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Decreased visual acuity secondary to celiac disease.

Cranial computed tomography showing posterior cortical-subcortical calcifications in the occipital and occipitoparietal regions The male patient was a 24-year-old student who was a native of São Paulo (SP). The onset of left hemibody numbness associated with decreased strength and difficulty speaking was 15 days ago. It progressed with decreased bilateral visual acuity. After 90 minutes, the patient presented with photophobia and severe holocranial headaches, which were unresponsive to common analgesics. The headaches improved after analgesic medication, but the visual change persisted. For his past medical history, the patient has had recurrent episodes of " sparkles " in his vision that progressed to headaches since he was 12 years of age. He was evaluated by a neurologist at that time and showed changes in the central nervous system, but no specific diagnosis was indicated. The patient reported the occurrence of four additional episodes over the past year that were similar to the current episode, although the intensity of the headaches was lower. In his family history, there have been cases of migraine headaches. Since the last episode, the patient has been taking valproic acid and dexamethasone. An ophthalmologic examination showed a best-corrected