Occipital Epilepsy With Subcortical Atrophy in Celiac Disease: A Case Report

Alionka Bostan; Chiara Mabiglia; Adraa Nouini; Hélène Visée; Bernard Dan; Bernard Dachy

doi:10.1212/CPJ.0000000000000942

Occipital Epilepsy With Subcortical Atrophy in Celiac Disease: A Case Report

Alionka Bostan, Chiara Mabiglia, Adraa Nouini, Hélène Visée, Bernard Dan, Bernard Dachy

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We report a 50-year-old man with celiac disease who presented with occipital epilepsy. Brain MRI showed right occipital subcortical white matter hyperintensities, consistent with the posterior epileptic focus suggested by the clinical features of the seizures and documented on EEG. Shortly after the introduction of a gluten-free diet, the white matter abnormalities resolved. The patient went on to develop simultagnosia. Follow-up MRI showed right occipital lobe atrophy. This report emphasizes the importance of recognizing gluten-associated neurologic manifestations and usefulness of thegluten-free diet.

Originele taal-2	English
Pagina's (van-tot)	e744-e746
Aantal pagina's	3
Tijdschrift	Neurology. Clinical practice
Volume	11
Nummer van het tijdschrift	5
DOI's	https://doi.org/10.1212/CPJ.0000000000000942
Status	Published - okt 2021

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abstract = "We report a 50-year-old man with celiac disease who presented with occipital epilepsy. Brain MRI showed right occipital subcortical white matter hyperintensities, consistent with the posterior epileptic focus suggested by the clinical features of the seizures and documented on EEG. Shortly after the introduction of a gluten-free diet, the white matter abnormalities resolved. The patient went on to develop simultagnosia. Follow-up MRI showed right occipital lobe atrophy. This report emphasizes the importance of recognizing gluten-associated neurologic manifestations and usefulness of thegluten-free diet.",

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AU - Bostan, Alionka

AU - Mabiglia, Chiara

AU - Nouini, Adraa

AU - Visée, Hélène

AU - Dan, Bernard

AU - Dachy, Bernard

PY - 2021/10

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N2 - We report a 50-year-old man with celiac disease who presented with occipital epilepsy. Brain MRI showed right occipital subcortical white matter hyperintensities, consistent with the posterior epileptic focus suggested by the clinical features of the seizures and documented on EEG. Shortly after the introduction of a gluten-free diet, the white matter abnormalities resolved. The patient went on to develop simultagnosia. Follow-up MRI showed right occipital lobe atrophy. This report emphasizes the importance of recognizing gluten-associated neurologic manifestations and usefulness of thegluten-free diet.

AB - We report a 50-year-old man with celiac disease who presented with occipital epilepsy. Brain MRI showed right occipital subcortical white matter hyperintensities, consistent with the posterior epileptic focus suggested by the clinical features of the seizures and documented on EEG. Shortly after the introduction of a gluten-free diet, the white matter abnormalities resolved. The patient went on to develop simultagnosia. Follow-up MRI showed right occipital lobe atrophy. This report emphasizes the importance of recognizing gluten-associated neurologic manifestations and usefulness of thegluten-free diet.

KW - Occipital Epilepsy

KW - Subcortical Atrophy

KW - Celiac Disease

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Occipital Epilepsy With Subcortical Atrophy in Celiac Disease: A Case Report

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