Background: The second trigger of death and the most frequent life-threatening neurological disease are now strokes. Stroke obviously ranks first of all the neurological diseases of adult life in prevalence and significance, with at least 50% of the neurological disorders in a hospitalized patient being of this type. Objective: To study the epidemiological pattern of the cerebrovascular stroke in a sample from Al-Azhar University Hospitals including the incidence, prevalence of stroke and its different subtypes (ischemic and hemorrhagic). Patients and Methods: A cross-sectional study was carried out on a sample from University Hospitals in Al-Azhar during from 1/1/2019 to 30/12/2019. Patients complained of acute cerebrovascular stroke (ischemic and hemorrhagic stroke (including intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH)) were included. Patients with traumatic ICH and traumatic SAH and any patients suffering from acute neurological deficiency due to non-vascular causes such as infections or tumors have been excluded. 488 cases were diagnosed as having cerebrovascular stroke (CVS), there were 385 patients (78.9%) of ischemic pattern and 103 patients (21.1%) of hemorrhagic pattern. Results: In terms of marital status, hepatic diseases, as well as side of hemiplegia, seizures (generalized more than focal), vomiting, diminished consciousness, and sphincteric disruptions, our research indicated substantial statistical differences among both study groups. Conclusion: There were similar clinical presentations and risk factors to those reported developing and developed countries. The prevalence of stroke in Egypt is higher than in many surrounding countries.