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NEUROLOGY IN PRACTICE: CEREBROVASCULAR DISEASE
  1. I Bone,
  2. G N Fuller
  1. Professor I Bone, Department of Neurology, Institute of Neurological Sciences, Southern General Hospital, 1345 Govan Road, Glasgow G51 4TS, UK Dr G N Fuller, Department of Neurology, Gloucester Royal Hospital, Great Western Road, Gloucester GL1 3NN, UK

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Stroke medicine has evolved dramatically over the last 20 years. The major advances have arisen from large clinical trials, combining studies using meta-analysis, improved classification of stroke subtypes, and developments in investigation, particularly imaging. Of all branches of neurology, stroke is where clinical decisions are most solidly based on evidence from clinical trials. One important factor has been the collaboration both internationally and between the different clinical disciplines involved in care of stroke patients.

In North America and in most European countries neurologists are involved in the care of the majority of stroke patients, whereas currently in the UK involvement is more limited. Regardless of whether a trainee develops stroke as a subspecialty interest or not, cerebrovascular disorders are common and a significant component of general neurological practice. It is therefore important …

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