Postgrad Med J 67:1023-1024 doi:10.1136/pgmj.67.793.1023
  • Research Article

Coeliac disease presenting with cerebellar degeneration.

  1. R. A. Hermaszewski,
  2. S. Rigby,
  3. A. G. Dalgleish
  1. Northwick Park Hospital and Clinical Research Centre, Harrow, UK.


      A case of rapidly progressive cerebellar degeneration with bilateral sixth nerve palsies is described in whom investigation revealed the presence of unsuspected coeliac disease. In spite of treatment with a gluten free diet, rapid fatal deterioration occurred. Coeliac disease should be considered in patients with encephalopathy of obscure origin.