title: [Bilateral vascular papillitis following ergotamin medication (author's transl)].
abstract: A 36-years aged woman suffering from migraine used Ergosanol special-suppositories. An edema of the retina with star figure appeared in both eyes with only a few months distance. After putting away that drug visual acuity restituted completely in spite of a partial neuritic atrophy of the optic nerve in the first suffering eye. If Ergotamin containing drugs are not used for too long time the condition usually is getting better within a few days. Thereby the diagnosis can be confirmed clinically. The same results could be expected if DHE leads to Ergotismus which is not yet confirmed. In literature central scotomas as well as annular scotomas are reported. In Ergotamin induced angioneuropathies there is a large difference in individual response. Our observation showed that drugs taken for years are no more felt as a pharmacon by a patient and therefore are not reported to the examinating physician.
mesh_terms: D000328:Adult; D002400:Cathartics / Q000009:adverse effects; D004878:Ergotamine / Q000009:adverse effects*; D005260:Female; D006801:Humans; D009896:Optic Atrophy / Q000139:chemically induced; D012173:Retinitis / Q000139:chemically induced*; D019966:Substance-Related Disorders; D013488:Suppositories
chemical_list: D002400:Cathartics; D013488:Suppositories; D004878:Ergotamine
vernacular_title: Beidseitige vaskuläre Papillitis nach Ergotamin-medikation.