[Bilateral ischemic optic neuropathy secondary to acute ergotism].
We report a case of a 31 year-old man who presented a bilateral ischemic optic neuropathy associated with headaches and severe systemic hypertension. This episode appeared after administration of ergotamine tartrate and macrolides. This medication probably led to a vasospasm which occurs in patients with hypertension. The cardiovascular and serum lipid evaluations were normal. A migraine optic neuropathy can be evoked.
Service d'Ophtalmologie, Hôpital N.D. de Bonsecours, Metz.
S
S
Sommer
B
B
Delemazure
M
M
Wagner
L
L
Xenard
P
P
Rozot
D000328:Adult; D000900:Anti-Bacterial Agents / Q000009:adverse effects; D004087:Dihydroergotamine / Q000009:adverse effects; D004878:Ergotamine / Q000009:adverse effects; D004881:Ergotism / Q000150:complications*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D018942:Macrolides; D008297:Male; D008881:Migraine Disorders / Q000188:drug therapy; D018917:Optic Neuropathy, Ischemic / Q000139:chemically induced*; D014662:Vasoconstrictor Agents / Q000009:adverse effects; D014792:Visual Acuity / Q000187:drug effects
D000900:Anti-Bacterial Agents; D018942:Macrolides; D014662:Vasoconstrictor Agents; D004087:Dihydroergotamine; D004878:Ergotamine
Neuropathie optique ischémique bilatéral secondaire à un ergotisme aigu.