Clinical imaging
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Bilateral infarctions of the thalamus account for only a small fraction of ischemic strokes and carry a poor prognosis. These infarcts rarely have a venous etiology. ⋯ Difficulties in considering the diagnosis and its radiological appearances are discussed. A simple imaging pathway including computed tomographic angiography and magnetic resonance imaging including a susceptibility-weighted sequence is presented in order to facilitate determination of the exact etiology in order to optimize therapy accordingly.