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Myoclonus Associated with Celiac Disease Responsive to Anti-Epileptics and a Gluten-Free Diet
Youstina Hanna1,2, Parul Tandon2,3, Zane Gallinger2,3
1Department of General Internal Medicine, University of Toronto, Toronto, Ontario, Canada.
Abstract:
We report on the case of a 61-year-old male who initially presented with a progressive myoclonus and an intention tremor and was subsequently diagnosed with celiac disease. His neurological symptoms improved with anti-epileptic therapy and a gluten-free diet. Possible explanations include a milder disease phenotype or an epileptic component to his myoclonic movement disorder. This case highlights findings of a progressive myoclonic movement disorder, likely linked to celiac disease, and stresses the importance of a gluten-free diet in the management of the neurological manifestations of celiac disease.
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