Ischemic stroke is a serious and frequent disease. The goal of our study was to assess an imaging protocol for stroke exploration at Moulin Hospital in order to suggest it to other radiologists. It was is a retrospective descriptive study of 101 case series, during a period of 3 months, of all patients sent to our radiology unit for suspicion of acute stroke. Patients mean age was 65 years old. A neurological impairment was found in 80% of cases and 43% had other neurological signs. Time to brain imaging was less than 6 hours in 35% of cases. And in less than 24 hours, 65% underwent a computed Tomography Angiography of head and neck vessels, brain MRI was done in the first week of stroke in 26%. Ninety eight brain CT Scans, 52 brains MRI and 76 CTA of supra-aortic trunks and Willis polygon were done. Brain CT scan and MRI showed respectively constituted ischemic lesion in 16% and 36%, hemorrhagic in 7% and 6%. However76% had no lesion on CT scan versus 57% on MRI. Six patients had significant carotid stenosis. Transfer in a Stroke unit was needed for 7 patients of whom one had thrombolytic therapy. Decreasing time to brain imaging and brain and neck’s arteries CTA of patients with stoke, decrease hospitalization length of stay, complications and improve prognosis.