[Japanese Guidelines for the Management of Stroke 2009 : important revised points necessary for the neurologist].

The first post-publication external review of the Japanese Guidelines for the Management of Stroke 2004 had been published in "Stroke" in 2009. Considering to these results, new stroke guidelines 2009 has been published in Japan on November 2009. Main renewed and revised points in guidelines 2009, particularly important for the neurologist were introduced, focusing on acute stroke treatment such as administration of t-PA, management of patients with life-style related diseases as well as new antiplatelet therapy for the secondary stroke prevention.