Neurologic complications represent a frequent manifestation of celiac disease. Both central and peripheral nervous system may have various grade of involvement. Pathogenetic mechanisms may be due to both toxic effects of gluten or because an immunological reaction in the intestinal mucosa initiated by gluten or its metabolities and malabsorption. We present a 18 years old patient with epileptic seizures as first expression of celiac disease. Neurological examination showed signs of combined sclerosis, neuroimaging documented multiple bilateral parietooccipital calcifications. A macrocytic sideropenic anemia was detected masquerading a concomitant deficit of absorption of folic acid and B12.
|Translated title of the contribution||Subacute combined degeneration in a patient with partial epilepsy symptomatic of coeliac disease: Neurophysiologic evaluation|
|Number of pages||3|
|Journal||Bollettino - Lega Italiana contro l'Epilessia|
|Publication status||Published - 1998|
ASJC Scopus subject areas
- Clinical Neurology