Abstract
A case of polycythemia vera (PV) accompanied with cerebral hemorrhage is reported. A 66-year-old man with a previous history of hypertensive cerebral hemorrage in the left putamen 2 years ago was admitted with complaints of headache and left hemiparesis. The general examination revealed no other abnormalities but polycythemia. The CT scan revealed right thalamic hemorrhage and CT-guided stereotactic aspiration and drainage of hematoma was performed. Because polycythemia persisted scince admission, a further hematological examination was performed and revealed PV. At approximately 2 weeks after admission, gastro-intestinal bleeding was complicated, then polycythemia was improved. PV should be noticed as one of the causes of cerebral hemorrhage as well as ischemic deseases.
