Background: Worldwide, there are more than 11 million ischemic strokes annually, with over half of those occurring in countries with low or middle incomes. Even though ischemic stroke incidence typically rises with age, young adults between the ages of 18 and 45 are thought to account for 10% to 20% of cases. To understand the risks associated with stroke and the prognosis in long term is vital, especially in youngstershaving stroke with a life expectancy of decades. Material and methods: This study was conducted in Vijayapura, Karnataka. This study covered 72 patients in total. On the day of admission, visitors will pay patients in the wards a visit. Based on the specially designed questionnaire, the patient will be interviewed. The bystander and other accessible sources will be consulted in the event that the patient is unable to respond to queries. Neuroimaging is used to confirm the clinical diagnosis of stroke. To determine the cause of stroke in young people, pertinent investigations were carried out. Results: The total number of patients were 72, out of which 55(76.4%) are males and 17(23.6%) are females. 29(40.2%) patients have risk factors for atherosclerosis like hypertensives, dyslipidaemia, T2DM, smoking and alcoholism.12(16.6%) patients with haematological causes like deranged homocysteine.7(9.72 %) are found with cardioembolic causes like RHD. Vasculitis and infective causes are found in 4(5.5%) patients. 18(25%) patients are found without reason, even after adequate investigations. Occupational distribution, social and economic status, and stress levels by relevant scales are also noted in this study. Conclusion: In patients with young Stroke, the common presenting complaint is weakness of the limbs, and observing for any cranial nerve involvement, detailed history is significant as previous history of Stroke, diabetes, hypertensives have to undergo thorough evaluation for atherosclerosis,history of smoking and alcohol consumption, and cardiac embolism should be ruled out as it is one of the common cause, blood investigations like homocysteine, lipid profile, ANA profile, rule out vasculitis and other infectious causes.