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Paroxysmal visual manifestations may represent epileptic seizures arising from the occipital lobe. In coeliac disease (CD) bilateral occipital calcifications and seizure semiology consistent with an occipital origin have been described, p rimarily in Mediterranean countries. By reporting three adult patients from an A ustralian outpatient clinic with visual disturbances, occipital cerebral calcifi cations, and CD, this study seeks to emphasise that CD should be considered even when patients of nonMediterranean origin present with these symptoms. Seizu re types included simple partial, complexpartial, and secondarily generalised seizures. The seizure semiology consisted of visual disturbances; such as: blurr ed vision, loss of focus, seeing coloured dots, and brief stereotyped complex vi sual hallucinations like seeing unfamiliar faces or scenes. Symptoms of malabsor ption were not always present. Neurological examination was unremarkable in two patients, impaired dexterity and mild hemiatrophy on the left was noted in one. Routine electroencephalography was unremarkable. In all cases, computed tomograp hy demonstrated bilateral cortical calcification of the occipitalparietal regi ons. Magnetic resonance imaging showed no additional lesion. All patients had bi opsy confirmed CD. Seizure control improved after treatment with gluten free die t and anticonvulsants. This report illustrates the association between seizures of occipital origin, cerebral calcifications, and CD even in patients not of Med iterranean origin.
Paroxysmal visual manifestations may represent epileptic seizures arising from the occipital lobe. In coeliac disease (CD) bilateral occipital calcifications and seizure semiology consistent with an occipital origin have been described, p rimarily in Mediterranean countries. By reporting three adult patients from an A ustralian outpatient clinic with visual disturbances, occipital cerebral calcifi cations, and CD, this study seeks to emphasize that CD should be considered even when patients of nonMediterranerane origin present with these symptoms. Seizu re types included simple partial, complexpartial, and secondarily generalized seizures. such as: blurr ed vision, loss of focus, seeing colored dots, and brief stereotyped complex vi sual hallucinations like seeing unfamiliar faces or scenes. Symptoms of malabsor ption were not always present. Neurological examination was unremarkable in two patients, impaired dexterity and Routine electroencephalography was unremarkable. All patients, computed tomograp hy verified bilateral cortical calcification of the occipital parietal regi ons. Magnetic resonance imaging showed no additional lesion. All patients had bi opsy confirmed CD. Seizure control improved after treatment with gluten free die t and anticonvulsants. This report illustrates the association between seizures of occipital origin, cerebral calcifications, and CD even in patients not of Med iterranean origin.