Ergotism With Ischemia In All Four Extremities: A Case Report

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 vasospas...

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Detalles Bibliográficos
Autores principales: Jeong, Seok-Young, Lim, Eui-Seong, Shin, Byoung-Soo, Seo, Man-Wook, Kim, Young-Hyun, Kwak, Hyo-Sung, Chung, Gyung-Ho, Jeong, Seul-Ki
Formato: Texto
Lenguaje:English
Publicado: Korean Neurological Association 2006
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2854981/
https://www.ncbi.nlm.nih.gov/pubmed/20396534
http://dx.doi.org/10.3988/jcn.2006.2.4.279
Descripción
Sumario: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.

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