Background: Cerebrovascular accident or stroke is one among the three leading causes of death, surpassed only by ischemic heart disease and malignancy. Stroke is also a common cause of physical disability, which imposes a substantial burden to the community in the foreseeable future. It is estimated that the incidence of stroke is likely to increase by about 20% in the next 20 years. Aim & Objective: 1. To study clinical profile and risk factors in cerebrovascular accident.2. study CT scan finding among cerebrovascular accident patients. Methods: Study design: Prospective Observational Study. Study setting: Medicine ward of tertiary care center. Study duration: 2017 to 2019 Study population: The study population included all the cases with stroke admitted at a tertiary care center. Sample size: 91. Results: The maximum incidence of stroke in this study was observed in the age group of above 60 yrs total -36, that is [18(19.78%)] each for 61-70 and >70 years of age. the male to female ratio in this study was 1.68:1. Most common risk factor was HTN 57.14%, DM 26.37, smoking 45.05%, Alcohol consumption 32.97%, Heart disease 20.88% and Hypercholesterolemia 10.99%. coronary artery disease was present in 12 patients (63.17%), rheumatic heart disease in 7 patients (36.83 %). CT Scan showed ischemic stroke in 86.81% and haemorrhage in 13.19%. 13 out of the 79 ischemic stroke patients and 09 out of the 12 haemorrhagic stroke patients were expired. Conclusion: Cerebrovascular accident cases were having male predominance with most common presentation among age group of 61-70years & more than 70 years. Hypertension was the commonest risk factor and other common factors were diabetes mellitus, cardiac disease, smoking. Ischaemic stroke constituted larger percentage of stroke and mortality was highest in haemorrhagic stroke. MCA territory was most commonly involved. CT scan was important for diagnosis of stroke as rational management depends on accurate diagnosis.