One of the most common causes of death and disability in the elderly is stroke. The Elderly are susceptible to iron deficiency anaemia (IDA). Evidence suggests that IDA usually affect the outcome of cases even after proper treatment. In the present study, we sought to investigate the association between cerebrovascular stroke and iron deficiency anaemia via measurement of serum iron level, iron binding capacities and serum level of ferritin and transferrin alongside brain magnetic resonance, venography, and angiography. we studied a group of (100) cerebrovascular patients in Samarra General Hospital suffering from iron deficiency anaemia and investigated clinically to be confirmed by magnetic resonance imaging (MRI), serum ferritin levels and studied the correlation between IDA and stroke and the effect of it on the outcome of cases by follow up for 2 months. The outcome has revealed that the percentage of IDA is higher in CVA patients compared to the control group. Conclusion: The outcome concluded that anaemia could coexist with CVA and henceforth further complicate the situation so treatment of anaemia is of paramount importance. These findings shed light on the prevalence of IDA in post-stroke patients and underscore the crucial need for early detection and treatment.