Stroke in younger age group is an important entity and needs to be approached differently. Although less common, it’s impact on individual as well as society in terms of economic and social burden is far greater. Initial approach needs to be extensive keeping in mind the more diverse differential diagnoses of stroke in young. In this article we give an overview of the important risk factors and etiology of stroke in young. When it comes to treatment, primary prevention takes the lead and aggressive approach to reduce known risk factors is essential. However as far as specific recommendations and guidelines are concerned, there is a lack of such data for stroke in young. Further research on a larger scale, with standardized methodology, is required to yield more precise epidemiologic data.