Isolated cerebellar infarction as a presenting symptom of polycythemia vera.
Although polycythemia vera is one of the reported causes for cerebral infarction, isolated cerebellar infarction, a rare disorder, was never reported in combination with polycythemia vera. This is a report of a 72-year-old woman in whom isolated cerebellar infarction was the presenting manifestation of polycythemia vera. The patient was treated with recurrent phlebotomies until the hematocrit decreased to < 45%. This treatment was followed by marked neurological improvement. A better awareness of the possibility of cerebellar infarction in polycythemia vera may disclose additional cases.
Hilzenrat
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N
Department of Medicine B', Soroka Medical Center, Beer-Sheva, Israel.
Zilberman
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D
Sikuler
E
E
D000368:Aged; D002531:Cerebellum / Q000098:blood supply* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007238:Infarction / Q000097:blood / Q000175:diagnosis* / Q000209:etiology; D011087:Polycythemia Vera / Q000097:blood / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed