Introduction: Cerebrovascular diseases represent one of the main causes of mortality and functional disability in developed countries. Objective: to identify the tomographic characteristics, its main causes and the compromised areas of the brain, of the patients with a diagnosis of cerebrovascular accident (CVA) who attended the emergency consultation in a highly complex clinic in the city of Neiva in the period covered between April 1 and June 30, 2018. Materials and Methods: Prospective observational descriptive study. The data were obtained between April 1 and June 30, 2018, through the clinical history of 47 patients with a diagnosis of CVA who attended the emergency consultation in a high complexity clinic in the city of Nevia and included in his study a simple skull tomography. Results: This pathology occurred more frequently in males of an age range between 61 to 78 years. Of the municipalities of the department of Huila, the city of Neiva, presented 32 cases, being the place with the highest number of cases, represented by 68%. Conclusions: According to the information obtained, ischemic lesions occur predominantly in the area of ​​the middle cerebral artery. It was detected that diabetes and excess consumption of calories are fundamental risk factors.