Pauline Monro was an outstanding medical student, gaining first class honours in her BSc at University College London, and then Distinction in both Medicine and Pathology when she qualified from University College Hospital in 1958. She was also a competitive swimmer, wining a Gold Medal in the World University games at Dortmund in 1953.

Like many others, she was inspired to go into neurology by JZ Young whom she had heard - while still at school - give the Reith lectures. Despite the challenges at a time when there were less than a handful of female consultant neurologists in the UK, and an almost fatal illness late in her training, she was appointed a consultant to Atkinson Morley's Hospital, London, in 1970 - the first woman to be appointed to the consultant staff of the St George's Hospitals. At AMH she threw her energies into creating one of the best Neurosciences Centres in the UK, encouraging multidisciplinary team meetings before they were fashionable, and developing an integrated neurology course for the medical students. Such was her charisma, that I can actually remember the teaching round when she explained to us the difference between upper and lower motor neurone lesions when I was a St George's medical student in 1967.

She retired from the NHS in 1993 and later became the first woman to be President of the Section of Neurosciences at the Royal Society of Medicine. As a result of going on the ABN visit to Leningrad in 1988, Pauline became passionately involved with helping the neurological services in what had by then become St Petersburg, as well as in Russia generally. She became so fluent in Russian from a standing start that she can now lecture easily in the language, bought a flat in St Petersburg, and befriended young Russian neuroscientists. All this culminated in the most deserved award of an MBE in 2000. This is really her life work, more than being an NHS consultant, however successful - as she told me recently 'driving across Europe to Russia in an ambulance with Zimmer frames is much more interesting than being an NHS neurologist".

Despite the loss of Michael in 2000, her beloved husband and partner, Pauline continues her work in Russia with as much energy as ever. I can't believe she will ever stop shuttling backwards and forwards to Russia with yet another small band of British physiotherapists or nurses going one way and their Russian counterparts coming the other. When Pauline first went to Russia, neurological care there had been isolated from the West for 70 years.

Now, encouraged and helped by Pauline, the first multidisciplinary stroke team in Pavlov's Medical University Hospital is accepted by the local Committee of Health as a model centre, one of many examples of good practice which are springing up across the city. In St Petersburg she is known to everyone as Paulina, and so it is with great pleasure that I invite you - Paulina - to give your lecture entitled 'Russian and British Neurology: contacts and contrasts'.

CP Warlow, 5 April 2002