• Users Online: 114
  • Print this page
  • Email this page
Year : 2021  |  Volume : 17  |  Issue : 1  |  Page : 21-24

Cerebral venous sinus thrombosis as an uncommon presentation of polycythemia vera

1 Department of General Medicine, Command Hospital (Western Command), Panchkula, Haryana, India
2 Department of Radiology, Command Hospital (Western Command), Panchkula, Haryana, India

Correspondence Address:
Dr. Rajeev Saxena
Command Hospital (Western Command), Panchkula, Haryana
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/amjm.amjm_75_20

Rights and Permissions

Cerebral venous sinus thrombosis (CVST) accounts for <1% of all cerebrovascular accidents which were attributed to increased viscosity of blood and activation of platelet in blood vessels. Polycythemia vera (PV) increases the risk of vaso-occlusive events including CVST which may be initial unusual presentation of disease. We present a 28-year-old male patient with headache associated with nausea, vomiting, and blurring of vision. Initial clinical examination was unremarkable, and blood investigations revealed erythrocytosis and neutrophilic leukocytosis with prominent granules. Brain imaging studies were consistent of cerebral venous thrombosis with hemorrhagic transformation and perilesional edema with midline shift. He was managed by decompressive hemicraniectomy, low molecular weight heparin, central nervous system decongestants, antiepileptics, and supportive care with close monitoring. PV is a hypercoagulable state which may precipitate vascular thrombosis. CVST is rare presentation of PV. Early screening for occult prothrombotic entities with prompt management increases the patient outcome and prognosis.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded60    
    Comments [Add]    

Recommend this journal