Background: CVA is the loss of brain function due to a disturbance in the blood supply of the brain. This disturbance is due to either ischemia or hemorrhage. Aim: To study the major risk factors & presentation among patients with stroke in Atbara teaching hospital. Methodology: Cross-sectional descriptive hospital based study was conducted in Atbara teaching Hospital from February 2021 to April 2022. The data was collected by interviewing the patients through a closed-ended questionnaire and analyzed by using the statistical computerized program SPSS. Results: In our study, we found that 86.2%of study group their age group was more than 51years and most of them are males, 73.1% of them had a hemiplegic weakness, 60.8% of them had a transient ischemic stroke,90% had an ischemic stroke, 66.9% with one attack of stroke,77.7% of them have a chronic illness,53.1%have diabetes,63.8% have hypertension,28.5% of them have ischemic heart disease,23.8%have atrial fibrillation,11.5% have the valvular disease, 35.4 % of them are smokers and 6.9% are drinking alcohol. Conclusion: The study concluded that stroke increased with age above 51 years old and most commonly in males. The most common risk factor is HTN, DM, and heart disease. The common risk bad habit in strokes patients are smoking.