Thrombolysis has become established as an acute treatment for human stroke.
But despite multiple clinical trials, neuroprotective strategies have yet
to be proved effective in humans. Here we discuss intrinsic tissue mechanis
ms of ischaemic brain injury, and present a perspective that broadening of
therapeutic targeting beyond excitotoxicity and neuronal calcium overload w
ill be desirable for developing the most effective neuroprotective therapie
s.