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Severe reversible arterial spasm with ergotamine
J A Paraskevopoulos1, D E Teasdale, R J Cuschieri
1Department of Surgery, Doncaster Royal Infirmary, Doncaster.
Summary
Excessive ergotamine tartrate caused severe arterial spasm and left foot ischemia. Treatment with heparin and chemical sympathectomy successfully resolved the condition.
Area of Science:
- Vascular Medicine
- Pharmacology
Background:
- Ergotamine tartrate is a medication used for migraines.
- Overuse can lead to serious vascular complications.
Observation:
- A patient presented with unilateral arterial spasm and severe left foot ischemia.
- Symptoms were linked to excessive ergotamine tartrate use.
Findings:
- Intravenous heparin infusion was initiated.
- Chemical sympathectomy was performed as a subsequent treatment.
Implications:
- This case highlights the risks of ergotamine tartrate overuse.
- Successful treatment demonstrates the efficacy of heparin and sympathectomy for ergotamine-induced ischemia.