Diffuse Vasospasm of All Four Extremities Resulting to Acute Arm and Legs' Ischaemia Due to Cafergot Abuse

AbstractErgotism is a rare cause of vasospasm which occurs in 0.001–0.002% of patients receiving ergot derivatives primarily for treatment of migraine [Dagher FJ, Sidawy AN. Ergotism, current treatment in vascular surgery. 4th ed. Ernst-Stanley. p. 154–157]. Vasospasm though diffuse affects usually the lower limbs.We present the case of a 38 year old woman with truly diffuse vasospasm, due to Cafergot suppositories abuse, of all four extremities causing severe ischaemia to her left arm and bilateral intermittent calf claudication.The patient was treated successfully and recovered from vasospasm 72h later