Introduction. - Celiac disease is a common condition with a prevalence of about 1%. Clinical extradigestive presentations are various and stroke can be one of the neurological manifestations. Exegesis. - Two cases of stroke occurring in young adults are described, leading to the diagnosis of celiac disease. Hyperhomocystememia or cerebral arterial vasculopathy in one case and antiphospholipid syndrome in the other case are thought to be involved in the pathogenesis of stroke during celiac disease. Conclusion. - The possible presence of celiac disease should be discussed in unexplained young adult stroke. (C) 2007 Elsevier Masson SAS. Tons droits reserves.
机构:
Duke Univ, Med Ctr, Dept Med Neurol, Duke Ctr Cerebrovasc Dis, Durham, NC 27710 USADuke Univ, Med Ctr, Dept Med Neurol, Duke Ctr Cerebrovasc Dis, Durham, NC 27710 USA
机构:
Columbia Univ, Coll Phys & Surg, Dept Neurol, New York, NY 10027 USAColumbia Univ, Coll Phys & Surg, Dept Neurol, New York, NY 10027 USA
Sultan, Sally
Elkind, Mitchell S. V.
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机构:
Columbia Univ, Coll Phys & Surg, Dept Neurol, New York, NY 10027 USA
Columbia Univ, Dept Epidemiol, Mailman Sch Publ Hlth, New York, NY USAColumbia Univ, Coll Phys & Surg, Dept Neurol, New York, NY 10027 USA