Stroke is the leading cause of long-term major disability in developed countries, although several improvements could be achieved in acute stroke therapy (e.g. thrombolysis, stroke-unit treatment, optimized early rehabilitation strategies). Therefore, primary prevention as well as an effective secondary prevention-guided by the etiology and risk factors of the stroke-is of particular importance to reduce stroke morbidity. In addition to medical prevention strategies (anti hypertensives, thrombocyte inhibitors, anticoagulation in atrial fibrillation, statins etc.) there are several and evidenced-based non-medical options for the primary and secondary prevention of stroke available. This review summarizes the actual status of non-medical prevention measures of stroke. In the first part we focused on the importance of nutrition, vitamin substitution, elevated homocysteine levels, and physical activity. In the second part we discussed the indications and efficiency of an invasive treatment of symptomatic and asymptomatic carotid stenosis.     «

Stroke is the leading cause of long-term major disability in developed countries, although several improvements could be achieved in acute stroke therapy (e.g. thrombolysis, stroke-unit treatment, optimized early rehabilitation strategies). Therefore, primary prevention as well as an effective secondary prevention-guided by the etiology and risk factors of the stroke-is of particular importance to reduce stroke morbidity. In addition to medical prevention strategies (anti hypertensives, thromboc...     »