Cerebrovascular accident is occurring due to the deficiency of oxygen in the brain cells goes into sudden death because of blood flow to the brain is affected by blockages. Cognitive deficits in patients with acute cerebrovascular disease have been documented consistently. They are known to contribute to functional impairment in patients. Cognitive remediation has been found to be beneficial in symptoms reduction and functional recovery. SY was a 52/F, completed her graduation, unmarried, currently living with her parents, from Chennai, right-handed, rural area and middle socio economic status (MSES). A diagnosis of acute cerebrovascular disease was referred for cognitive assessment and rehabilitation. Patient’s cognitive assessment showed impairment in all the cognitive domains. This case study is important as it provides information on neuropsychological assessment; and draws attention to valuable information in a client’s clinical history that might help clarify the prognosis. She was given home-based and neurofeedback training along with family intervention. Significant improvement was seen in patients overall functioning.