Gluten-Associated Neurological Disorders: A Cases Series

Introduction: Gluten-associated disorders, including celiac disease (CeD) and non-celiac gluten sensitivity (NCGS), can present with various extraintestinal neurologic manifestations, including sensory neuropathy, ataxia, headaches, and seizures. Case Presentations: In this case series, w...

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Main Authors: Vismaya S. Bachu, Farinaz Ghodrati, Brent L. Fogel, Guy A. Weiss
Format: Article
Language:English
Published: Karger Publishers 2025-05-01
Series:Case Reports in Gastroenterology
Online Access:https://karger.com/article/doi/10.1159/000544765
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author Vismaya S. Bachu
Farinaz Ghodrati
Brent L. Fogel
Guy A. Weiss
author_facet Vismaya S. Bachu
Farinaz Ghodrati
Brent L. Fogel
Guy A. Weiss
author_sort Vismaya S. Bachu
collection DOAJ
description Introduction: Gluten-associated disorders, including celiac disease (CeD) and non-celiac gluten sensitivity (NCGS), can present with various extraintestinal neurologic manifestations, including sensory neuropathy, ataxia, headaches, and seizures. Case Presentations: In this case series, we present 3 interesting patients with gluten-associated neurological disorders (GAND) across a spectrum of gluten-associated disorders severity, from gluten sensitivity, to CeD, to refractory CeD, illustrating variable presentations and treatment approaches for this underdiagnosed population. Conclusion: For many patients with neurological presentations who initially lack gastrointestinal symptoms, diagnosis remains challenging. Once diagnosed, while a gluten-free diet has been the mainstay of treating GAND for many years, this approach may only prevent progression of disease without reversal of symptoms. Further studies are needed to help guide the development and standardization of treatments for this patient population.
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institution OA Journals
issn 1662-0631
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publisher Karger Publishers
record_format Article
series Case Reports in Gastroenterology
spelling doaj-art-4055fc09e93041c6a772bdaba8f0e2942025-08-20T02:03:20ZengKarger PublishersCase Reports in Gastroenterology1662-06312025-05-0119138739110.1159/000544765Gluten-Associated Neurological Disorders: A Cases SeriesVismaya S. BachuFarinaz GhodratiBrent L. FogelGuy A. Weiss Introduction: Gluten-associated disorders, including celiac disease (CeD) and non-celiac gluten sensitivity (NCGS), can present with various extraintestinal neurologic manifestations, including sensory neuropathy, ataxia, headaches, and seizures. Case Presentations: In this case series, we present 3 interesting patients with gluten-associated neurological disorders (GAND) across a spectrum of gluten-associated disorders severity, from gluten sensitivity, to CeD, to refractory CeD, illustrating variable presentations and treatment approaches for this underdiagnosed population. Conclusion: For many patients with neurological presentations who initially lack gastrointestinal symptoms, diagnosis remains challenging. Once diagnosed, while a gluten-free diet has been the mainstay of treating GAND for many years, this approach may only prevent progression of disease without reversal of symptoms. Further studies are needed to help guide the development and standardization of treatments for this patient population. https://karger.com/article/doi/10.1159/000544765
spellingShingle Vismaya S. Bachu
Farinaz Ghodrati
Brent L. Fogel
Guy A. Weiss
Gluten-Associated Neurological Disorders: A Cases Series
Case Reports in Gastroenterology
title Gluten-Associated Neurological Disorders: A Cases Series
title_full Gluten-Associated Neurological Disorders: A Cases Series
title_fullStr Gluten-Associated Neurological Disorders: A Cases Series
title_full_unstemmed Gluten-Associated Neurological Disorders: A Cases Series
title_short Gluten-Associated Neurological Disorders: A Cases Series
title_sort gluten associated neurological disorders a cases series
url https://karger.com/article/doi/10.1159/000544765
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AT farinazghodrati glutenassociatedneurologicaldisordersacasesseries
AT brentlfogel glutenassociatedneurologicaldisordersacasesseries
AT guyaweiss glutenassociatedneurologicaldisordersacasesseries