Presentation
Orofacial myoclonus, imbalance, progressive confusion
Patient Data
Age: 50 years
Gender: Male
From the case:
Neurological manifestation of celiac disease
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Multiple white matter lesions (T2 bright, mild enhancement, minor diffusion restriction) - gyrus rectus, periventricular, subcortical white matter
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Prominent cerebellar and cerebral sulci inferring volume loss. Progression of existing white matter lesions. New white matter lesions: floor of third ventricle, left middle cerebellar peduncle. Minor enhancement of corpus striatum.
Case Discussion
The patient unfortunately died shortly after second MRI.
Histopathology demonstrated findings consistent with celiac disease changes in the brain.
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