Stroke is defined by the World Health Organization as a clinical syndrome consisting of rapidly developing clinical signs of focal (or global in case of coma) disturbance of cerebral function lasting more than 24 hours or leading to death with no apparent cause other than a vascular origin. Stroke is classified broadly into three categories; ischemic stroke, hemorrhagic stroke and subarachnoid hemorrhage. Ischemic stroke occurs due to blockage of blood vessel which limits the blood supply to the brain whereas hemorrhagic stroke occurs due to rupture of blood vessel leading spillage of blood in the intracranial cavity. Depending on the site of blood spillage the hemorrhagic stroke could be classified as intracerebral hemorrhage or subarachnoid hemorrhage. Approximately 60–80% of all strokes is ischemic. This article is dedicated to acute ischemic strokes and its management.