Ergotism With Ischemia In All Four Extremities: A Case Report
Journal of Clinical Neurology
;
: 279-282, 2006.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fumaça
/
Artéria Braquial
/
Nitroprussiato
/
Angiografia
/
Fumar
/
Ergotismo
/
Seguimentos
/
Extremidade Superior
/
Ergotamina
/
Extremidades
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Clinical Neurology
Ano de publicação:
2006
Tipo de documento:
Artigo
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