Propriospinal myoclonus associated with gluten sensitivity in a young woman.
Propriospinal myoclonus (PSM) is a rare movement disorder characterized by involuntary axial jerks originating from muscles innervated by multiple spinal segments. Most cases of PSM are idiopathic. Gluten sensitivity is a multisystemic autoimmune condition which may be associated with various neurological disorders, most commonly peripheral neuropathy and cerebellar ataxia. We report a case of a young woman who developed PSM in the setting of gluten sensitivity, indicating that gluten sensitivity should be considered in the differential diagnosis of PSM such that a gluten challenge test may prove diagnostically useful.
Comprehensive Epilepsy Center, Yale School of Medicine, 15 York Street, PO Box 208018, New Haven, CT 06520-8018, USA. yanzhangw@yahoo.com
Yan
Y
Zhang
Daniel L
DL
Menkes
David S
DS
Silvers
D002446:Celiac Disease / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D006801:Humans; D009207:Myoclonus / Q000175:diagnosis* / Q000209:etiology*; D055815:Young Adult