Watershed infarction after honey intoxication

Abstract

Watershed infarction indicates ischemic lesions at the junction of two central artery regions. These lesions are the cause of 10% of all brain infarctions. In watershed infarctions, disrupted hemodynamics constitute the pathophysiology. A specific type of honey in the Black Sea region of Turkey, "mad honey," contains grayanotoxin and may cause intoxication. We herein report a case with watershed infarction after honey intoxication. The patient presented with dizziness and paresthesia in the left arm after eating "mad honey." Imaging revealed carotid stenosis and watershed infarction.