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