WHO defined stroke as “rapidly developing clinical symptoms and or signs of focal and at times global loss of brain function with symptoms lasting more than 24 hours or leading to death, with no apparent cause other than that of vascular origin”. Stroke is considered to be second commonest cause of death worldwide. CT imaging of the brain is the standard and plays a major role in CVA,to assess the site, size and nature of the lesion. Though MRI is superior to CT scan, the higher cost of MRI and easy availability of CT scan brain makes CT the commonest investigation in diagnosis and treatment of stroke. Aims and Objectives : 1. To correlate the nature of lesion based on the clinical grounds and CT scan brain findings. 2. To correlate the site and size of lesion based on the clinical grounds and CT scan brain findings. Material and Methods: This study was done in the department of General Medicine at Rajarajeswari Medical College and Hospital. Fifty patients presenting with Acute stroke (according to WHO definition) admitted to medical wards were considered for the study for a duration of one year. This was a cross sectional study. Results: Out of 50 cases studied, 17 (34%) patients had hemorrhagic stroke and 33 (66%) patients had ischemic stroke. Out of 50 cases studied, 33 patients had ischemic stroke clinically, but 29 patients had ischemic changes on CT scan brain. 17 patients had haemorrhagic stroke clinically but 16 had haemorrhage on CT scan brain. 5 patients had stroke clinically, but CT scan brain was normal in them. Out of 50 cases 8 (16%) had altered sensorium, 14 (28%) had speech defect, 43 (86%) had hemiplegia, 10 (20%) had headache, 2 (4%) had seizures, 12 (24%) had facial nerve palsy, 1 (2%) had cerebellar signs and 6 (12%) had brain stem signs.

Keywords: Stroke, Infarct; Cerebral Haemorrhage.