Hilzenrat N, Zilberman D, Sikuler E
Department of Medicine B', Soroka Medical Center, Beer-Sheva, Israel.
Acta Haematol. 1992;88(4):204-6. doi: 10.1159/000204688.
Although polycythemia vera is one of the reported causes for cerebral infarction, isolated cerebellar infarction, a rare disorder, was never reported in combination with polycythemia vera. This is a report of a 72-year-old woman in whom isolated cerebellar infarction was the presenting manifestation of polycythemia vera. The patient was treated with recurrent phlebotomies until the hematocrit decreased to < 45%. This treatment was followed by marked neurological improvement. A better awareness of the possibility of cerebellar infarction in polycythemia vera may disclose additional cases.
虽然真性红细胞增多症是已报道的脑梗死病因之一，但孤立性小脑梗死这种罕见病症从未被报道与真性红细胞增多症相关。本文报告了一名72岁女性，其孤立性小脑梗死是真性红细胞增多症的首发表现。该患者接受了反复放血治疗，直至血细胞比容降至<45%。治疗后神经功能有显著改善。对真性红细胞增多症患者发生小脑梗死可能性的更好认识可能会发现更多病例。
