Stroke-related sarcopenia（ SRS） seriously affects the quality of life and long-term prognosis of patients. SRS is a key independent risk factor for poor prognosis in stroke， and their coexistence can significantly impair patients' ability of daily living， cognitive function， exacerbate neurological deficits， and increase the risk of complications and stroke recurrence. This paper reviews the prognostic factors， treatment， prevention， and rehabilitation of SRS， providing a reference for developing precise intervention strategies in clinical practice to improve the outcomes of high-risk patients.