Bilateral carotid atherosclerosis is not a cerebral infarction. Bilateral carotid atherosclerosis is a vascular lesion due to a variety of factors, only to the extent of vascular occlusion or plaque detachment will cause cerebral infarction. Bilateral carotid atherosclerosis may be caused by a variety of factors, it is currently believed that long-term consumption of high-sugar, high-salt and high-fat food, obesity or overweight, little exercise, long-term smoking, hypertension, diabetes, dyslipidemia, old age and so on are risk factors and triggers for the occurrence of atherosclerosis. This disease usually does not have more obvious clinical symptoms, part of the more serious condition of the population due to vascular stenosis or obstruction, plaque rupture shedding and other reasons can lead to transient ischemic attack, or cause cerebral infarction occurs. Bilateral carotid atherosclerosis is one of the causes of cerebral infarction, but not cerebral infarction. Cerebral infarction, also known as ischemic stroke, is due to a variety of causes of cerebral blood circulation disorders, the corresponding part of the brain tissue ischemia, hypoxia necrosis, which causes neurological deficits. It shows sensory impairment, motor impairment, sudden vision change, speech impairment, consciousness impairment and so on. It is recommended that people with bilateral carotid atherosclerosis should pay attention to developing good dietary and living habits, controlling blood pressure, blood glucose and blood lipids, so as to avoid its progression leading to cerebral infarction. If the symptoms of cerebral infarction appear suddenly, it is necessary to consult a doctor in time for treatment.