Cerebrovascular accidents (CVA), or strokes, are a frequent affliction, particularly among the elderly. The cause is most often an occlusion of a brain artery, leading to local ischemia, but also intracerebral haemorrhages occur; the ischemic attacks can be transient (TIA). Mortality and sequelae score high after a CVA. Therapy is directed at underlying disease (atrial flutters, vessel abnormalities) and the blood coagulation system. Anticoagulation treatment is important for secondary prevention. After a CVA medication can be indicated, but non-medicational care, like revalidation and physiotherapy, are even more important. In the Netherlands care after a CVA can be much improved; especially the chain of health care institutions can be organised in a more logical way.