Chronic kidney disease is a condition associated with persistent defect in kidney structure and function for a duration greater than 3 months. CKD is a global problem,16 th most common cause of mortality worldwide effecting 8-16% of population. The risk of stroke is higher in patients with CKD on haemodialysis. A cross sectional observational study is done on 80 patients with CKD on hemodialysis who admitted to Department of General Medicine, Vinayaka Mission’s Medical College and Hospital, Karaikal for a duration of 2 years i.e. from October 2020 to October 2022.Out of 80 cases 19 patients presented with cerebrovascular accidents. The patients of CKD of age group 18-65 years who developed CVA were included in the study. Out of26.32% of study population who developed CVA due to hemorrhage,3 patients had intraparenchymal haemorrhage and remaining 2 patients developed stroke due to subdural haemorrhage. Out of 14patients who developed CVA due to infracts ,8 patients had cortical infracts accounting for 57.14% of the study population and the remaining 6 patients had subcortical infracts accounting for 42.86% of the study population highlighting the need for prompt diagnosis and treatment of haemorrhagic stroke in CVD patients.