CT is an accurate and noninvasive method in the evaluation of cerebrovascular accidents (CVA) for detection ofnature, location, extension and associated changes. Retrospective analysis was done in 402 patients of clinically suspected CVA who were performed CT in our hospital from December 1985 to December 1987. The results were as follows: 1. The analysis of CT findings in 402 patients showed 321 cases of CVA, 79 cases of normal findings, and2 cases of brain tumors. 2. Among 321 cases of CVA, intracerebral hemorrhage was noted in 158 cases, cerebral infarction in 126 caes, and subarachnoid hemorrhage in 37 cases. 3. The common sites of cerebral hemorrhage werebasal ganglia in 99 cases, especially putamen, thalamus in 32 cases, and cerebrum, cerebellum in 11 cases respectively. Cerebral infarction was found chiefly at the areas distributed by the middle cerebral artery:cerebral lobe 55 cases and basal ganglia 51 cases. The aneurysm was the most common cause of subarachnoid hemorrhage, and its common site was posterior communicating artery and middle cerbral artery areas. 4. The commonshape of cerebral infarction was oval inbasal ganglia and wedged in the cerebral lobes. The contrast enhancement of the cerebral infarction was observed in 10% of cases between the 3rd day and 2nd week after onset, and was usually gyral pattern(77.7%). 5. The aneurysm was noted as enhancing nodule on contrast CT in all 14 cases. Inconclusion, the most common cause of CVA is intracerebral hemorrhage in Iri, Kora. High resolution contrast enhanced CT can be used in the diagnosis of the ruptured cerebral aneurysm without the aid of cerbral angiography.