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Ergotism With Ischemia In All Four Extremities: A Case Report
Article de En | WPRIM | ID: wpr-224879
Bibliothèque responsable: WPRO
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.
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Texte intégral: 1 Indice: WPRIM Sujet Principal: Fumée / Artère brachiale / Nitroprussiate / Angiographie / Fumer / Ergotisme / Études de suivi / Membre supérieur / Ergotamine / Membres Type d'étude: Observational_studies / Prognostic_studies Limites du sujet: Humans langue: En Texte intégral: Journal of Clinical Neurology Année: 2006 Type: Article
Texte intégral: 1 Indice: WPRIM Sujet Principal: Fumée / Artère brachiale / Nitroprussiate / Angiographie / Fumer / Ergotisme / Études de suivi / Membre supérieur / Ergotamine / Membres Type d'étude: Observational_studies / Prognostic_studies Limites du sujet: Humans langue: En Texte intégral: Journal of Clinical Neurology Année: 2006 Type: Article