PT  - JOURNAL ARTICLE
AU  - P. F. Chinnery
AU  - P. J. Reading
AU  - D. Milne
AU  - D. Gardner-Medwin
AU  - D. M. Turnbull
TI  - CSF antigliadin antibodies and the Ramsay Hunt syndrome
AID  - 10.1212/WNL.49.4.1131
DP  - 1997 Oct 01
TA  - Neurology
PG  - 1131--1133
VI  - 49
IP  - 4
4099  - http://n.neurology.org/content/49/4/1131.short
4100  - http://n.neurology.org/content/49/4/1131.full
SO  - Neurology1997 Oct 01; 49
AB  - Although the association between celiac disease and progressive myoclonic ataxia is well recognized, in each of the reported cases the neurologic features began in middle adult life and usually in patients who had clinical or laboratory evidence of malabsorption. We report a case of progressive myoclonic ataxia and epilepsy (Ramsay Hunt syndrome) that began in childhood. In this patient there were no features suggestive of gluten intolerance. The presence of antigliadin antibodies in the serum and CSF suggested celiac disease was the cause of the patient's neurologic syndrome. Duodenal morphologic abnormalities reversed with treatment but no major changes were noted in the patient. Celiac disease should be considered in the differential diagnosis of myoclonic ataxia at any age, even in the absence of clinical evidence of gluten-sensitive enteropathy.