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