A free radical is a highly reactive chemical species that can react wi
th organic macromolecules leading to cell and tissue damage and conseq
uent functional disruption. Free radical or oxidative injury is increa
singly recognized as an important factor in the pathophysiology of man
y human diseases, including those that affect the nervous system. This
review summarizes important evidence implicating oxidative injury in
the pathogenesis and progression of many important neurological disord
ers, including cerebrovascular disease, epilepsy, amyotrophic lateral
sclerosis, and Huntington's disease. Results of controlled clinical tr
ials of various antioxidant therapies in neurological disease performe
d to date are also highlighted.