Migraine, cortical blindness, multiple cerebral infarctions and hypocoagulopathy in celiac disease.
We describe the case of a female patient affected by migraine and untreated adult celiac disease who presented with a state of acute migraine accompanied by multiple neurological deficits, including transient cortical blindness with ischemic CT and MRI alterations, and hypocoagulation due to factor VII deficiency. She was receiving estroprogestin therapy. There was a prompt response to cortisone therapy followed by a state of complete well-being, which also led to the disappearance of migraine attacks after five years of dietary treatment alone.
Morello
F
F
Territorial Neurology and Neurophysiology Service, USSL No. 5, Via Trento 4, I-36071 Arzignano (VI), Italy.
Ronzani
G
G
Cappellari
F
F
D000328:Adult; D019575:Blindness, Cortical / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D002446:Celiac Disease / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D002544:Cerebral Infarction / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D003907:Dexamethasone / Q000627:therapeutic use; D005168:Factor VII Deficiency / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging; D008881:Migraine Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed
D005938:Glucocorticoids; D003907:Dexamethasone