Thrombolytic (clot bursting drugs) are changing the acute management of stroke. Specific stroke centres have been developed throughout the country and under specific protocols are attempting to dissolve the clots responsible for the vast majority of strokes. King’s College Hospital in London,, where all of the neurosurgeons of the London Neurosurgery Partnership work, is a nominated national centre for the treatment of Stroke. Of course time and the type of stroke as well as the general health of the individual are of paramount importance in the outcome of these interventions. Further developments in this field are certainly offering significant hope for these patients.
Better understanding of the mechanisms controlling the blood supply to the brain and development of more sensitive tests helps identify patients who may benefit from surgical interventions.
Finally, stem cells may offer the potential in the future to reverse the devastating consequences of an established stroke.