Objective:

          To study about the risk factors and clinico radiological correlation in acute cerebro vascular accident.

Methods:

           This study is done in acute stroke division of neurology department in Coimbatore medical college hospital from December 2017 to May 2018.

 Inclusion Criteria:

          All patients presented with acute cerebro vascular accident were included.

 Exclusion Criteria:

          All patients presented with neurological deficit due to non vascular causes are excluded.

Results:

            This study is done in 106 patients presented with acute stroke. Males (67.9%), Females (32.1%) Mean age in males (55.2years), mean age in females (61.8years). Anterior circulation (AC) stroke (64.1%), Posterior circulation (PC) stroke (30.1%). Acute venous stroke (5.6%). Among the AC stroke, ischemic stroke (88.7%), hemorrhagic stroke (5.6%), Common risk factors include hypertension, diabetes mellitus and coronary artery disease. Patient with single risk factor (45.2%) more than one risk factors (49.05%), In statistical analysis hypertension, diabetes mellitus had statistically significant risk of stroke (P<0.00001). AC stroke showed statistically significant involvement of internal capsule (P<0.00001) and parieto temporal cortex. PC stroke revealed statistically significant involvement of cerebellum (P<0.00001). In AC stroke common vessel involved is middle cerebral artery (P<0.00001). PC stroke the common blood vessel involved is posterior inferior cerebellar artery (P<0.00001).