Polycythemia Vera with Advanced Atherosclerosis and cerebral ischemic stroke- A case Report

Abstract

35 year old male presented with posterior fossa stroke with polycythemia vera. His right  vertebral artery was occluded. There is significant stenosis of the left subclavian artery proximal to the left vertebral artery origin leading to posterior fossa ischemic lesions. The patient had bluish discoloration of the left hand fingers. Multiple phlebotomies were performed bring down the Packed cell volume in normal range. Patient started on cytoreductive drug ( Hydrooxyurea ). Left subclavian artery stenotic lesion needs to be followed up to decide either conservative management or stent angioplasty.