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Images in paediatrics
Balós concentric sclerosis
  1. Osman Farooq1,
  2. Aurangzeb Memon2
  1. 1Department of Pediatric Neurology, Women and Children's Hospital of Buffalo, University of Buffalo, Buffalo, New York, USA
  2. 2Baqai Medical University, Karachi, Pakistan
  1. Correspondence to Dr Osman Farooq, Department of Pediatric Neurology, Women and Children's Hospital of Buffalo, University of Buffalo, Buffalo, NY 14222, USA; osmanfarooq{at}yahoo.com

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A previously healthy 13-year-old boy presented with left arm and face weakness. Brain MRI (figure 1, axial T1 postcontrast) revealed an enhancing mass within the right centrum semiovale, and a second non-enhancing lesion in the left occipital region (not shown). Lumbar puncture revealed five oligoclonal bands, giving a working diagnosis of a demyelinating disorder. Intravenous methylprednisolone …

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