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The recurrent intracerebral hemorrhage(ICH) in hypertensive patients is not an unusual event, but the simultaneous occurrence of multiple ICH is rare. A 70-year-old woman presented with bilateral simultaneous hypertensive intracerebral hemorrhages in both thalami. The complaints of the patient were unconsciousness (semicomatose mental state) and quadriparesis Grade II. The patient was managed conservatively. At discharge, the patient was awake (drowsy mental state), but Grade III according to the Glasgow Outcome Score. This paper reviews the clinical relevance, possible etiology, and treatment of bilateral thalamic ICH.