Modern diagnostical methods and treatment of geriatric patients depend on the course and nature of cerebrovascular diseases. They require special individual therapy. The incidence of stroke increases with the age of a patient. This fact can be explained by the effect of risk factors associated with the statistically significant frequency of cardiac arrhythmias and heart decompensation. The loss of consciousness, convulsions and metabolic disorders predominate in the clinical picture of old people. The evolution of flexion contractions on paretic and non-paretic sides is usually faster and easier in this population. Taking into account the general condition of old people and frequent existence of other diseases in them, the diagnostic procedure should give priority to the treatment with non-invasive methods.