Objective: Identify the report of toxic habits with the evolution to vascular cerebral accidents among residents of the prefecture of Skhirat-Temara. Method: Retrospective of lifestyle analysis identified patients and two family members or relatives. Keeping a questionnaire to the personal character interesting items, social and toxic habits. Inclusion criteria: residents of the prefecture of Skhirat-Temara with vascular cerebral accidents and two witnesses relatives of the same age, socio-economic and health life-like. Results: Our series included 136 individuals: 46 patients and other witnesses that meet the inclusion criteria. The incidence of vascular cerebral accidents is 11.7 per 100,000 inhabitants. Despite the reduced number of our series, we find that the results are concordant with those described in the literature, in particular gender, age, IMC, toxic habits especially active smoking and passive imposed on the entourage of smokers in the absence of the implementation of smoke-free laws in public areas. Conclusion: This study evaluates the impact of toxic habits in the pathogenesis of vascular cerebral accidents in the population studied. It provides food for thought regarding the measures to adequate prevention.