Küçükalp, Abdullah2023-06-212023-06-212013-09Küçükalp, A. vd. (2013). “A case report of multiple fractures with arterial vasospasm associated with ergotamine use”. Ulusal Travma ve Acil Cerrahi Dergisi-Turkish Journal of Trauma and Emergency Surgery, 19(5), 475-479.1306-696Xhttps://doi.org/10.5505/tjtes.2013.63626http://jag.journalagent.com/travma/pdfs/UTD-63626-CASE_REPORTS-KUCUKALP.pdfhttp://hdl.handle.net/11452/33100Vasospasm that develops in association with ergotamine use is a rarely seen but well-understood complication.A case is presented here of multiple fractures in which arteriospasm affecting all the arteries of the lower limb on the same side occurred 10 days posttrauma. In this case, the arteriospasm resulting from ergotamine addiction and high doses of ergotamine, which may be confused with post-traumatic angiospasm, was treated with a marcaine infusion by epidural catheter and heparin, iliomedin and nitronal infusion intravenously.This clinical condition should be borne in mind for all trauma cases determined to have arterial vasospasm, and the use of ergotamine must be queried when taking the anamnesis from the patient.Ergotamin kullanımına bağlı gelişen vazospazm nadir görülen ve iyi bilinen bir komplikasyondur. Bu yazıda çoklu kırığı olan ve travma sonrası 10. günde görülen ve aynı taraf alt ekstremitede tüm arterlerin etkilendiği arteriyospazm olgusu sunuldu. Bu olguda travma sonrası anjiyospazm ile karışabilecek olan ergotamin bağımlılığı ve aşırı doz egotamin kullanımı sonucu ortaya çıkan arteriyospazm; epidural kateter aracılığı ile marcain infüzyonu, intravenöz yolla heparin, iliomedin ve nitronal infüzyonu ile tedavi edildi. Tüm arteryel vazospazm saptanan travma olgularında bu klinik durum akılda tutulmalı ve hastadan anamnez alınırken ergotamin kullanımı mutlaka sorgulanmalıdır.eninfo:eu-repo/semantics/openAccessEmergency medicineErgotamine addictionMigraineMultiple fracturesVasospasmProximal tibia fracturesUpper extremity ischemiaTartrateErgotamin bağımlılığıMigrenÇoklu kırıkVazospazmDiagnosis, differentialErgotamineFractures, multipleHumansLegLeg injuriesMaleMiddle agedMigraine disordersVascular diseasesVasoconstrictionVasoconstrictor agentsArticle0003264218000162-s2.0-8488416116347547919524214792Emergency medicineErgotism; Ergot Alkaloids; Ergotamine TartrateBupivacaineEnoxaparinErgotamineGlyceryl trinitrateHeparinIloprostErgotamineVasoconstrictor agentAdultAnamnesisAngiographyArtery blood flowArtery spasmArticleBone radiographyCase reportComputer assisted tomographyDoppler echographyDrug megadoseDrug withdrawalEpidural catheterFractureFracture fixationFracture reductionHumanIntensive care unitMaleNeurologic examinationPhysical examinationSkeleton tractionWound careChemically inducedComplicationDifferential diagnosisLegLeg injuryMiddle agedMigraine disordersMultiple fracturePathologyRadiographyVascular diseasesVascularizationVasoconstriction