PMID: 16518262Mar 7, 2006Paper

Ataxia associated with gluten sensitivity, myth or reality?

Revue neurologique
M AnheimC Tranchant

Abstract

Gluten ataxia refers to the association of idiopathic ataxia despite exhaustive investigations with gluten sensitivity defined by anti-gliadin antibodies (AGA) presence in blood. This is a controversial concept. We screened 33 patients, who were hospitalized in 2003 and had subacute or chronic ataxia for presence of circulating AGA. Twelve patients were positive and their clinical and biological features were studied. Among the twelve patients, we concluded that gluten ataxia was present in only eight, including one case of celiac disease. Among these eight patients, five had the usual features of gluten ataxia (progressive cerebellar ataxia affecting mainly lower limbs), but one patient presented unusual left cerebellar hemisyndrome and the two others displayed polyneuropathy with proprioceptive ataxia. Cerebellar atrophy was confirmed with magnetic resonance imaging in five cases and association with other antibodies was found in six cases. Among the four other patients positive for AGA, investigations revealed one case of multiple sclerosis, one case of late-onset Friedreich ataxia, one case of basilar tuberculous meningitis and one case of type 2 diabetes. Screening for AGA presence should be systematically performed at pre...Continue Reading

Citations

Sep 18, 2009·Annals of the New York Academy of Sciences·Dana Ben-Ami ShorYehuda Shoenfeld
May 5, 2012·Movement Disorders : Official Journal of the Movement Disorder Society·José Fidel Baizabal-Carvallo, Joseph Jankovic
Feb 15, 2019·Nutrients·Elizabeth S MearnsMarios Hadjivassiliou
Jul 23, 2009·Neuropathology : Official Journal of the Japanese Society of Neuropathology·Michel MittelbronnKatrin Bürk
Dec 10, 2016·The Veterinary Record·Mike Davies
Apr 21, 2021·The Cerebellum·Marios Hadjivassiliou, R A Grϋnewald
Apr 21, 2021·The Cerebellum·Alex Tiburtino MeiraHélio A G Teive

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