Презентация кейса дизартрии, возникшей у взрослой женщины, как следствие латентной целиакии в недавней периодике:
This case report features a case of idiopathic oromandibular
dystonia (OMD) that was unresponsive to traditional symptomatic
therapy. However, complete resolution of symptoms
was achieved following a diagnosis of celiac disease (CD)...
The symptomatic onset was mild, and dysphagia with food and beverage
was the primary presenting complaint. Subsequently, the symptoms
became exaggerated and affected the patient at rest. Although the patient’s
speech was comprehensible, a growing degree of dysarthria
was then manifested. The dystonia was limited to the jaw,
lips, and tongue but spared the neck, arms and the remainder of
the body.... The patient experienced sustained, involuntary writhing
jaw and tongue movements both at rest and during active movements.
Examination revealed slight dysarthria, both oro-lingually and labially.
Cognitive recall, language and cranial nerve examination remained
intact. Power was normal with no drift, as was tone and gait. The
deep tendon reflexes were normal, symmetrical and bilateral,
with flexor planter responses. She had no cerebellar morbidity.
Ten months later, the patient’s sister was diagnosed
with CD, which was managed by a GFD. This prompted
a gastroenterology referral for duodenal biopsies,
which showed subtotal villous atrophy, adiposities
on the epithelial surface and lymphocytic
and eosinophilic infiltrates in the lamina propria.
Anti-endomysial antibodies were detected at 8.7 U/
mL. A diagnosis of CD was firmly established, and
the patient began a GFD.
Six months later, there was a noticeable improvement
in the patient’s neurological symptoms... Within a
year, complete resolution of symptoms was observed
with compliance with a GFD, and the patient has remained
symptom free for three years
Isolated Neurological Manifestation in Silent Celiac Disease
[Ссылки доступны только зарегистрированным пользователям ]
|