Spontaneous carotid artery dissection in ergotamine abuse
Keywords:
Carotid artery dissection, Cerebrovascular disease, Cerebral infarction, Ergotamine, Migraine, StrokeAbstract
INTRODUCTION: Spontaneous dissection of internal carotid artery is a well–known cause of ischemic stroke in young people. The possible association between arterial dissection, migraine and ergotamine abuse is not clear.CASE REPORT: A young patient, with a previous history of migraine, but without other vascular risk factors, developed an acute ischemic stroke secondary to internal carotid artery dissection after the intake of a large dose of ergotamine to alleviate pain during migraine crisis.
CONCLUSIONS: Arterial dissection must be considered as a cause of stroke in migraine patients, especially if ergotamine abuse is documented.
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References
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