Ischemic stroke and covid‑19: pathogenesis mechanisms, clinical characteristics, and treatment difficulties in a pandemic

Vishneva Elena Mikhailovna, Vesnina Natalia Sergeevna

The emergence and spread of the new coronavirus infection (COVID-19) has caused the greatest public health problem. Current evidence suggests that COVID-19 can cause ischemic stroke, especially in severe disease, and there are similarities in the risk factors for severe COVID-19 as well as ischemic stroke, highlighting the complex relationship between the two conditions. The pandemic has created challenges for stroke care. The rapid assessment and timely interventions needed to achieve optimal outcomes in stroke treatment have been complicated by COVID-19 due to the need for infection prevention measures. The aim of this paper is to study the putative mechanisms of ischemic stroke in COVID-19 and the clinical characteristics of COVID-19 patients who develop ischemic stroke. The problems associated with the management of patients with ischemic stroke in the context of COVID-19 are highlighted, current treatment recommendations are considered, and potential areas for future research are revealed.

Keywords:coronavirus infection, ischemic stroke, patient, pandemic, COVID-19.