Ergot-induced vasospasm of the lower extremities treated with epidural anaesthesia.
No reliable treatment to reverse severe ergot-induced vasopasm is available. A case of ergotamine-induced vasospasm of the lower extremities is presented. A combined treatment of vasodilators, infusion of low molecular dextran and high epidural anaesthesia apparently prevented extremity gangrene from occurring.
D000328:Adult; D000767:Anesthesia, Epidural; D003911:Dextrans / Q000627:therapeutic use; D004878:Ergotamine / Q000009:adverse effects* / Q000627:therapeutic use; D005260:Female; D005263:Femoral Artery; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008881:Migraine Disorders / Q000188:drug therapy; D013035:Spasm / Q000139:chemically induced / Q000628:therapy*; D014652:Vascular Diseases / Q000139:chemically induced / Q000628:therapy*
D003911:Dextrans; D004878:Ergotamine