Abstract

Acute Myeloid leukemia usually presents with complaints like fatigue, lethargy, weight loss, dyspnea, bleeding manifestations, bone pain, infections etc. Neurological manifestations as initial presentation is rare in acute leukemia. Among neurological manifestations, Ischemic strokes are even more rare in acute leukemia. Herein we report a rare case of an eighteen year old female with no previous illness who presented with left middle cerebral artery infarct as the initial presentation of acute Myeloidleukemia. Our case points to the importance of investigating for hematological malignancy in a patient presenting as young stroke in the absence of other causes.