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Rare Neurological Manifestation of Celiac Disease
Journal article   Open access   Peer reviewed

Rare Neurological Manifestation of Celiac Disease

Uzma Rani, Aamer Imdad and Mirza Beg
Case reports in gastroenterology, Vol.9(2), pp.200-205
05/01/2015
DOI: 10.1159/000431170
PMCID: PMC4478317
PMID: 26120302
url
https://doi.org/10.1159/000431170View
Published (Version of record) Open Access

Abstract

Celiac disease (CD) is an immune-mediated disease characterized by permanent gastrointestinal tract sensitivity to gluten in genetically predisposed individuals. It has varied clinical manifestations, ranging from gastrointestinal to extraintestinal, including neurological, skin, reproductive and psychiatric symptoms, which makes its diagnosis difficult and challenging. Known neurological manifestations of CD include epilepsy with or without occipital calcification, attention deficit hyperactivity disorder and ataxia, headache, neuropathies and behavior disorders. We present the case of a 14-year-old female with headaches and blurred vision for 1 year; she was noted to have papilledema on ophthalmic examination with increased cerebrospinal fluid opening pressure on lumber puncture and was diagnosed as a case of pseudotumor cerebri (PTC). Meanwhile her workup for chronic constipation revealed elevated tissue transglutaminase IgA and antiendomysial IgA antibodies. Upper gastrointestinal endoscopy with duodenal biopsy confirmed the diagnosis of CD. The patient was started on a gluten-free diet, leading to resolution of not only gastrointestinal symptoms but also to almost complete resolution of symptoms of PTC. This report describes the correlation of CD and PTC as its neurological manifestation.
 Antiendomysial IgA Celiac disease June, 2015 Pseudotumor cerebri Published online Transglutaminase IgA

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