BackgroundRecent evidences suggested that deficiency of Vit-D is associated with risk of ischemic stroke and its severity. The mechanism behind its relationship have been linked to total oxidant level and some other modifiable risk factor like hypertension, diabetes, smoking and alcohol consumption and tobacco chewing. However, there are disappearances in evidences. The aim of this study is to find out the role of Vit-D and Total oxidants in ischemic stroke and in disease progression.MethodsIn this case control study total 205 individuals of case and control enrolled in this study the demographic data like age, gender, ethnicity, dietary habit, addiction (smoking, alcohol, tobacco chewing) previous history of disease (hypertension, diabetes, any cardiovascular disease) were collected from family members and other medical record. ResultsThe mean age of case and control group of 63.91 ± 12.66 and 62.52 ± 7.04 respectively. There was significant difference between insufficient Vit-D level in case and control group (p<0.05) however, there were significant difference of MDA in the groups classified on the basis of Vit-D level in case and control (p<0.05) moreover, there were inverse association observed between Vit-D and MDA level in both case and control. Vit-D and MDA shows significant association ischemic stroke however, MDA have association with stroke severity. ConclusionThe result shows higher prevalence of Vit-D deficiency in ischemic stroke patients which induce MDA level parallelly. At low level of Vit-D and high level of MDA associated with the severity of stroke. Moreover, Vit-D and MDA shows significant association with stroke occurrence. Furthermore, MDA significantly associated with stroke severity however Vit-D does not show any association with stroke severity