Science

M. Hadjivassiliou, MD; R.A. Grünewald, DPhil; M. Lawden, MD; G.A.B. Davies–Jones, MD; T. Powell, FRCP; and C.M.L. Smith, FRCPath

The authors describe 10 patients with gluten sensitivity and abnormal MRI. All experienced episodic headache, six had unsteadiness, and four had gait ataxia. MRI abnormalities varied from confluent areas of high signal throughout the white matter to foci of high signal scattered in both hemispheres. Symptomatic response to gluten-free diet was seen in nine patients.