Internal carotid artery vasospasm from ergotism: A case report

Authors

  • Jedsada Khieukhajee Prasat Neurological Institute

Keywords:

ergotamine, ergotism, internal carotid artery, migraine headache, vasospasm

Abstract

A 22-year-old Thai woman presented with right hemiparesis and global aphasia about 9 hours prior to hospital. She had underlying migraine headache with frequently used ergotamine-caffeine. The magnetic resonance imaging (MRI) brain, diffusion weighted imaging (DWI) sequence showed small infarction at left superior and left inferior frontal gyri, left periventricular and left basal ganglia with magnetic resonance angiography (MRA) brain showed absent blood flow at left cervical internal carotid artery (ICA) to left middle
cerebral artery (MCA). Then, she was sent to treat with endovascular therapy. The cerebral angiogram revealed occlusion at left supraclinoid ICA, then it immediately and spontaneously recanalized. The severe vasospasm at left supraclinoid ICA to left MCA was possible. So, the nimodipine intra-arterial infusion was done and the vasospasm of vessels were significantly improved. After vessels were recanalized, her clinical condition was significantly improved. The ICA vasospasm in this case was caused by drug or associated with migraine and is a rare cause of stroke. We report an interesting case of ICA vasospasm from ergotamine
drug use.

References

1. Huisa BN, Roy G. Spontaneous cervical internal carotid artery vasospasm. Neurol Clin Pract 2014; 4(5): 461-4.
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4. Lindboe CF, Dahl T, Rostad B. Fatal stroke in migraine: a case report with autopsy findings. Cephalalgia 1989; 9(4): 277-80.

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Published

2020-04-25

How to Cite

1.
Khieukhajee J. Internal carotid artery vasospasm from ergotism: A case report. J Thai Stroke Soc [Internet]. 2020 Apr. 25 [cited 2024 Jun. 22];19(1):43. Available from: https://he01.tci-thaijo.org/index.php/jtss/article/view/207262

Issue

Section

Case Report