclerosis is characterized by alternating rings of demyelinated and myelinated axons, and it is most frequently diagnosed postmortem by autopsy or, more recently, by magnetic resonance imaging without pathologic verification. This report is of a case of Bal`s concentric sclerosis in which the patient presented with left-sided focal sensorimotor deficits. The patient`s lesion demonstrated characteristics of Bal`s concentric sclerosis by magnetic resonance imaging, but since a neoplastic process was also suspected initially, the patient underwent a surgical biopsy. This pathology sample now provides the opportunity to correlate the tissue diagnosis of demyelination with characteristic magnetic resonance imaging findings; this comparison is infrequently found in the literature.






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