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The Present study includes to identify aetiology and types of stroke in young (15- 45 yrs) and to evaluate the clinical characteristics of stroke in young. Acute management, prognosis and long term strategies to prevent recurrence vary considerably depending on the aetiology and type of stroke . There are studies on stroke in young patients from a tertiary referral centre and most of these have involve dischemic stroke, conducted before the widespread use of modern neuro-imaging methods; thus, with few exceptions, they did not identify stroke subtypes, aetiopathogenesis, and long term outcome. This present study focuses on one of the largest study of stroke in young patients and evaluated all young stroke patients for risk factors, aetiology, stroke subtypes and clinical features.