Hermaszewski R A, Rigby S, Dalgleish A G
Northwick Park Hospital and Clinical Research Centre, Harrow, UK.
Postgrad Med J. 1991 Nov;67(793):1023-4. doi: 10.1136/pgmj.67.793.1023.
A case of rapidly progressive cerebellar degeneration with bilateral sixth nerve palsies is described in whom investigation revealed the presence of unsuspected coeliac disease. In spite of treatment with a gluten free diet, rapid fatal deterioration occurred. Coeliac disease should be considered in patients with encephalopathy of obscure origin.
本文描述了一例伴有双侧展神经麻痹的快速进展性小脑变性病例,该病例检查发现存在未被怀疑的乳糜泻。尽管采用无麸质饮食治疗,病情仍迅速恶化直至死亡。对于病因不明的脑病患者,应考虑乳糜泻的可能。