Spastic paraparesis revealing celiac disease

Celiac disease (CD) is a chronic immune-mediated enteropathy triggered by the ingestion of gluten in gene- tically susceptible individuals. Neurological symptoms in CD patients remain rare occurring approximately in 6 to 10% of cases (1). They may precede the diagnosis or occur during the course of the disease. They must be sought systematically, given the therapeutic and prognostic implications. Spastic paraparesis is rarely reported during CD. We report the case of a 16-year-old girl issued from a non consanguineous marriage with no particular medical history, with a good psychomotor development. She developed, since the age of 3 years, progressive gait disorders causing frequent falls. Neurological examination disclosed spastic paraparesis .Sensation and coordination were normal. General physical examination showed staturo-ponderal delay and mucocutaneous pallor.