Objectives: The objective of the study was to study the role of MRI in studying the outcome of Paediatric stroke. Materials and Methods: This was an observational study with a prospective design conducted in the department of Radio–diagnosis in a tertiary teaching hospital in Central India on cases of Paediatric stroke sent by the department of Paediatrics for MRI. Results: A total of 60 cases were studied out of which 40 were males and 20 were females. Mean age of presentation was 5.96 years. Stroke more prevalent in males by 2:1. 50% were arterial ischemic strokes and 25% were hemorrhagic strokes while 17% were non–stroke or stroke mimickers. In the outcome, hemorrhagic stroke was more fatal with maximum death rate of 25% as against 10% in acute ischemic stroke. Rate of disability overall was 67% and recurrence was 18%.