Skip to main content
. 2020 Nov 2;20:400. doi: 10.1186/s12883-020-01971-2

Table 1.

Synopsis of clinical, radiologic, laboratory and therapeutic characteristics in 8 patients with BCS

Case Age at onset
(years)
Sex Symptoms at BCS onset BCS-type lesion size
(cm) at onset
Pattern of BCS-type lesion Gd+ Coexistence of brain
MS-like plaques
Barkof criteria
fulfillment at BCS onset
Spinal cord lesions at BCS onset CSF
OCBs
Time to follow-up from BCS onset
(months)
Response to IVMP Long-term Treatment
1 24 M right-sided hemiparesis and hemianaesthesia 2.8 Peripheral Gd + at outer layer (+) No (−) (+) 85 poor CYC
2 30 F dysarthria,left facial palsy, left hand dexterity problems 3.6 Peripheral ring-like Gd + at outer layer (−) No (−) (+) 34 poor CYC
3 41 M Wernicke’s aphasia and right-sided hemianaesthesia 2.6 Peripheral ring-like Gd + at outer two layers (+) No (−) Not tested 132 poor

1st MTX

2nd GA

4 18 F blurred vision 3.1 Peripheral incomplete ring-like Gd + at outer two layers (+) Yes (−) (+) 16 excellent

1st GA,

2nd NTZ

5 18 F right-sided hemiparesis 2 Peripheral ringlike Gd + at outer layer (+) Yes (+) Not tested 127 good

1st IFN-beta-1b,

2nd NTZ

6 26 M dysarthria 3.6 Peripheral incomplete ringlike Gd + at outer two layers (+) Yes (−) (−) 23 poor RTX
7 26 F gait instability, mild left hemiparesis 1.7 peripheral Gd + at outer layer (+) No (+) (+) 29 poor RTX
8 27 M left facial nerve palsy 1.8 partial ringlike Gd+ (+) No (−) (−) 9 poor CYC

Abbreviations: BCS Baló’s Concentric Sclerosis, F Female, M: Male, Gd+ Gadolinium Enhancement, CSF OCBs Cerebrospinal Fluid Oligoclonal Bands, (+) presence, (−) absence, MS Multiple Sclerosis, IVMP intravenous methylprednisolone, CYC Cyclophosphamide, MTX Mitoxantrone, RTX Rituximab, GA Glatiramer acetate