Ergotism with ischemia in all four extremities: a case report.
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.
Jeong
Seok-Young
SY
Department of Neurology, Chonbuk National University Medical School, Jeonju, South Korea.
Lim
Eui-Seong
ES
Shin
Byoung-Soo
BS
Seo
Man-Wook
MW
Kim
Young-Hyun
YH
Kwak
Hyo-Sung
HS
Chung
Gyung-Ho
GH
Jeong
Seul-Ki
SK
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