[Cerebral calcifications: a clue for a diagnostic process in a nonspecific clinical case].
Coeliac disease is a gluten sensitive enteropathy, autoimmune in origin, which has been traditionally regarded as a gastrointestinal disease. Years later it has been reported an extraintestinal affection. A huge number of neurological syndromes of unknown cause had been initially described in association with coeliac disease, with total or partial response to a gluten free-diet. A specific kind of occipital cerebral calcifications in relation to coeliac disease has been also described, and sometimes it means the existence of a syndrome called "Gobby's Syndrome". We show a patient with a mild unknown coeliac disease, a woman who had occipital cerebral calcifications in a TAC cerebral, which was made because of her intractable migraines and that it lead to the diagnosis. The migraine disappeared after a gluten free-diet, like similar cases reported by literature. The fact of existing neurological symptoms associated to coeliac diseases opens a therapeutic window of opportunity because they would respond to a gluten free-diet.
Benito Conejero
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S
Servicio de Medicina Interna, Hospital Juan Ramón Jiménez, Huelva. sarabenito2002@yahoo.es
Díaz Espejo
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C
López Domínguez
J M
JM
Pujol de la Llave
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E
D000328:Adult; D001927:Brain Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000209:etiology*; D002446:Celiac Disease / Q000150:complications / Q000175:diagnosis* / Q000178:diet therapy; D003967:Diarrhea / Q000209:etiology; D005260:Female; D005983:Glutens / Q000009:adverse effects; D006801:Humans; D020325:Migraine with Aura / Q000209:etiology; D009778:Occipital Lobe / Q000000981:diagnostic imaging / Q000473:pathology*; D011859:Radiography; D012074:Remission Induction; D013577:Syndrome
D005983:Glutens