Cervical gunshot wounds are traumatic events with vascu-lar and neurological sequelae. These complications typical-ly arise within days to weeks of the initial trauma. There are few known case reports of vascular complications occur-ring decades after initial injury. Here we present the case of a patient with ischemic stroke in the middle cerebral artery (MCA) distribution secondary to complete occlusion of the left common carotid from a penetrating gunshot wound 15 years prior to presentation.



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