Ali KILIÇ, Özkan ÖZMUK, Mehlika Berra Özberk PAMUK, Hasan DOĞAN, Çetin Kürşad AKPINAR
Turkish Journal of Cerebrovascular Diseases - 2026;32(1):63-67
Background: Bee stings usually cause local reactions, whereas ischemic stroke is a rare complication. We report a case of large vessel occlusion due to internal carotid artery instent thrombosis shortly after a bee sting in the absence of anaphylaxis. Case Presentation: a 77-year-old man who had undergone left internal carotid artery stenting 15 days earlier developed sudden right hemiplegia and aphasia 30 minutes after a bee sting. Neurological examination revealed an NIHss score of 20. Imaging demonstrated occlusion of the left internal carotid artery stent and a large left hemispheric infarct. Mechanical thrombectomy was performed 300 minutes after symptom onset. Balloon angioplasty and repeat aspiration were required. The patient was discharged with a favorable functional outcome (mRs 2 at 3 months). Conclusion: acute ischemic stroke should be considered in patients presenting with neurological deficits after a bee sting. In those with recently implanted vascular stents, early stent thrombosis may represent the underlying mechanism.
