Stroke (cerebrovascular disease) according to ICD 11 is divided into various categories such as cerebral ischemic stroke. Which is defined as acute focal neurological dysfunction caused by focal infarction at single or multiple sites of brain or retina, intracerebral haemorrhage which is defined as neurological dysfunction caused by haemorrhage within brain parenchyma or inn ventricular system, subarachnoid haemorrhage caused by subarachnoid haemorrhage.1 The burden of stroke is increasing in India; stroke is now the fourth leading cause of death and the fifth leading cause of disability. Previous research suggests that the incidence of stroke in India ranges between 105 and 152/100,000 people per year. Studies represented the four cities of Mumbai, Trivandrum, Ludhiana, Kolkata, the state of Punjab, and 12 villages of Baruipur in the state of West Bengal. The total population denominator was 22,479,509 and 11,654 (mean 1294 SD 1710) people were identified with incident stroke. Crude incidence of stroke ranged from 108 to 172/100,000 people per year, crude prevalence from 26 to 757/100,000 people per year, and onemonth case fatality rates from 18% to 42%. 2. According to the global burden of disease study (GBD), although the prevalence of stroke has decreased, the age of those affected, their sex and their geographic location mean that the socioeconomic burden of stroke has increased over time.3 The incidence of stroke increases with age, doubling after the age of 55 years.4 The occurrence of stroke in men and women also depend upon age, it is higher at younger ages in women. Whereas incidences increase slightly with older age in men, the higher incidence in women is due to factors related to pregnancy issues and hormonal therapies as well as migraine with aura.5,7