CERVICAL ARTERY OCCLUSION IN AN ATHLETE WITH POLYCYTHEMIA VERA: A CASE REPORT AND IMPLICATIONS FOR SPORTS HEALTH MANAGEMENT

Abstract

Objective: This case report details an instance of internal carotid artery (ICA) occlusion triggered by polycythemia vera (PV) in a young athlete, highlighting the intersection of a myeloproliferative disorder and stroke risk in sports medicine. Methods: A 29-year-old male athlete with a history of PV presented with acute right limb weakness and aphasia lasting over nine hours. Diagnostic imaging, including craniocerebral MRA and a whole-brain angiogram, identified an occlusion in the left ICA. Interventional thrombectomy was performed using a direct aspiration first-pass technique. Results: Post-operative imaging confirmed the revascularization of affected arteries. Significant improvements were noted in the patient's neurological function as measured by the NIH stroke scale, Barthel index, and muscle strength, with continued recovery observed during follow-up. Dual antiplatelet therapy along with anticoagulation and hydroxyurea were initiated, resulting in sustained enhancement of clinical outcomes. Conclusion: The occurrence of ICA occlusion in an athlete with PV underscores the need for rigorous cardiovascular monitoring and management in individuals diagnosed with hematologic disorders, particularly those involved in high-intensity sports. This case serves as a critical reminder of the potential cerebrovascular risks associated with PV, advocating for preventive strategies and early intervention to mitigate stroke risk in athletes. This report contributes to the sparse literature on stroke in athletes with PV, suggesting avenues for further research and protocol development in sports health management.