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[Editorial] 21st century management and prevention of stroke

Little more than 20 years ago, stroke was widely regarded as an untreatable disease, mostly occurring in older people, with care primarily focused on rehabilitation and support. But over the past two decades, management of ischaemic stroke has been transformed—first with the advent of intravenous thrombolytic or “clot-busting” treatment to restore blood flow to the brain, and more recently with the development of mechanical thrombectomy devices to remove the blood clot responsible for a stroke. Shockingly, this revolution has not been universal.

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