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Stroke Treatment in the Era of COVID-19: a Review

Marialaura Simonetto1,2, Paul M Wechsler1,2, Alexander E Merkler1,2

  • 1Department of Neurology, Weill Cornell Medicine, New York Presbyterian Hospital, Room F610, 525 East 68th Street, New York, NY 10065 USA.

Current Treatment Options in Neurology
|May 2, 2022
PubMed

Insights

The COVID-19 pandemic increases stroke risk, including ischemic stroke and other cerebrovascular events. However, pandemic-driven improvements in stroke care systems may offer long-term benefits for patients.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Public Health

Background:

  • COVID-19 is linked to various neurological complications, notably cerebrovascular diseases.
  • The pandemic has significantly impacted healthcare systems and patient care pathways.

Purpose of the Study:

  • To conduct a comprehensive review of stroke epidemiology, pathophysiology, and treatment during the COVID-19 pandemic.
  • To analyze the impact of COVID-19 on stroke systems of care.

Main Methods:

  • Literature review and synthesis of existing studies on COVID-19 and stroke.
  • Analysis of epidemiological data, pathophysiological mechanisms, and treatment strategies.
  • Evaluation of changes in stroke care delivery during the pandemic.

Main Results:

  • COVID-19 is associated with an elevated risk of various stroke types, including ischemic stroke, intracranial hemorrhage, and cerebral venous sinus thrombosis.
  • The pandemic has altered stroke systems of care, necessitating adaptations in diagnosis and management.
  • Despite challenges, the pandemic has spurred innovations in stroke care delivery.

Conclusions:

  • COVID-19 presents a significant risk factor for stroke, demanding continued vigilance and research.
  • Adaptations in stroke care systems during the pandemic may lead to improved long-term outcomes.
  • Understanding the interplay between COVID-19 and cerebrovascular disease is crucial for future public health strategies.
Abstract

Keywords:
COVID-19Cerebrovascular diseaseIntracerebral hemorrhageIschemic strokeStrokeThrombosis

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