CEREBRAL INVOLVEMENT IN CELIAC-DISEASE - A SERIAL MRI STUDY IN A PATIENT WITH BRAIN-STEM AND CEREBELLAR SYMPTOMS

A patient with celiac disease and relapsing-progressive symptoms sugge sting brainstem and cerebellar involvement underwent serial MRIs. The first examination revealed multiple enhancing and nonenhancing lesions . Thereafter, a large enhancing cerebellar lesion appeared, followed b y severe cerebellar atrophy. The presence of structural neuronal damag e was confirmed by proton MR spectroscopy and magnetization transfer i maging. MRI results and CSF findings suggested that neurologic complic ations were more likely due to an inflammatory process.