Case Report

Watershed infarction after honey intoxication

Volume: 5 Number: 11 November 1, 2021
EN

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.

Keywords

References

  1. 1. Schneider M. Durchblutung und sauerstoffversorgungdes gehirns. Verh Dtsch Tes Kreislaufforsch. 1953;19:3-12.
  2. 2. Torvik A. The pathogenesis of watershed infarcts in the brain. Stroke. 1984; 15(2):221-3.
  3. 3. Derdeyn CP, Khosla A, Videen TO, Fritsch SM, Carpenter DL, Grubb RL Jr, et al. Severe hemodynamic impairment and border zone--region infarction. Radiology. 2001;220(1):195-201.
  4. 4. Moriwaki H, Matsumoto M, Hashikawa K, Oku N, Ishida M, Seike Y, et al. Hemodynamic aspect of cerebral watershed infarction: assessment of perfusion reserve using iodine-123-iodoamphetamine SPECT. J Nucl Med. 1997;38(10):1556-62.
  5. 5. Yong SW, Bang OY, Lee PH, Li WY. Internal and cortical border-zone infarction: clinical and diffusion-weighted imaging features. Stroke. 2006;37(3):841-6.
  6. 6. Gunduz A, Turedi S, Uzun H, Topbas M. Mad honey poisoning. Am J Emerg Med. 2006;24(5):595-8.
  7. 7. Von Malottki K, Wiechmann HW. Acute life-threatening bradycardia: food poisoning by Turkish wild honey. Dtsch Med Wochenschr. 1996;121(30):936-8.
  8. 8. Ergun K, Tufekcioglu O, Aras D. A rare cause of atrioventricular block: mad honey intoxication. Int. J.Cardiol. 2005;99:347–348.

Details

Primary Language

English

Subjects

Emergency Medicine

Journal Section

Case Report

Publication Date

November 1, 2021

Submission Date

March 25, 2021

Acceptance Date

December 6, 2021

Published in Issue

Year 2021 Volume: 5 Number: 11

APA
Yazıcı, M. M., Yenikurtuluş, E., Akça, G., & Işık, İ. B. (2021). Watershed infarction after honey intoxication. Journal of Surgery and Medicine, 5(11), 1157-1158. https://doi.org/10.28982/josam.868911
AMA
1.Yazıcı MM, Yenikurtuluş E, Akça G, Işık İB. Watershed infarction after honey intoxication. J Surg Med. 2021;5(11):1157-1158. doi:10.28982/josam.868911
Chicago
Yazıcı, Murat Mümin, Esra Yenikurtuluş, Gökçen Akça, and İsmail Barkın Işık. 2021. “Watershed Infarction After Honey Intoxication”. Journal of Surgery and Medicine 5 (11): 1157-58. https://doi.org/10.28982/josam.868911.
EndNote
Yazıcı MM, Yenikurtuluş E, Akça G, Işık İB (November 1, 2021) Watershed infarction after honey intoxication. Journal of Surgery and Medicine 5 11 1157–1158.
IEEE
[1]M. M. Yazıcı, E. Yenikurtuluş, G. Akça, and İ. B. Işık, “Watershed infarction after honey intoxication”, J Surg Med, vol. 5, no. 11, pp. 1157–1158, Nov. 2021, doi: 10.28982/josam.868911.
ISNAD
Yazıcı, Murat Mümin - Yenikurtuluş, Esra - Akça, Gökçen - Işık, İsmail Barkın. “Watershed Infarction After Honey Intoxication”. Journal of Surgery and Medicine 5/11 (November 1, 2021): 1157-1158. https://doi.org/10.28982/josam.868911.
JAMA
1.Yazıcı MM, Yenikurtuluş E, Akça G, Işık İB. Watershed infarction after honey intoxication. J Surg Med. 2021;5:1157–1158.
MLA
Yazıcı, Murat Mümin, et al. “Watershed Infarction After Honey Intoxication”. Journal of Surgery and Medicine, vol. 5, no. 11, Nov. 2021, pp. 1157-8, doi:10.28982/josam.868911.
Vancouver
1.Murat Mümin Yazıcı, Esra Yenikurtuluş, Gökçen Akça, İsmail Barkın Işık. Watershed infarction after honey intoxication. J Surg Med. 2021 Nov. 1;5(11):1157-8. doi:10.28982/josam.868911