Suicidal hangings usually result in death. Sometimes the hanging attempts were finished incomplete namely near hanging. Dissection and occlusion in variable degree of internal carotid artery (ICA) result in neurologic complications due to cerebral hypoxia and anoxia in the near hanging. These are hemiplegia, paraplegia, quadriplegia, choreic movements, Korsahoff syndrome, retrograde amnesia, epilepsy. This case report describes a cerebral infarction due to the left ICA occlusion by atherosclerotic thrombosis in a patient with near hanging.