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. We describe the case of an HIV positive 49 yo man under protease inhibitors (ritonavir) pre-senting with total reversible left hemiparesis after the intake of 3 g of ergotamine. After 20 minutes he was spontaneous-ly asymptomatic. TIA was diagnosed. Parenchymal MRI was normal, cervical doppler ultrasound showed symmetric nar-rowing in both internal carotid arteries, causes of cardiac em -bolism were properly excluded. Angio Magnetic Resonance Imaging (Figures 1 and 2) was performed in acute stage and evolution, as well as cerebral angiography, leading to the di-agnosis of cerebral ergotism. Between both MRI showed, only aspirin 325 mg and bed rest was indicated.

Transient ischemic attack caused by cerebral ergotism