�oklu k�r�kl� bir olguda ergotamin kullan�m�na ba�l� arteriyel vazospazm

K���kalp, Abdullah; Durak, Kemal; Bilgen, Muhammet Sad�k

Cilt : 30 Say� : 12 Y�l : 2024

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�oklu k�r�kl� bir olguda ergotamin kullan�m�na ba�l� arteriyel vazospazm [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2013; 19(5): 475-479 | DOI: 10.5505/tjtes.2013.63626

�oklu k�r�kl� bir olguda ergotamin kullan�m�na ba�l� arteriyel vazospazm

Abdullah K��kalp¹, Kemal Durak², Muhammet Sad�k Bilgen²
¹Su�ehri Devlet Hastanesi Ortopedi Ve Travmatoloji B�l�m�, Sivas, T�rkiye
²Uluda� �niversitesi T�p Fak�ltesi Ortopedi Ve Travmatoloji Anabilim Dal�, Bursa, T�rkiye

Ergotamin kullan�m�na ba�l� geli�en vazospazm nadir g�r�len ve iyi bilinen bir komplikasyondur. Bu yaz�da �oklu k�r�� olan ve travma sonras� 10. g�nde g�r�len ve ayn� taraf alt ekstremitede t�m arterlerin etkilendi�i arteriyospazm olgusu sunuldu. Bu olguda travma sonras� anjiyospazm ile kar��abilecek olan ergotamin ba��ml�l�� ve a��r� doz egotamin kullan�m� sonucu ortaya ��kan arteriyospazm; epidural kateter arac�l�� ile marcain inf�zyonu, intraven�z yolla heparin, iliomedin ve nitronal inf�zyonu ile tedavi edildi. T�m arteryel vazospazm saptanan travma olgular�nda bu klinik durum ak�lda tutulmal� ve hastadan anamnez al�n�rken ergotamin kullan�m� mutlaka sorgulanmal�d�r.

Anahtar Kelimeler: Ergotamin ba��ml�l��, migren, �oklu k�r�k, vazospazm.

A case report of multiple fractures with arterial vasospasm associated with ergotamine use

Abdullah K��kalp¹, Kemal Durak², Muhammet Sad�k Bilgen²
¹Department Of Orthopaedics And Traumatology, Susehri State Hospital, Sivas, Turkey
²Department Of Orthopaedics And Traumatology, Uludag University Medical Faculty, Bursa, Turkey

Vasospasm 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 post-trauma. 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.

Keywords: Ergotamine addiction, migraine, multiple fractures, vasospasm.

Sorumlu Yazar: Abdullah K��kalp, T�rkiye
Makale Dili: �ngilizce

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