The carbohydrate binding molecule Galectin-3 has been the focus of recent study in a variety of disease processes, and there is evidence that it plays a role in diseases of the cerebrovascular system. In this review, we summarize the relevant clinical literature on the role of Galectin-3 in ischemic stroke, intracranial hemorrhage and subarachnoid hemorrhage. We also provide a brief overview of the cellular and molecular mechanisms behind the role played by Galectin-3 following ischemic brain injury. Our review is aimed at clinicians who manage these conditions, and neuroscientists who study the role of biomarkers in cerebrovascular disease.