Neurological abnormalities associated with celiac disease

Adi Vaknin, Abraham Rami Eliakim, Zvi Ackerman, Israel Steiner

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Celiac disease (CD) is a gluten-sensitive enteropathy in genetically susceptible individuals. Anecdotal reports suggest that the nervous system might be affected in the disorder, but the severity and prevalence of such an involvement have not been systematically evaluated. Materials and methods: Analysis of files of CD patients diagnosed between 1980 and 1999 for neurological abnormalities. Diagnosis of CD was based on the modified criteria of the European Society for Pediatric Gastroenterology and Nutrition. Results: Of 148 CD patients, 18 (12%) had 21 neurological disorders that could not be attributed to any other condition including muscle abnormality (3), epilepsy (3), psychiatric disease (4), peripheral neuropathy (3), cerebrovascular disease (1), myelopathy (1) and Down syndrome (2). Other disorders probably unrelated to CD were present in 8 patients. Conclusion: If this association is not coincidental, both the central and the peripheral nervous systems maybe affected in CD by a spectrum of neurological disorders that are either the outcome of CD or share the same pathogenesis with the enteropathy.

Original languageEnglish
Pages (from-to)1393-1397
Number of pages5
JournalJournal of Neurology
Volume251
Issue number11
DOIs
StatePublished - Nov 2004
Externally publishedYes

Keywords

  • Celiac disease
  • Down syndrome
  • Epilepsy
  • Immune mediated peripheral neuropathy
  • Neurological abnormalities

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