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Anales de Medicina Interna
Print version ISSN 0212-7199
Abstract
BENITO CONEJERO, S.; DIAZ ESPEJO, C.; LOPEZ DOMINGUEZ, J. M. and PUJOL DE LA LLAVE, E.. Cerebral calcifications: a clue for a diagnostic process in a inespecific clinical case. An. Med. Interna (Madrid) [online]. 2006, vol.23, n.3, pp.127-129. ISSN 0212-7199.
Coeliac disease is a gluten sensitive enteropathy, autoimmune in origin, which has been traditionally regarded as a gastrointestinal disease. Years later it has been reported an extraintestinal affection. A huge number of neurological syndromes of unknown cause had been initially described in association with coeliac disease, with total or parcial response to a gluten free-diet. A specific kind of occipital cerebral calcifications in relation to coeliac disease has been also described, and sometimes it means the existence of a syndrom called "Gobby's Syndrom". We show a patient with a mild unknown coeliac disease, a woman who had occipital cerebral calcifications in a TAC cerebral, which was made because of her wild migraine and that it leaded the diagnosis. The migraine disappeared after a gluten free-diet, like similar cases reported by literature. The fact of existing neurological symtoms associated to coeliac diseases opens a therapeutc window of opportunity because they would repond to a gluten free-diet.
Keywords : Coeliac disease; Gluten; Gluten sensitive; Cerebral calcifications.