Stroke is often considered as a disease of elder population, being uncommon in young has a large socioeconomic impact to the families by leaving the victim disable before their most productive years. Of all stroke cases, 10% are seen in patients younger than 45 years of age. The risk factors for stroke in young adult patients can be traditional vascular risk factors but rare risk factors are not uncommon. Stroke in young patients; though considered to have a better prognosis than stroke in the older population; can cause significant limitations in quality of life of these patients, with them being at higher risk of cardiovascular events as well as higher death rate. Such patients also have a higher five year risk of recurrent stroke especially if associated with age> 40 years, type 1 DM, history of TIA, Hypertension . Here we present a case report of an Acute left basal ganglia ischemic stroke in a young previously diagnosed hypertensive male, non compliant to antihypertensive medications.

Keywords: Ischemic Stroke; Stroke in Young; Thrombolysis; Vascular Risk Factor; TEETrans Oesophageal Echocardiography.