• Vol. 43 No. 11, 561–563
  • 15 November 2014

Transient Ischaemic Attack as First Presentation of Polycythaemia Vera


Cerebrovascular disease (CVD) consists of an age-dependent spectrum of transient ischaemic attack (TIA), cerebral infarction and haemorrhage. It is the second leading cause of death globally, and fourth in Singapore, accounting for 10% to 12% of all deaths. TIA is defined by the American Heart Association and American Stroke Association as a transient episode of neurological dysfunction caused by focal brain, spinal cord, or retinal ischaemia, without acute infarction. We reported an interesting but rare case of TIA secondary to polycythaemia vera (PV). We also reviewed the literature and discuss management guidelines of PV in the emergency department (ED).

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