Background:Rapidly developing clinical signs of focal (or global) disturbance of cerebral function, lasting more than 24 hours or leading to death, with no apparent cause other than that of vascular origin is called stroke. The present study was conducted to assess risk factors in patients with ischaemic stroke. Methodology:54 patients with ischemic stroke of both genders were included. Risk factors such as prior CVD, alcoholism, diabetes, hypertension, obesity, dyslipidemia, smoking, and family history of stroke etc. were recorded. Results:Out of 54 patients, males were 32 and females 22. Rightside hemiplegia/hemiparesis was seen in 19 patients and left side in 35. Out of 6 cases of speech abnormality, 4 had dysarthria and 2 had aphasia. Common clinical features observed were speech disturbances in 12, altered sensorium in 2, seizures in 7, cranial nerve involvement in 34, and gait abnormalities in 15 patients. The difference was significant (P< 0.05). Common risk factors were alcoholism in 35, smoking in 40, obesity in 18, dyslipidaemia in 12, diabetes in 47, hypertension in 50, past CVD in 6, and family history of stroke in 8 patients. The difference was significant (P< 0.05). Conclusion:Males constituted maximum cases of ischaemic stroke. Left side hemiplegia/hemiparesis was the most common clinical features. Common risk factors identified were hypertension, smoking and alcoholism.