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- W2072573399 abstract "To the Editor: We read with great interest the recent study reported by Cakir et al (1) on the relationship between celiac disease (CD) and neurological disorders in pediatric patients. At present, the etiology and pathogenesis of these disorders is uncertain. Our group reported a case of brain perfusion abnormalities, assessed by single photon emission computed tomography (SPECT) examination, in a 33-year-old CD patient with schizophrenia; regression of both cerebral hypoperfusion and schizophrenic symptoms was observed after 6 months of a gluten-free diet (GFD) (2). On the basis of this case we performed a SPECT study evaluating regional cerebral perfusion in untreated adult patients with CD (age 37 ± 9 years), comparing them with patients with CD on GFD and with healthy controls (3). The study showed the presence of regional cerebral hypoperfusion in 73% of the untreated patients with CD, compared with only 7% of patients with CD on GFD and none of the controls. An overall multivariate test showed a significant difference in cerebral perfusion among the 3 groups of subjects (P = 0.01). Considering each single region, a significant lower cerebral perfusion was found in untreated patients with CD compared to controls in 7 of the 26 cerebral regions evaluated. Perfusion defects were predominant in the superior and anterior areas of the frontal cortex with the involvement of the adjacent anterior cingulated cortex. Similar cerebral blood flow changes have been reported in patients with different neurological and psychiatric disorders (4,5). In accordance with the authors, we suggest early investigation of the presence of neurological abnormalities in patients with CD." @default.
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- W2072573399 date "2008-04-01" @default.
- W2072573399 modified "2023-09-30" @default.
- W2072573399 title "Subclinical Neurological Abnormalities in Patients With Celiac Disease: Are They Associated by Brain Hypoperfusion?" @default.
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- W2072573399 doi "https://doi.org/10.1097/mpg.0b013e31815eeafa" @default.
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