Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 7 2 2021 05 31 103 105 Nkan Michael Paterne Mobio Department of Critical Care, University hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan , Ivory Cost. Olama Enyegue epartment of Critical Care, University hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan , Ivory Cost. Coulibaly Theodore Department of Critical Care, University hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan , Ivory Cost. Abhe Bekoin epartment of Critical Care, University hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan , Ivory Cost. Njomo Wilfried Department of Critical Care , University hospital Center of Angre, University of Abidjan Medical Sciences, Abidjan, Ivory Cost. Ouattara Abdoulaye Department of Critical Care, University hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan , Ivory Cost. Tetchi Denis Department of Critical Care, University hospital Center of Cocody, University of Abidjan Medical Sciences, Abidjan , Ivory Cost. 2020 11 25 2021 01 02 Ischemic strokes have varying etiologies and multiple locations. Some locations are much rarer than others and just as difficult to diagnose. This is the case of the ischemic bi-thalamic stroke, attributable to the Percheron artery occlusion that we report in a 33-year-old woman with a history of taking estrogen-progestin. The lesion diagnosis could only be possible thanks to the performance of brain MRI, thus testifying to the diagnostic difficulties observed. Etiological research has shown dyslipidemia. The length of stay was 88 days. At the end of intensive care, the patient was conscious, not deficient and did not present memory disorders. https://aacc.tums.ac.ir/index.php/aacc/article/view/319