Presentation: | Acute presentation with focal motor, sensory or speech disturbance |
Supportive testing: | MRI: Abnormal, lesion located in a vascular distribution |
Treatment: | No society guidelines for COVID-19–specific stroke treatment |
1. Acute ischemic stroke treatment: thrombolytic and endovascular therapy should be considered. No society guidelines on stroke prevention. Therapeutic anticoagulation should be considered on a case-by-case basis. | |
2. Acute hemorrhagic stroke (rare): standard treatment with blood pressure control. | |
3. Cerebral venous sinus thrombosis: standard treatment with full-dose therapeutic anticoagulation, evaluate for other thrombosis sites. |
MRI = magnetic resonance