Strokes are one of the leading cause of morbidity and mortality in the United States. This is basically a vascular event affecting the brain, frequently leading to paralysis, balance problems, speech effects, vision problems, dizziness. A TIA or mini stroke is when the symptoms of stroke resolve within 24 hours. It is frequently a “warning” for a major stroke. The risk factor for stroke include age, hypertension, diabetes, high cholesterol and smoking. Irregular heart rate is another risk factor which may require potent anticoagulant treatment. Risk factor control and primary as well as secondary stroke prevention are undertaken in terms of treatment. Diseases of the carotid artery may also lead to strokes, which is sometimes corrected surgically.