Hanna Youstina, Tandon Parul, Gallinger Zane
Department of General Internal Medicine, University of Toronto, Toronto, Ontario, Canada.
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Case Rep Gastroenterol. 2021 Mar 4;15(1):282-289. doi: 10.1159/000513351. eCollection 2021 Jan-Apr.
We report on the case of a 61-year-old male who initially presented with a progressive myoclonus and an intention tremor and was subsequently diagnosed with celiac disease. His neurological symptoms improved with anti-epileptic therapy and a gluten-free diet. Possible explanations include a milder disease phenotype or an epileptic component to his myoclonic movement disorder. This case highlights findings of a progressive myoclonic movement disorder, likely linked to celiac disease, and stresses the importance of a gluten-free diet in the management of the neurological manifestations of celiac disease.
我们报告了一例61岁男性病例，该患者最初表现为进行性肌阵挛和意向性震颤，随后被诊断为乳糜泻。他的神经症状通过抗癫痫治疗和无麸质饮食得到改善。可能的解释包括病情较轻的表型或其肌阵挛性运动障碍中的癫痫成分。该病例突出了一种可能与乳糜泻相关的进行性肌阵挛性运动障碍的发现，并强调了无麸质饮食在乳糜泻神经表现管理中的重要性。
