Background: Stroke is a leading cause of adult disability and mortality worldwide, with significant implications for healthcare systems. Understanding the demographic and clinical characteristics of stroke patients is essential for developing effective prevention and management strategies. Methods: This retrospective, record-based study analysed 1,106 patients who met the World Health Organization (WHO) criteria for stroke. Patients were identified from medical records, and informed consent was obtained for data access. All major stroke subtypes, including ischemic and haemorrhagic strokes, were included. Demographic information, clinical symptoms, and comorbid conditions were extracted and analysed descriptively. Results: Ischemic stroke was the most common subtype, accounting for 84.89% of cases. The majority of patients were aged 61–80 years (48.8%), and males were predominantly affected (69.08%). The most frequent presenting symptoms were slurred speech (72.56%), unilateral weakness, and deviation of the mouth. Comorbid conditions were highly prevalent, with hypertension (64.01%) and type 2 diabetes mellitus (30.41%) being the most common. Conclusion: This study provides a detailed overview of the demographic and clinical profile of stroke patients in a tertiary care centre in Telangana. The findings highlight the predominance of ischemic stroke, the role of age and gender, common presenting symptoms, and the burden of comorbidities. These insights can guide targeted prevention strategies, early recognition, and improved management of stroke in the regional population.

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