Author:
Shala Nexhmedin,Tolaj Ilir,Jashari Fisnik,Malazogu Edita,Shala Argjend,Bajraktari Gentiant,Ahmetgjekaj Ilir,Dreshaj Shemsedin
Abstract
<b><i>Introduction:</i></b> Baló’s concentric sclerosis (BCS) is a rare subtype of multiple sclerosis characterized by inflammatory demyelination within the central nervous system. <b><i>Case Presentation:</i></b> 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. <b><i>Conclusion:</i></b> The juxtacortical location of the BCS lesion, as observed in our case, suggests an unfavourable prognosis due to treatment-resistant seizures.