Frontiers in Neurology (Apr 2020)

Triage of Acute Ischemic Stroke in Confirmed COVID-19: Large Vessel Occlusion Associated With Coronavirus Infection

  • Pouria Moshayedi,
  • Timothy E. Ryan,
  • Lucido Luciano Ponce Mejia,
  • May Nour,
  • May Nour,
  • David S. Liebeskind

DOI
https://doi.org/10.3389/fneur.2020.00353
Journal volume & issue
Vol. 11

Abstract

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The outbreak of COVID-19 has posed a significant challenge to global healthcare. Acute stroke care requires rapid bedside attendance, imaging, and intervention. However, for acute stroke patients who have a diagnosis of or are under investigation for COVID-19, the concern for nosocomial transmission moderates operational procedures for acute stroke care. We present our experience with an in-hospital stroke code called on a COVID-19-positive patient with a left middle cerebral artery syndrome and the challenges faced for timely examination, imaging, and decision to intervene. The outlook for the ongoing COVID-19 pandemic necessitates the development of protocols to sustain timely and effective acute stroke care while mitigating healthcare-associated transmission.

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