Objective: To determine the frequency of generalized seizures in patients presenting with acute ischemic stroke. Material and Methods: The study was descriptive, cross-sectional, and conducted in the Department of Medicine, Khyber Teaching Hospital, Peshawar, from April 10th, 2021, to October 9th, 2021. It included a total of 220 patients, aged 30 to 70 years of either gender, having ischemic stroke. They were registered by using a nonprobability consecutive sampling technique. The study was initiated after agreement from the hospital's ethical committee. Patients signed the informed consent before the collection of their data. Demographic data, including risk factors and frequency of seizures, were noted. Data were entered and analyzed using SPSS 22. Results: In this study, a total of 220 patients (54.5% males and 45.5% female) were enrolled with a mean age of 51.25 ± 12.1 years. The mean height was 155.1 ± 14cm, the mean weight was 71.9 ± 11.3 kg, and the mean BMI was 29.8 ± 5.9 kg/m2. The mean duration of ischemic stroke was 10.1 ± 2.9 hours. Diabetes was present in 47.3% of patients. Hypertension was present in 70% of patients. Obesity was present in 32.7% of patients. Seizures were present in 13.6% of patients. Conclusion: Seizures after ischemic stroke are common in our population.