Objectives : This study investigated the relationship between presymtoms and stroke subtype in early state of stroke patients. Methods : From Oct. 2005 to May 2007, 623 early state stroke patients were included. Patients were hospitalized within 30 days after the onset of stroke at DongGuk University International Hospital, Kyungwon University In-cheon Oriental Medical Hospital, or Kyung Hee University Oriental Hospital. We investigated general characteristics, stroke subtype, and presymtoms (facial spasm, neck stiffness). Results : Hemorrhagic stroke had more facial spasm than ischemic stroke(odds ratio 2.80). Small vessel occlusion had more neck stiffness than others(odds ratio 1.59). Conclusions : Facial spasm and neck stiffness would be valuable as stroke presymtoms.