Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 52 12 2014 12 15 947 949 EN Mahmoud Abedini Department of Neurology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. Farzad Fatehi Department of Neurology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Nasim Tabrizi Department of Neurology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. 2015 10 11 Aluminum phosphide (AlP) is a solid fumigant which is widely used for a suicide attempt in Iran. Although neurologic symptoms are commonly reported, cerebrovascular stenosis is rare in AlP poisoning. We described ischemic stroke as a delayed complication of AlP intoxication. A 30-year-old man was admitted because of sudden onset left side hemiplegia, 11 days after intentional ingestion of three rice tablets. Investigations revealed in situ thrombosis in right middle cerebral artery (MCA) while other causes of stroke in young adults were excluded. Ischemic stroke should be considered as a delayed complication of AlP intoxication even after the acute phase of intoxication. https://acta.tums.ac.ir/index.php/acta/article/view/4500 https://acta.tums.ac.ir/index.php/acta/article/download/4500/4681