Latar Belakang. Kejadian stroke pada usia muda kurang dari 5% dari seluruh kejadian stroke. Beberapa penelitian melaporkan peningkatan angka kejadian stroke pada usia kurang dari 45 tahun. Penelitian ini untuk mengetahui angka kejadian dan karakteristik pasien stroke usia muda di RSUD Kota Surakarta. Metode. Penelitian deskriptif observatif pada populasi semua penderita stroke usia muda (18-45 tahun) di RSUD Kota Surakarta dari bulan Januari 2017 hingga Juni 2018. Data diambil dari rekam medis berupa usia, jenis kelamin, jenis stroke, hasil CT scan, serta faktor risiko. Hasil. Dari 420 pasien stroke pada rentang waktu Januari 2017-Juni 2018, didapatkan 28 penderita stroke usia muda, rerata usia 39.6 tahun dengan rentang usia 29 sampai 45 tahun, 53.6 % laki-laki, 78.6% menderita stroke non hemoragik, 39.3% menderita kelemahan sisi kanan. Didapatkan riwayat hipertensi pada 85.7%, diabetes mellitus pada 14.3%, hiperkolesterolemia 17.9%, hiperurisemia 21.4%, gagal jantung 7.1%, epilepsi 7.1%, dan riwayat stroke 3.6%. Tidak ada yang mempunyai riwayat penyakit jantung koroner dan aritmia jantung. Simpulan. Stroke usia muda jarang, sebagian besar non hemoragik. Hipertensi dan dislipidemia juga merupakan faktor risiko utama stroke di usia muda.Introduction. Stroke in young adults is less than 5% of all incidence of stroke; but it is increasing among less than 45 years old. The purpose of this study was to determine the incidence and characteristics of young stroke patients in RSUD Kota Surakarta. Method. A descriptive analytic study on all stroke patients aged between 18-45 years in RSUD Kota Surakarta during January 2017 to June 2018. Data was collected from medical record consist of age, gender, type of stroke, CT scan data and risk factors. Result. From 420 stroke patients in the period of January 2017-June 2018, there were 28 young stroke patients in the range of 29 to 45 years old, the average was 39.6 years old; 53.6% were male and 78.6% suffered a non-hemorrhagic stroke, 39.3% had right hemiparesis. Hypertension was found in 85.7%, diabetes mellitus in 14.3%, dyslipidemia in 17.9%, high uric acid in 21.4%, heart failure in 7.1%, epilepsy in 7.1%, and previous stroke history in 3.6% patients. No patients has a history of coronary heart disease and cardiac arrhythmias. Conclusion.The young adults stroke incidence is low. Ischemic stroke is the most common type. Hypertension and dyslipidemia are the most common found stroke risk factors.