Polycythemia Vera (PV) patients are prone for vaso-occlusive events including cerebral ischemia. Although infrequent, Polycythemia Vera can present as a case of acute stroke for the first time. A 54 year old male presented to us with left sided hemiparesis and imaging revealed lacunar infarct in right middle cerebral artery (MCA) territory. Evaluation showed it as a case of Polcythemia Vera. The case is reported in view of rarity of stroke being the inaugural manifestation of Polycythemia Vera.

Key Words: Polycythemia Vera, Ischaemic stroke, Erythropoetin

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Dr Siba Prasad Dalai

PG Trainee, Department of Medicine, MKCG Medical College,

PG Hostel 2, Room No. 18, MKCG Medical College

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