GATA Haydarpaşa Eğitim Hastanesi Nöroloji Servisi, İstanbul

Bilateral thalamic infarction is a rare condition. It can appear with acute coma. Awakening disability and loss of motivation is seen after coma and it causes permanent cognitive deficiency. Usually ocular signs accompany. Vertical gaze paresis of which the mechanism is not completely figured out, is often seen. In some cases corticospinal tractus is not affected so loss of strength in the extremities doesn't occur. Infarct is bilateral at paramedian thalamus and generally extends to mesencephalon. In this article 4 cases with bilateral thalamus infarcts are discussed by clinical course and neurological and radiological findings.