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Integrating neurology and pharmacy through telemedicine: A novel care model
Teleneurology had been best studied in acute stroke care, but the Coronavirus (COVID)-19 pandemic has highlighted applicability in outpatient practice. Telepharmacy is a convenient method for pharmacists to provide medication management to enhance care. Studies in the outpatient space suggest non-inferiority of teleneurology to increase access to specialized care for patients in rural locations. The role of telemedicine based interdisciplinary collaborations in a metropolitan and under-resourced setting has not been explored.
Source: Journal of the Neurological Sciences - December 8, 2021 Category: Neurology Authors: Hanlin Li, Imama A. Naqvi, Sarah E. Tom, Barbara Almeida, Yuliya Baratt, Christina M. Ulane Tags: Clinical short communication Source Type: research

Lessons learned in stroke care during COVID-19 pandemic and preparing for future pandemics in the MENA+ region: A consensus statement from the MENA+-SINO
COVID-19 pandemic has negatively impacted stroke care services at multiple levels. There was a decline in acute stroke admissions. Fewer interventions have been performed. Increased “door-to-needle times and “door-to-groin puncture” during this pandemic. These factors combined have led to declining in the favoured outcomes of stroke patients' globally. Yet this pandemic permits an opportunity for higher preparedness for future pandemics.
Source: Journal of the Neurological Sciences - November 26, 2021 Category: Neurology Authors: Amal .M. Al Hashmi, Stephan von Bandemer, Ashfaq Shuaib, Ossama Yassin Mansour, Mohammed Wassy, Atilla Ozacn Ozdemir, Mehdi Farhoudi, Hosam Al Jehani, Adnan Khan, Seby John, Maher Saqqur, On the behalf of MENA-SINO Organization Source Type: research

Clinical profile and outcome of non-COVID strokes during pandemic and the pre pandemic period: COVID-Stroke Study Group (CSSG) India
As the health systems around the world struggled to meet the challenges of COVID-19 pandemic, care of many non-COVID emergencies was affected.
Source: Journal of the Neurological Sciences - July 15, 2021 Category: Neurology Authors: Rohit Bhatia, P.N. Sylaja, M.V. Padma Srivastava, Snigdha Komakula, Thomas Iype, Rajsrinivas Parthasarathy, Dheeraj Khurana, Vibhor Pardesani, Vijaya Pamidimukkala, S. Kumaravelu, Jeyaraj Pandian, Suman Kushwaha, Debashish Chowdhury, Salil Gupta, Srijithe Source Type: research

Characteristics and outcomes of 100 consecutive patients with acute stroke and COVID-19
The coronavirus disease 2019 (COVID-19) pandemic started as a respiratory illness. Now, there are increasing reports of its hypercoagulable and thrombotic complications [1] leading to stroke [2,3]. Initial studies suggested strokes to be a feature of severe and late COVID-19 [2,4]; usually occurring in the second week of illness after the onset of typical respiratory symptoms [4]. Recent studies identified these even in mild to moderate infection [5,6]. A recent meta-analysis also noted that 24.5% of patients with stroke symptoms did not experience any of the other typical COVID- 19 symptoms [6].
Source: Journal of the Neurological Sciences - February 16, 2021 Category: Neurology Authors: Rajesh Benny, Rakeshsingh K. Singh, Anil Venkitachalam, Rakesh Shyam Lalla, Rahul A. Pandit, Keyur C. Panchal, Vibhor Pardasani, Gunjan Chanchalani, Mheboob Basle, Vyankatesh Bolegave, Hunnur Manoj, Ashutosh N. Shetty, Amit M. Shah, Pawan Pai, Nilesh M. B Source Type: research

Cerebral venous sinus thrombosis associated with SARS-CoV-2; a multinational case series
We present a series of CVST cases with SARS-CoV-2 infection.Methods In a multinational retrospective study, we collected all cases of CVST in SARS-CoV-2 infected patients admitted to nine tertiary stroke centers from the beginning of the pandemic to June 30th, 2020. We compared the demographics, clinical and radiological characteristics, risk factors, and outcome of these patients with a control group of non-SARS-CoV-2 infected CVST patients in the same seasonal period of the years 2012 –2016 from the country where the majority of cases were recruited.
Source: Journal of the Neurological Sciences - October 14, 2020 Category: Neurology Authors: Ashkan Mowla, Banafsheh Shakibajahromi, Shima Shahjouei, Afshin Borhani-Haghighi, Nasrin Rahimian, Humain Baharvahdat, Soheil Naderi, Fariborz Khorvash, Davar Altafi, Seyed Amir Ebrahimzadeh, Ghasem Farahmand, Alaleh Vaghefi Far, Vijay K. Sharma, Saeideh Source Type: research

COVID-19 AND STROKE: Experience in a GHANAIAN healthcare system
Background:The novel coronavirus disease 19 (COVID-19) causes multi-system disease including possibly heightened stroke risk. Data from high-income countries (HIC) suggest disruptions to care delivery with reduced stroke admissions and administration of acute stroke reperfusion therapies. We are unaware of any published data on the impact of the COVID-19 pandemic on stroke admissions and outcomes in sub-Saharan Africa.Purpose: To compare rates of stroke admissions and case fatality between corresponding periods in 2020 and 2019, within a hospital system in Ghana, to assess the potential impact of the COVID-19 pandemic.
Source: Journal of the Neurological Sciences - July 14, 2020 Category: Neurology Authors: Fred S. Sarfo, Naa Oboshie Mensah, Francis Agyapong Opoku, Nathaniel Adusei-Mensah, Michael Ampofo, Bruce Ovbiagele Source Type: research

Teleneurology during the COVID-19 pandemic: A step forward in modernizing medical care
The COVID-19 pandemic mandated rapid transition from face-to-face encounters to teleneurology visits. While teleneurology is regularly used in acute stroke care, its application in other branches of neurology was limited. Here we review how the recent pandemic has created a paradigm shift in caring for patients with chronic neurological disorders and how academic institutions have responded to the present need.
Source: Journal of the Neurological Sciences - May 20, 2020 Category: Neurology Authors: Bhaskar Roy, Richard J. Nowak, Ricardo Roda, Babar Khokhar, Huned S. Patwa, Thomas Lloyd, Seward B. Rutkove Tags: Clinical short communication Source Type: research

Has COVID-19 played an unexpected “stroke” on the chain of survival?
The COVID-19 pandemics required several changes in stroke management and it may have influenced some clinical or functional characteristics. We aimed to evaluate the effects of the COVID-19 pandemics on stroke management during the first month of Italy lockdown. In addition, we described the emergency structured pathway adopted by an Italian University Hub Stroke Unit in the cross-border Italy-Slovenia area.
Source: Journal of the Neurological Sciences - May 5, 2020 Category: Neurology Authors: Marcello Naccarato, Ilario Scali, Sasha Olivo, Milos Aj čević, Alex Buoite Stella, Giovanni Furlanis, Carlo Lugnan, Paola Caruso, Alberto Peratoner, Franco Cominotto, Paolo Manganotti Tags: Clinical short communication Source Type: research

Covert COVID-19 complications: Continuing the use of evidence-based drugs to minimize potentially lethal indirect effects of the pandemic in stroke patients
Stroke and cardiovascular diseases are the world's biggest killers, globally accounting for over 15 million deaths each year (https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death). Since the Coronavirus Disease 2019 (COVID-19) outbreak in Wuhan, China and its rapid spread to other countries, as of April 272,020, there were about 3 million cases with over 190,000 deaths worldwide. However, actual situation might be even more dire, since such statistics likely do not fully display the entire impact of COVID-19, especially with regard to its influence on patients with a history of stroke who need to tak...
Source: Journal of the Neurological Sciences - May 5, 2020 Category: Neurology Authors: Meng Lee, Chi-Hsin Sally Chen, Bruce Ovbiagele Tags: Letter to the Editor Source Type: research