Concurrent Ruptured Pseudoaneurysm of the Internal Carotid Artery and Cerebral Infarction as an Initial Manifestation of Polycythemia Vera.
10.3340/jkns.2015.58.2.137
- Author:
Kyu Sun CHOI
1
;
Jae Min KIM
;
Je Il RYU
;
Young Ha OH
Author Information
1. Department of Neurosurgery, Hanyang University Guri Hospital, College of Medicine, Hanyang University, Guri, Korea. kjm2323@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Polycythemia vera;
Cerebral infarction;
Pseudoaneurysm;
Dissection;
Acquired von Willebrand disease
- MeSH:
Aneurysm, False*;
Carotid Artery, Internal*;
Cerebral Hemorrhage;
Cerebral Infarction*;
Humans;
Ischemic Attack, Transient;
Middle Aged;
Neurologic Manifestations;
Polycythemia Vera*;
Polycythemia*;
Rupture;
Subarachnoid Hemorrhage
- From:Journal of Korean Neurosurgical Society
2015;58(2):137-140
- CountryRepublic of Korea
- Language:English
-
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.