Ergotism With Ischemia In All Four Extremities: A Case Report.
- Author:
Seok Young JEONG
1
;
Eui Seong LIM
;
Byoung Soo SHIN
;
Man Wook SEO
;
Young Hyun KIM
;
Hyo Sung KWAK
;
Gyung Ho CHUNG
;
Seul Ki JEONG
Author Information
- Publication Type:Case Report
- Keywords: Ergotism; Vasospasm; Angiography
- MeSH: Angiography; Brachial Artery; Ergotamine; Ergotism*; Extremities*; Follow-Up Studies; Humans; Ischemia*; Middle Aged; Migraine Disorders; Nitroprusside; Smoke; Smoking; Upper Extremity
- From:Journal of Clinical Neurology 2006;2(4):279-282
- CountryRepublic of Korea
- Language:English
- 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.
