J Korean Neurosurg Soc.  2015 Aug;58(2):137-140. 10.3340/jkns.2015.58.2.137.

Concurrent Ruptured Pseudoaneurysm of the Internal Carotid Artery and Cerebral Infarction as an Initial Manifestation of Polycythemia Vera

• Choi KS
• Kim JM
• Ryu JI
• Oh YH

• KMID: 2191322
• DOI: http://doi.org/10.3340/jkns.2015.58.2.137

Abstract

The most common neurologic manifestations of polycythemia vera (PV) are cerebral infarction and transient ischemic attacks, while cerebral hemorrhage or intracranial dissection has been rarely associated with PV. Here we report the first case of a 59-year-old patient with intracranial supraclinoid internal carotid artery (ICA) dissection causing cerebral infarction and concomitant subarachnoid hemorrhage due to pseudoaneurysm rupture as clinical onset of PV. This case report discusses the possible mechanism and treatment of this extremely rare condition.

Keyword

Polycythemia vera; Cerebral infarction; Pseudoaneurysm; Dissection; Acquired von Willebrand disease

MeSH Terms

Aneurysm, False*
Carotid Artery, Internal*
Cerebral Hemorrhage
Cerebral Infarction*
Humans
Ischemic Attack, Transient
Middle Aged
Neurologic Manifestations
Polycythemia Vera*
Polycythemia*
Rupture
Subarachnoid Hemorrhage