Polycythemia Vera initially presenting with Acute Ischemic Stroke: A Case Report

Authors

  • Aftab Haleem Assistant Professor, Department of Neurology, US-Bangla Medical College
  • Mohammad Shahidul Islam Registrar, Department of Medicine, Anwer Khan Modern Medical College
  • Shaheen Wadud Assistant Professor, Dept. of Neuro medicine, Dhaka National Medical College
  • Torikul Islam Registrar, Department of Neuro medicine, Dhaka National Medical College
  • Liton Chandra Ghosh Assistant Professor, Department of Nephrology, Dhaka National Medical College
  • Kazi Shamim Ahamed Assistant Professor, Department of Medicine, Dhaka National Medical College, Correspondence: Dr. Aftab Haleem, Assistant Professor, Dept. of Neurology, US-Bangla Medical College

DOI:

https://doi.org/10.3329/jdnmch.v24i1.80060

Keywords:

Polycythemia Vera; Acute Ischemic Stroke

Abstract

Polycythaemia Vera (PV) is an uncommon recognized cause of ischemic stroke. In the majority of cases of PV, thrombosis in cerebral artery is the main reason for ischemic stroke and if not treated, there is chance of recurrent stroke. Here, we present a case of PV who presented with acute ischemic stroke. Investigation revealed Hb% 19.4 gm/dl, hypercellular marrow without any evidence of malignancy in bone marrow and positive JAK2 mutation. We treated this case by hemodilution with venesection and later by cytoreductive drugs. The patient responded well. Early and effective treatment of PV can prevent the recurrence of stroke and other thromboembolic complications as well as increases the chance of survival.

J. Dhaka National Med. Coll. Hos. 2018; 24 (01): 48-51

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Published

2018-03-30

How to Cite

Haleem, A., Islam, M. S., Wadud, S., Islam, T., Ghosh, L. C., & Ahamed, K. S. (2018). Polycythemia Vera initially presenting with Acute Ischemic Stroke: A Case Report. Journal of Dhaka National Medical College & Hospital, 24(1), 48–51. https://doi.org/10.3329/jdnmch.v24i1.80060

Issue

Section

Case Reports