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Neurology 2001;56:385-388
© 2001 American Academy of Neurology
Brief Communications

Headache and CNS white matter abnormalities associated with gluten sensitivity

M. Hadjivassiliou, MD;, R.A. Grünewald, DPhil;, M. Lawden, MD;, G.A.B. Davies–Jones, MD;, T. Powell, FRCP; and C.M.L. Smith, FRCPath

From the Departments of Clinical Neurology (Drs. Hadjivassiliou, Grünewald, and Davies–Jones) and Neuroradiology and Neuropathology (Drs. Powell and Smith), The Royal Hallamshire Hospital, Sheffield; and Department of Clinical Neurology (Dr. Lawden), Leicester Royal Infirmary, Leicester, UK.

Address correspondence and reprint requests to Dr. M. Hadjivassiliou, Consultant Neurologist, Department of Clinical Neurology, The Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF UK; e-mail: m.hadjivassiliou{at}sheffield.ac.uk

The authors describe 10 patients with gluten sensitivity and abnormal MRI. All experienced episodic headache, six had unsteadiness, and four had gait ataxia. MRI abnormalities varied from confluent areas of high signal throughout the white matter to foci of high signal scattered in both hemispheres. Symptomatic response to gluten-free diet was seen in nine patients.




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