Ischemic stroke is a recognised complication of Varicella-zoster virus (VZV) infections. We report on an otherwise healthy four-year-old boy who presented with acute neurological symptoms due to cerebral infarction eight months after primary VZV infection. Magnetic resonance imaging showed an infarct located to the left nucleus lentiformis. The patient was treated intravenously with aciclovir and steroid. With this case report we underline the importance of looking into the history of VZV infection when children present with prolonged neurological symptoms.