Ergotism With Ischemia In All Four Extremities: A Case Report
Journal of Clinical Neurology
;
: 279-282, 2006.
Article
in English
| WPRIM
| ID: wpr-224879
ABSTRACT
Here we describe a case of ergotism that presented with ischemia in all four extremities. A 48-year-old man was admitted for pain and weakness in both upper extremities. He had a long history of migraine and had taken 3 mg of ergotamine daily for more than 21 years. Angiography demonstrated vasospasm involving all four extremities, which resolved partially following intra-arterial prostaglandin infusion. Intravenous nitroprusside was administered, and the patient stopped smoking and stopped taking ergotamine in an attempt to counteract the vasospasm. Follow-up computed tomography angiogram revealed that both brachial arteries had normalized. Thus, in this case of ergotism, severe vasospasm in all of the extremities was resolved with appropriate management.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Smoke
/
Brachial Artery
/
Nitroprusside
/
Angiography
/
Smoking
/
Ergotism
/
Follow-Up Studies
/
Upper Extremity
/
Ergotamine
/
Extremities
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Journal of Clinical Neurology
Year:
2006
Type:
Article
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