Acute Management of Stroke in Patients with Polycythemia Vera

Polycythemia vera is a rare, BCR-ABL negative, myeloproliferative neoplasm predominantly characterized by increased erythrocytesand elevated hematocrit. Although predominantly asymptomatic, potential symptoms may include headache, dizziness, and clau-dication as a result of a hyper viscous and hypercoagulable state. Despite the well-known risk between PV and thrombotic events,research describing this relationship and its treatment remains underreported. In this paper, we describe a PV patient with an acutepresentation of cerebral ischemic stroke treated with phlebotomy and normal saline intravenous administration.