Neuroprotective therapy for stroke remains unproven despite its ability to
substantially reduce injury in animal stroke models. Based on an understand
ing of the cascade of biochemical events that follow interruption of blood
flow to the brain, various, neuroprotective drugs have been tested in clini
cal studies, but none have been shown to improve clinical outcome. Progress
depends on designing our clinical trials to better simulate the experiment
al conditions under which these drugs have been found to be effective.