%0 Journal Article
%T Recurrent Ischemic Stroke Revealing Polycythemia Vera
%A Ndiaga Matar Gaye
%A Moussa Toudou-Daouda
%A Nicolas Chausson
%A Djibril Soumah
%A Nana Rahamatou Tassiou
%A Didier Smadja
%J Neuroscience & Medicine
%P 49-52
%@ 2158-2947
%D 2022
%I Scientific Research Publishing
%R 10.4236/nm.2022.131004
%X <strong>Background:</strong> Polycythemia vera is a possible cause of recurrent ischemic stroke which can be prevented. <strong>Aim:</strong> Describe a junctional ischemic stroke without large arterial trunks stenosis associated with an acute coronary syndrome. <strong>Case Presentation:</strong> A 66-years-old man was admitted for abrupt recurrent right hemiparesis related to bilateral and junctional ischemic stroke lesions. He had a medical history of a vertebrobasilar ischemic stroke concurrent with an acute coronary syndrome with normal coronary arteries. Transthoracic echocardiogram showed small apical akinesia. Hemoglobin level was 18.9 g/dl with a hematocrit of 57.6%. The endogenous erythropoietin was 1.3 mIU/ml with JAK2 V617F mutation positivity (37%). After eight months of treatment (hydroxycarbamide + aspirin + allopurinol) hemoglobin was 12.5 g/dL. <strong>Conclusion:</strong> This case illustrates the most suggestive features of PV particularly the ischemic stroke junctional topography.
%K Ischemic Stroke
%K Acute Coronary Syndrome
%K Recurrence
%K Polycythemia Vera
%K Antiplatelet Therapy
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=115809