Concentric sclerosis [Balo] of central nervous system
ICD-10 G37.5 is a billable code used to indicate a diagnosis of concentric sclerosis [balo] of central nervous system.
Concentric sclerosis, also known as Balo's concentric sclerosis, is a rare form of demyelinating disease characterized by concentric layers of demyelination and remyelination in the central nervous system. It is considered a variant of multiple sclerosis (MS) and is often associated with atypical clinical presentations. Patients may experience neurological deficits similar to those seen in MS, including motor and sensory disturbances, visual impairment, and cognitive dysfunction. The pathophysiology involves the formation of concentric rings of demyelination, which can be identified through MRI imaging. Unlike typical MS, which presents with disseminated lesions, Balo's concentric sclerosis features a more localized pattern of demyelination. The etiology remains unclear, but it is believed to involve autoimmune mechanisms. Treatment options are limited and may include immunomodulatory therapies such as corticosteroids, interferons, or monoclonal antibodies, aimed at reducing inflammation and promoting remyelination. Due to its rarity, clinical management often requires a multidisciplinary approach, including neurologists, rehabilitation specialists, and mental health professionals.
Comprehensive neurological examination findings, MRI results, and treatment plans.
Patients presenting with atypical neurological symptoms, requiring differential diagnosis from other demyelinating diseases.
Ensure clarity in documenting the unique features of concentric sclerosis to avoid confusion with other MS variants.
Detailed imaging reports highlighting the characteristic concentric lesions.
MRI evaluations of patients suspected of having demyelinating diseases.
Radiologists should clearly describe the imaging findings to support the diagnosis of G37.5.
Used to confirm the diagnosis of G37.5 through imaging.
MRI reports must clearly indicate the presence of concentric lesions.
Radiologists should provide detailed descriptions of findings to support coding.
G37.5 is characterized by concentric layers of demyelination, which is a distinct pathological finding not typically seen in other forms of multiple sclerosis.
