OBJECTIVE: Cerebrovascular diseases include some of the most common and devastating disorders ischemic and hemorrhagic strokes. Stroke is the second leading cause of death worldwide. Strokes cause ~200,000 deaths each year in the United States and also major cause of morbidity and mortality in India. The objective of the present study is to understand the age and gender distribution, clinical presentation, risk factors and pattern of   areas of brain affected as per CT scan brain inpatients in a tertiary care center in Telangana State.

METHODS:94  patients who  were admitted  withclinical  diagnosis  of  acute  stroke  were  included in the study with detailed history of risk factors. Clinicalexamination done andpatients were subjected to CT/MRI scan of brain.The data was analyzed.

RESULTS:Stroke is more common in males (67.03%) than females (32.97%). Around two thirds cases were in the age group of 40–69 yrs (68.08%) Most common risk factors are dyslipidemia (67 %),hypertension (61.7 %) and smoking (38.29 %). Among the patients with dyslipidemia 85.71% patients were having low HDL. Most common involved territory was MCA territory (76.59%). Incidence of ischemic stroke (93.61%) was higher than hemorrhagicstroke (6.38%).

CONCLUSION:In the present study stroke was most common in the age group of 40–69 years of ageand predominantly in males.Dyslipidemiaespecially low HDLwas the main risk factor followed by hypertension and smoking.Most common clinical presentation was hemiplegia followed byspeech involvement and altered sensorium.