Epidural spinal cord stimulation in the treatment of limb threatening vasospasm — report of a case with a five-year follow-up

Lepäntalo, Mauri; Rosenberg, P. H.; Pohjola, Juha; Augustinsson, Lars-Erik; Holm, Jan

doi:10.1016/s1078-5884(96)80088-8

Cited by 5 publications

(2 citation statements)

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“…16 Other forms of therapy include hyperbaric oxygen, mechanical intraarterial vasodilatation, 37 and epidural spinal cord stimulation. 38 The patient described in this report had signs and symptoms of chronic ischemia of both lower extremities related to the use of ergotamine. Furthermore, the carotid duplex ultrasound on admission showed significant stenosis from vasospasm correlating the clinical findings of carotid bruits, which disappeared after therapy was initiated.…”

Section: Therapymentioning

confidence: 77%

St. Anthony's Fire (Ergotamine Induced Leg Ischemia)

Zavaleta¹,

Fernandez²,

Grove³

et al. 2001

Angiology

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Ergotism, once an epidemic disease, is now a rare disorder. The most common manifestation is acute peripheral ischemia due to vasospasm, with an incidence of 0.001%. We report a case of a middle-age woman who presented with ergotamine-induced leg ischemia, due to chronic use of ergotamine-containing medications for migraine headaches. The diagnosis was confirmed with arteriography results, and she responded well to vasodilator therapy. The pharmacology, clinical presentation, diagnostic approach, and therapy of ergotism are reviewed.

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