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A serial SPECT-CT study in a celiac disease patient with cerebellar ataxia and psychiatric symptoms

  • Celiac disease (CD) is an immune-mediated systemic disorder triggered by gluten and related prolamins in genetically predisposed individuals. Here, we described a case of a 31-year-old Caucasian woman who exhibited cerebellar and psychiatric dysfunctions. The patient underwent single-photon emission computed tomography (SPECT-CT) before and after a gluten-free diet (GFD). There was an improvement in cerebellar perfusion accompanied by a remission of cerebellar manifestations. The maintenance of the psychiatric manifestations was related to the persistence of the hypoperfusion in the frontal lobes. The patient's psychiatric symptoms did not change after 4 months under a GFD in the hospital. To our knowledge, this is the first case that shows the relationship between improvement in cerebellar perfusion and remission of cerebellar clinical manifestations in a CD patient under a GFD.

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Author: Juliana J. Schmidt, Guilherme J. Schmidt, Julio C. Tolentino, Eunice N. Simoes, Angela Obongo, Yolanda Tolentino, Francisco A. Coelho, Maria C. P. P. Landesmann, Lea M. B. Fonseca, Glenda C. B. Lacerda, Sergio L. Schmidt
URL:https://pubmed.ncbi.nlm.nih.gov/33230758/
DOI:https://doi.org/10.1007/s10072-020-04908-2
ISSN:1590-3478
Title of the source (English):Neurological sciences
Document Type:Scientific journal article peer-reviewed
Language:English
Year of publication:2021
Tag:Celiac disease; Cerebellar perfusion; Cerebellum; SPECT-CT
Volume/Year:42
First Page:1545
Last Page:1548
Faculty/Chair:Fakultät 4 Humanwissenschaften (bis 2023 Soziale Arbeit, Gesundheit und Musik) / FG Gesundheitswissenschaften
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