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KMID : 1130620060020040279
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Journal of Clinical Neurology
2006 Volume.2 No. 4 p.279 ~ p.282
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Ergotism With Ischemia In All Four Extremities: A Case Report
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Jeong Seok-Young
Lim Eui-Seong
Shin Byoung-Soo
Seo Man-Wook
Kim Young-Hyun
Kwak Hyo-Sung
Chung Gyung-Ho
Jeong Seul-Ki
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Abstract
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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
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KEYWORD
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Ergotism, Vasospasm, Angiography
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