heart disease (CAD) and cancer. The prevalence of stroke and its complications are increasing in last decades which make a large burden to patients, society and also treating physician Ischemic strokes are common type of strokes and they account for 80%–85% of cerebrovascular accidents worldwide. Clinical presentation of stroke is variable depending upon the involvement of vascular territory. Aetiology of ischemic stroke varies in different population due to differences in lifestyle, environmental and genetic factors. It also varies in different age groups. Hypertension, diabetes, dyslipidaemia and smoking have been identified as major risk factors. Many of the risk factors for stroke are modifiable. Recognition and early intervention of risk factors can reduce the incidence of ischemic stroke. Methods: It is a Hospital based cross sectional study in which we included 100 patients of ischaemic stroke included admitted in medical emergency and ward of general medicine at A.N.M.M.C Gaya.at admission all risk factor and detail clinical examination done and noted. Results: In this study most common age group of ischaemic stroke is 56–70 years of age group and it is more common in male (ratio 2.5:1). Most common clinical presentation was hemiplegia/hemiparesis (88%). Cranial nerve involvement is noted in 67% patients and Speech disturbances are found in 44% patients. Most common vascular territory involved is middle cerebral artery. Around 90% of patients had middle cerebral artery infarction. In our study hypertension, smoking, alcoholism, dyslipidemia were significantly associated with stroke in patients with age group more than 45 years. In 100 total stroke patients 64% had hypertension and it is found to be high when compared to previous studies. Among 100 ischemic stroke patients 16% of patients had both Hypertension and Diabetes. Smoking and alcoholism were identified only in male population. In total stroke patients, 36% of patients were smokers & 35% were found to be alcoholic.10% of patients had past episode of transient ischemic attack or stroke. 15% of patients had heart disease or atrial fibrillation. Conclusion: Ischemic stroke has a male predominance and hypertension was found to be a most common risk factor. Systemic hypertension, smoking alcoholism, dyslipidaemia was significantly associated with stroke in patients with age more than 45 years.