By the advent and advance of microsurgery, neuroimaging, ganmma knife and endovascular surgery, any kind of cerebrovascular diseases can be now treatable in Japan. However, to questionnaires on current problems in the treatment of cerbral stroke, executive members of Japan Stroke Society answered and pointed out the following issues, namely, lack of a stroke care unit (SCU) ; beds can not be used freely ; Limitation of hospital stay ; few referable hospitals for severely disabled patients ; lack of staffs ; t-PA is not available and so on.
In conclusion, diagnosis and treatment for stroke patients are now muck advanced, and however, it is now an urgent problem in Japan to constract a seamless network for treatment of stroke patients including S (C) U, acute rehabilitation facilities and nursing homes for severely disabled patients.