Intracerebral haemorrhages represent about 10% of all stroke causes (1), yet only 0.7-3% happen bilaterally and simultaneously (2-8). This type of haemorrhages are not common, and are mostly secondary to arterial hypertension. The mayority of cases have been reported in asians, with only a few cases described in Latin America. We report the case of a latin patient with a bilateral simultaneous thalamic haemorrhage, and review the literatura concerning this pathology in Latin America.