Global Effect of the COVID-19 Pandemic on Stroke Volumes and Cerebrovascular Events A 1-Year Follow-up

Thanh N. Nguyen; Muhammad M. Qureshi; Piers Klein; Hiroshi Yamagami; Robert Mikulik; Anna Czlonkowska; Mohamad Abdalkader; Petra Sedova; Anvitha Sathya; Hannah C. Lo; Ossama Yassin Mansour; Husitha Reddy Vanguru; Emilie Lesaine; Georgios Tsivgoulis; Aaron I. Loochtan; Jelle Demeestere; Ken Uchino; Violiza Inoa; Nitin Goyal; Andreas Charidimou; James E. Siegler; Shadi Yaghi; Diana Aguiar de Sousa; Mahmoud H. Mohammaden; Diogo C. Haussen; Espen Saxhaug Kristoffersen; Virginia Pujol Lereis; Sergio Daniel Scollo; Bruce C.V. Campbell; Alice Ma; James Orton Thomas; Mark W. Parsons; Shaloo Singhal; Lee-Anne Slater; Rodrigo Tomazini Martins; Chris Enzinger; Thomas Gattringer; Aminur Rahman; Thomas Bonnet; Noemie Ligot; Sylvie De Raedt; Robin Lemmens; Peter Vanacker; Fenne Vandervorst; Adriana Bastos Conforto; Raquel C.T. Hidalgo; Luciana de Oliveira Neves; Rodrigo Targa Martins; Daissy Liliana Mora Cuervo; Leticia C. Rebello; Igor Bessa Santiago; Isabelle Lameirinhas da Silva; Teodora Sakelarova; Rosen Kalpachki; Filip Alexiev; Luciana Catanese; Elena Adela Cora; Mayank Goyal; Michael D. Hill; Michael E. Kelly; Houman Khosravani; Pascale Lavoie; Lissa Peeling; Aleksandra Pikula; Rodrigo Rivera; Hui-Sheng Chen; Yimin Chen; Xiaochuan Huo; Zhongrong Miao; Shuiquan Yang; Marina Roje Bedekovic; Marina Bralic; Hrvoje Budincevic; Angel Basilio Corredor-Quintero; Osvaldo E. Lara-Sarabia; Martin Cabal; Dusan Tenora; Petr Fibrich; Roman Herzig; Helena Hlaváčová; Emanuela Hrabanovska; David Hlinovsky; Lubomir Jurak; Jana Kadlcikova; Igor Karpowicz; Lukas Klecka; Martin Kovar; David Lauer; Jiri Neumann; Hana Palouskova; Martin Reiser; Petra Rekova; Vladimir Rohan; Ondrej Skoda; Miroslav Skorna; Lenka Sobotková; Martin Sramek; Lenka Zakova; Hanne Christensen; Nicolas Drenck; Helle Klingenberg Iversen; Thomas Clement Truelsen; Troels Wienecke; Khalid Sobh; Pauli Ylikotila; Kemal Alpay; Daniel Strbian; Patricia Bernady; Philippe Casenave; Maria Dan; Jean-Marc Faucheux; Jean-Christophe Gentric; Elsa Magro; Candice Sabben; Peggy Reiner; Francois Rouanet; Ferdinand O. Bohmann; Stefan Boskamp; Joshua Mbroh; Simon Nagel; Christian H. Nolte; Peter A. Ringleb; Michael Rosenkranz; Sven Poli; Götz Thomalla; Theodoros Karapanayiotides; Ioanna Koutroulou; Odysseas Kargiotis; Lina Palaiodimou; Jose Dominguo Barrientos Guerra; Vikram Huded; Bindu Menon; Shashank Nagendra; Chintan Prajapati; P.N. Sylaja; Nyoman Angga Krishna Pramana; Achmad Firdaus Sani; Abdoreza Ghoreishi; Mehdi Farhoudi; Elyar Sadeghi Hokmabadi; Tariq Abu Raya; Shani Avnery Kalmanovich; Levite Ronen; Sergiu Ionut Sabetay; Maurizio Acampa; Alessandro Adami; Lucio Castellan; Marco Longoni; Raffaele Ornello; Leonardo Renieri; Claudia Rolla Bigliani; Michele Romoli; Simona Sacco; Andrea Salmaggi; Davide Sangalli; Andrea Zini; Ryosuke Doijiri; Hiroki Fukuda; Toshiyuki Fujinaka; Kyohei Fujita; Hirotoshi Imamura; Nobuyuki Sakai; Takuya Kanamaru; Naoto Kimura; Ryuhei Kono; Kosuke Miyake; Manabu Sakaguchi; Kenichiro Sakai; Kazutaka Sonoda; Kenichi Todo; Fumio Miyashita; Naoki Tokuda; Yuji Matsumaru; Shoji Matsumoto; Nobuyuki Ohara; Seigo Shindo; Yohei Takenobu; Takeshi Yoshimoto; Kazunori Toyoda; Takeshi Uwatoko; Yoshiki Yagita; Takehiro Yamada; Nobuaki Yamamoto; Ryoo Yamamoto; Yukako Yazawa; Yuri Sugiura; Peter Kuria Waweru; Jang-Hyun Baek; Si Baek Lee; Kwon-Duk Seo; Sung-Il Sohn; Anita Ante Arsovska; Yong Chieh Chan; Wan Asyraf Wan Zaidi; Ainul Syahrilfazli Jaafar; Fernando Gongora-Rivera; Manuel Martinez-Marino; Adrian Infante-Valenzuela; Stanislav Groppa; Pavel Leahu; Jonathan M. Coutinho; Leon A. Rinkel; Diederik W.J. Dippel; Dianne H.K. van Dam-Nolen; Annemarei Ranta; Teddy Y. Wu; Tajudeen Temitayo Adebayo; Abiodun H. Bello; Ernest Okwundu Nwazor; Taofiki Ajao Sunmonu; Kolawole Wasiu Wahab; Ole Morten Ronning; Else Charlotte Sandset; Amal M. Al Hashmi; Saima Ahmad; Umair Rashid; Liliana Rodriguez-Kadota; Miguel Ángel Vences; Patrick Matic Yalung; Jon Stewart Hao Dy; Maria Carissa Pineda-Franks; Christian Oliver Co; Waldemar Brola; Aleksander Debiec; Malgorzata Dorobek; Michal Adam Karlinski; Beata M. Labuz-Roszak; Anetta Lasek-Bal; Halina Sienkiewicz-Jarosz; Jacek Staszewski; Piotr Sobolewski; Marcin Wiacek; Justyna Zielinska-Turek; Andre Pinho Araujo; Mariana Rocha; Pedro Castro; Vitor Tedim Cruz; Paulo Venancio Ferreira; Patricia Ferreira; Ana Paiva Nunes; Luisa Fonseca; João Pedro Marto; Teresa Pinho e Melo; Miguel Rodrigues; M. Luis Silva; Adela Dimitriade; Cristian Falup-Pecurariu; May Adel Hamid; Narayanaswamy Venketasubramanian; Georgi Krastev; Miroslav Mako; Oscar Ayo-Martin; Francisco Hernández-Fernández; Jordi Blasco; Alejandro Rodríguez-Vázquez; Antonio Cruz-Culebras; Francisco Moniche; Joan Montaner; Soledad Perez-Sanchez; María Jesús García Sánchez; Marta Guillán Rodríguez; Katarina Jood; Annika Nordanstig; Michael V. Mazya; Tiago T.P. Moreira; Gianmarco Bernava; Morin Beyeler; Manuel Bolognese; Emmanuel Carrera; Tomas Dobrocky; Grzegorz Marek Karwacki; Emanuela Keller; Chang Yang Hsieh; Surawan Boonyakarnkul; Anchalee Churojana; Ozlem Aykac; Atilla Ã-Zcan Ozdemir; Arsida Bajrami; Songul Senadim; Syed Irteza Hussain; Seby John; Soma Banerjee; Joseph Kwan; Kailash Krishnan; Robert Lenthall; Ashok Matthews; Ken Wong; Liqun Zhang; Dorothea Altschul; Kaiz S. Asif; Zeelalem Bahiru; Kristine Below; José Biller; Sean Ruland; Saqib A. Chaudry; Michael Chen; Alex Chebl; Jackie Cibulka; Leon Cistrunk; Judith Clark; Marco Colasurdo; Alexandra Czap; Adam de Havenon; Salvatore D'Amato; Sushrut Dharmadhikari; Kasey B. Grimmett; Adam A. Dmytriw; Mark R. Etherton; Chizoba Ezepue; Mudassir Farooqui; Steven K. Feske; Lauren Fink; Ulviyya Gasimova; Amy K. Guzik; Maryam Hakemi; Majesta Hovingh; Muhib Khan; Dinesh Jillela; Peter T. Kan; Rakesh Khatri; Ayaz M. Khawaja; Naim N. Khoury; Nicole L. Kiley; Benny S. Kim; Murali K. Kolikonda; Anna Luisa Kuhn; Stephanie Lara; Guillermo Linares; Italo Linfante; Timothy G. Lukovits; Sarah Lycan; Shailesh S. Male; Laith Maali; John Mancin; Hesham Masoud; Ghada A. Mohamed; Andre Monteiro; Fadi Nahab; Krishna Nalleballe; Santiago Ortega-Gutierrez; Ajit S. Puri; Yazan Radaideh; Rahul H. Rahangdale; Ansaar Rai; Pankajavalli Ramakrishnan; Aravind B. Reddy; Diana M. Rojas-Soto; Jose Rafael Romero; Natalia S. Rost; Aaron Rothstein; Setareh Salehi Omran; Sunil A. Sheth; Adnan H. Siddiqui; Amy K. Starosciak; Nicholas E. Tarlov; Robert A. Taylor; Michael J. Wang; Jared Wolfe; Ka-Ho Wong; Huynh Vu Le; Quy Viet Nguyen; Thong Nhu Pham; Trung Thanh Nguyen; Hoang Thi Phan; Mai Duy Ton; Urs Fischer; Patrik Michel; Davide Strambo; Sheila O. Martins; Osama O. Zaidat; Raul G. Nogueira

doi:10.1212/WNL.0000000000201426

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Global Effect of the COVID-19 Pandemic on Stroke Volumes and Cerebrovascular Events A 1-Year Follow-up

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Global Effect of the COVID-19 Pandemic on Stroke Volumes and Cerebrovascular Events A 1-Year Follow-up

Thanh N. Nguyen, Muhammad M. Qureshi, Piers Klein, Hiroshi Yamagami, Robert Mikulik, Anna Czlonkowska, Mohamad Abdalkader, Petra Sedova, Anvitha Sathya, Hannah C. Lo, …

Neurology, Vol.100(4), pp.E408-E421

24/01/2023

DOI: https://doi.org/10.1212/WNL.0000000000201426

Abstract

Background and Objectives Declines in stroke admission, IV thrombolysis (IVT), and mechanical thrombectomy volumes were reported during the first wave of the COVID-19 pandemic. There is a paucity of data on the longer-term effect of the pandemic on stroke volumes over the course of a year and through the second wave of the pandemic. We sought to measure the effect of the COVID-19 pandemic on the volumes of stroke admissions, intracranial hemorrhage (ICH), IVT, and mechanical thrombectomy over a 1-year period at the onset of the pandemic (March 1, 2020, to February 28, 2021) compared with the immediately preceding year (March 1, 2019, to February 29, 2020). Methods We conducted a longitudinal retrospective study across 6 continents, 56 countries, and 275 stroke centers. We collected volume data for COVID-19 admissions and 4 stroke metrics: ischemic stroke admissions, ICH admissions, IVT treatments, and mechanical thrombectomy procedures. Diagnoses were identified by their ICD-10 codes or classifications in stroke databases. Results There were 148,895 stroke admissions in the 1 year immediately before compared with 138,453 admissions during the 1-year pandemic, representing a 7% decline (95% CI [95% CI 7.1-6.9]; p < 0.0001). ICH volumes declined from 29,585 to 28,156 (4.8% [5.1-4.6]; p < 0.0001) and IVT volume from 24,584 to 23,077 (6.1% [6.4-5.8]; p < 0.0001). Larger declines were observed at high-volume compared with low-volume centers (all p < 0.0001). There was no significant change in mechanical thrombectomy volumes (0.7% [0.6-0.9]; p = 0.49). Stroke was diagnosed in 1.3% [1.31-1.38] of 406,792 COVID-19 hospitalizations. SARS-CoV-2 infection was present in 2.9% ([2.82-2.97], 5,656/195,539) of all stroke hospitalizations. Discussion There was a global decline and shift to lower-volume centers of stroke admission volumes, ICH volumes, and IVT volumes during the 1st year of the COVID-19 pandemic compared with the prior year. Mechanical thrombectomy volumes were preserved. These results suggest preservation in the stroke care of higher severity of disease through the first pandemic year.

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Title: Global Effect of the COVID-19 Pandemic on Stroke Volumes and Cerebrovascular Events A 1-Year Follow-up
Creators - without role: Thanh N. Nguyen - Tabriz University of Medical Sciences
Muhammad M. Qureshi - Boston University
Piers Klein - Boston University
Hiroshi Yamagami - Masaryk University
Robert Mikulik - Masaryk University
Anna Czlonkowska - Institute of Psychiatry and Neurology
Mohamad Abdalkader - Boston University
Petra Sedova - Masaryk University
Anvitha Sathya - Boston University
Hannah C. Lo - Boston University
Ossama Yassin Mansour - Alexandria University
Husitha Reddy Vanguru - Bordeaux Population Health
Emilie Lesaine - Bordeaux Population Health
Georgios Tsivgoulis - National and Kapodistrian University of Athens
Aaron I. Loochtan - Ohio Health Riverside Methodist Hospital, Leuven University Hospital
Jelle Demeestere - Neurology Department, Leuven University Hospital
Ken Uchino - Bordeaux Population Health
Violiza Inoa - University of Tennessee Health Science Center
Nitin Goyal - University of Tennessee Health Science Center
Andreas Charidimou - Boston University
James E. Siegler - Cooper University Hospital
Shadi Yaghi - Brown University
Diana Aguiar de Sousa - Medicina
Mahmoud H. Mohammaden - Emory University School of Medicine
Diogo C. Haussen - Emory University School of Medicine
Espen Saxhaug Kristoffersen - Akershus University Hospital
Virginia Pujol Lereis - Division de Neurologia Vascular, Departmento de Neurologia, Institute for Neurological Research-FLENI
Sergio Daniel Scollo - Stroke Unit, Ramos Mejia Hospital
Bruce C.V. Campbell - University of Melbourne
Alice Ma - Royal North Shore Hospital
James Orton Thomas - Liverpool Hospital
Mark W. Parsons - Liverpool Hospital
Shaloo Singhal - Monash University
Lee-Anne Slater - Monash Medical Centre
Rodrigo Tomazini Martins - Mater Hospital
Chris Enzinger - Medical University of Graz
Thomas Gattringer - Medical University of Graz
Aminur Rahman - Department of Neurology, Sir Salimullah Medical College
Thomas Bonnet - Hopital Erasme
Noemie Ligot - Hopital Erasme
Sylvie De Raedt - Vrije Universiteit Brussel
Robin Lemmens - Neurology Department, Leuven University Hospital
Peter Vanacker - University of Antwerp
Fenne Vandervorst - Vrije Universiteit Brussel
Adriana Bastos Conforto - Hospital das Clínicas, São Paulo University
Raquel C.T. Hidalgo - Department of Neurology and Interventional Neuroradiology, Hospital de Base de São José do Rio Preto
Luciana de Oliveira Neves - Department of Neurology, Hospital São Carlos
Rodrigo Targa Martins - Stroke Unit, Neurology, Nossa Senhora da Conceição Hospital
Daissy Liliana Mora Cuervo - Moinhos de Vento Hospital
Leticia C. Rebello - Hospital de Base
Igor Bessa Santiago - Department of Neurology, Hospital São Carlos
Isabelle Lameirinhas da Silva - Hospital das Clínicas, São Paulo University
Teodora Sakelarova - St. Anna University Hospital
Rosen Kalpachki - St. Anna University Hospital
Filip Alexiev - St. Anna University Hospital
Luciana Catanese - McMaster University
Elena Adela Cora - Dalhousie University
Mayank Goyal - University of Calgary
Michael D. Hill - University of Calgary
Michael E. Kelly - Royal University Hospital
Houman Khosravani - University of Toronto
Pascale Lavoie - Université Laval
Lissa Peeling - Royal University Hospital
Aleksandra Pikula - University of Toronto
Rodrigo Rivera - Neuroradiology Department, Instituto de Neurocirugía Dr. Asenjo
Hui-Sheng Chen - University of Toronto
Yimin Chen - Department of Neurology, Foshan Sanshui District People's Hospital
Xiaochuan Huo - Interventional Neuroradiology, Beijing Tiantian Hospital
Zhongrong Miao - Interventional Neuroradiology, Beijing Tiantian Hospital
Shuiquan Yang - Department of Neurology, Foshan Sanshui District People's Hospital
Marina Roje Bedekovic - Department of Neurology, Sestre Milosrdnice University Hospital Center
Marina Bralic - Department of Neurology, Clinical Hospital Center
Hrvoje Budincevic - University of Osijek
Angel Basilio Corredor-Quintero - Hospital Departamental, Universitario del Quindío San Juan de Dios
Osvaldo E. Lara-Sarabia - Department of Neurology, Clínica de la Costa
Martin Cabal - Faculty
Dusan Tenora - Blansko Hospital
Petr Fibrich - OblastníNemocnice Trutnov a.s
Roman Herzig - Charles University
Helena Hlaváčová - Neurology Hospital Příbram
Emanuela Hrabanovska - Uherskohradištská Hospital
David Hlinovsky - Thomayer University Hospital
Lubomir Jurak - Neurocente Regional Hospital
Jana Kadlcikova - Neurology, Hospital Vyskov
Igor Karpowicz - Regional Hospital Karlovy Vary
Lukas Klecka
Martin Kovar - Na Homolce Hospital
David Lauer - University Hospital Kralovske Vinohrady
Jiri Neumann - Krajská Zdravotní
Hana Palouskova - Karvina Mining Hospital
Martin Reiser - Neurology, Ceské Budejovice Hospital
Petra Rekova - University Hospital Brno
Vladimir Rohan - Department of Neurology, University Hospital
Ondrej Skoda - Hospital Jihlava
Miroslav Skorna - University Hospital Brno
Lenka Sobotková - Oblastni Nem-ocnice
Martin Sramek - Central Military Hospital
Lenka Zakova - Nemocnice Třinec
Hanne Christensen - Copenhagen University Hospital
Nicolas Drenck - Copenhagen University Hospital
Helle Klingenberg Iversen - University of Copenhagen
Thomas Clement Truelsen - University of Copenhagen
Troels Wienecke - Zealand University Hospital
Khalid Sobh - El Hussein Alzahar University Hospital
Pauli Ylikotila - Turku University Hospital
Kemal Alpay - Turku University Hospital
Daniel Strbian - Helsinki University Hospital
Patricia Bernady - Bayonne Hospital Neurology, Stroke Unit
Philippe Casenave - Libourne Hospital Neurology, Stroke Unit
Maria Dan - Centre Hospitalier d'Arcachon-Neurologie
Jean-Marc Faucheux - Agen Hospital Neurology, Stroke Unit
Jean-Christophe Gentric - Neuroradiologie Interventionelle, Brest University Hospital
Elsa Magro - Neurochirurgie, Brest University Hospital
Candice Sabben - Department of Neurology, Rothschild Foundation Hospital
Peggy Reiner - Lariboisiere Hospital
Francois Rouanet - Bordeaux University, Hospital Neurology Stroke Unit
Ferdinand O. Bohmann - Department of Neurology, University Hospital, Goethe University
Stefan Boskamp - Department of Neurology, Albertinen Krankenhaus
Joshua Mbroh - Hertie Institute for Clinical Brain Research
Simon Nagel - Heidelberg University
Christian H. Nolte - Charité - Universitätsmedizin Berlin
Peter A. Ringleb - Department of Neurology, Heidelberg University Hospital
Michael Rosenkranz - Department of Neurology, Albertinen Krankenhaus
Sven Poli - Hertie Institute for Clinical Brain Research
Götz Thomalla - Universitätsklinikum Hamburg-Eppendorf, Klinik und Poli-klinik für Neurologie
Theodoros Karapanayiotides - Aristotle University of Thessaloniki
Ioanna Koutroulou - Aristotle University of Thessaloniki
Odysseas Kargiotis - Stroke Unit, Metropolitan Hospital
Lina Palaiodimou - National and Kapodistrian University of Athens
Jose Dominguo Barrientos Guerra - Hospital General San Juan de Dios
Vikram Huded - Mazumdar Shaw Medical Center
Bindu Menon - Department of Neurology, Apollo Specialty Hospitals
Shashank Nagendra - Department of Neurology, Grant Medical College, Sir JJ Hospital
Chintan Prajapati - Mazumdar Shaw Medical Center
P.N. Sylaja - Sree Chitra Tirunal Institute for Medical Sciences and Technology
Nyoman Angga Krishna Pramana - Udayana University
Achmad Firdaus Sani - Dr. Soetomo General Hospital Surabaya, Universitas Airlangga
Abdoreza Ghoreishi - Zanjan University of Medical Sciences
Mehdi Farhoudi - Tabriz University of Medical Sciences
Elyar Sadeghi Hokmabadi - Tabriz University of Medical Sciences
Tariq Abu Raya - Hillel Yaffe Medical Center
Shani Avnery Kalmanovich - Hillel Yaffe Medical Center
Levite Ronen - Neurointerventional Unit, Shamir Medical Center
Sergiu Ionut Sabetay - Hillel Yaffe Medical Center
Maurizio Acampa - University of Siena
Alessandro Adami - Stroke Center, IRCCS Sacro Cuore Don Calabria
Lucio Castellan - Dipartimento di Neuroradiologia Diagnostica e Interventistica, Policinico Universitario, IRCCS San Martino
Marco Longoni - Neurology and Stroke Unit, Ospedale Bufalini
Raffaele Ornello - University of L'Aquila
Leonardo Renieri - Interventional Neurovascular Unit, Careggi University Hospital
Claudia Rolla Bigliani - Dipartimento di Neuroradiologia Diagnostica e Interventistica, Policinico Universitario, IRCCS San Martino
Michele Romoli - Neurology and Stroke Unit, Ospedale Bufalini
Simona Sacco - University of L'Aquila
Andrea Salmaggi - Neurological Department, “Alessandro Manzoni” Hospital, ASST Lecco
Davide Sangalli - Neurological Department, “Alessandro Manzoni” Hospital, ASST Lecco
Andrea Zini - Istituto delle Scienze Neurologiche di Bologna
Ryosuke Doijiri - Iwate Prefectural Central Hospital
Hiroki Fukuda - Department of Neurology, Japanese Red Cross Matsue Hospital
Toshiyuki Fujinaka - Osaka National Hospital
Kyohei Fujita - Tokyo Medical and Dental University
Hirotoshi Imamura - Kobe City Medical Center General Hospital
Nobuyuki Sakai - Kobe City Medical Center General Hospital
Takuya Kanamaru - NTT Medical Center
Naoto Kimura - Iwate Prefectural Central Hospital
Ryuhei Kono - Kin-ikyo Chuo Hospital
Kosuke Miyake - Shiroyama Hospital
Manabu Sakaguchi - Osaka Prefectural Medical Center
Kenichiro Sakai - Jikei University School of Medicine
Kazutaka Sonoda - Saiseikai Fukuoka General Hospital
Kenichi Todo - Osaka University Hospital
Fumio Miyashita - Kagoshima City Hospital
Naoki Tokuda - Kagoshima City Hospital
Yuji Matsumaru - University of Tsukuba Hospital
Shoji Matsumoto - Fujita Health University
Nobuyuki Ohara - Kobe City Medical Center General Hospital
Seigo Shindo - Department of Neurology, Japanese Red Cross Kummoto Hospital
Yohei Takenobu - Osaka Red Cross Hospital
Takeshi Yoshimoto - National Cerebral and Cardiovascular Center
Kazunori Toyoda - National Cerebral and Cardiovascular Center
Takeshi Uwatoko - Cerebrovascular Medicine Stroke Center, Saga Medical Centre
Yoshiki Yagita - Kawasaki Medical School
Takehiro Yamada - Kyoto first Red Cross hospital
Nobuaki Yamamoto - Tokushima University
Ryoo Yamamoto - Yokohama Brain and Spine Center
Yukako Yazawa - Kohnan Hospital
Yuri Sugiura - Toyonaka Municipal Hospital
Peter Kuria Waweru - Sungkyunkwan University
Jang-Hyun Baek - Sungkyunkwan University
Si Baek Lee - Catholic University of Korea
Kwon-Duk Seo - National Health Insurance Service Ilsan Hospital
Sung-Il Sohn - Keimyung University
Anita Ante Arsovska - Faculty
Yong Chieh Chan - Hospital Sultan Abdul Halim
Wan Asyraf Wan Zaidi - National University of Malaysia
Ainul Syahrilfazli Jaafar - National University of Malaysia
Fernando Gongora-Rivera - Neurovascular Unit, Neurology Department, University Hospital Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon
Manuel Martinez-Marino - Centro Medico Nacional Siglo XXI
Adrian Infante-Valenzuela - Neurovascular Unit, Neurology Department, University Hospital Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon
Stanislav Groppa - Centro Medico Nacional Siglo XXI
Pavel Leahu - Centro Medico Nacional Siglo XXI
Jonathan M. Coutinho - Amsterdam University Medical Centers
Leon A. Rinkel - Amsterdam University Medical Centers
Diederik W.J. Dippel - Erasmus MC
Dianne H.K. van Dam-Nolen - Erasmus MC
Annemarei Ranta - University of Otago
Teddy Y. Wu - Department of Neurology, Christchurch Hospital
Tajudeen Temitayo Adebayo - Department of Medical Records, Federal Medical Centre
Abiodun H. Bello - University of Ilorin
Ernest Okwundu Nwazor - Neurology Unit, Department of Medicine, Federal Medical Centre Owerri, Neurology Unit, Federal Medical Centre
Taofiki Ajao Sunmonu - Neurology Unit, Department of Medicine, Federal Medical Center
Kolawole Wasiu Wahab - University of Ilorin
Ole Morten Ronning - Akershus University Hospital
Else Charlotte Sandset - AIR
Amal M. Al Hashmi - Khoula Hospital
Saima Ahmad - Lahore General Hospital
Umair Rashid - Lahore General Hospital
Liliana Rodriguez-Kadota - EsSALUD
Miguel Ángel Vences - EsSALUD
Patrick Matic Yalung - St. Luke's Medical Center
Jon Stewart Hao Dy - St. Luke's Medical Center
Maria Carissa Pineda-Franks - St. Luke's Medical Center
Christian Oliver Co - St. Luke's Medical Center
Waldemar Brola - Jan Kochanowski University
Aleksander Debiec - Military Institute
Malgorzata Dorobek - Ministry of Interior and Administration
Michal Adam Karlinski - Institute of Psychiatry and Neurology
Beata M. Labuz-Roszak - Department of Neurology, St. Jadwiga Provincial Specialist Hospital in Opole, Institute of Medical Sciences, University of Opole
Anetta Lasek-Bal - Medical University of Silesia
Halina Sienkiewicz-Jarosz - Institute of Psychiatry and Neurology
Jacek Staszewski - Military Institute
Piotr Sobolewski - Jan Kochanowski University
Marcin Wiacek - Rzeszów University
Justyna Zielinska-Turek - Department of Neurology, Central Clinical Hospital of the Ministry of Interior, Department of Neurology, Central Clinical Hospital of the Ministry of Internal Affairs and Administration
Andre Pinho Araujo - Nova Southeastern University
Mariana Rocha - Nova Southeastern University
Pedro Castro - Department of Neurology, Centro Hospitalar Universitário de São João
Vitor Tedim Cruz - Hospital Pedro Hispano
Paulo Venancio Ferreira - Hospital Pedro Hispano
Patricia Ferreira - Stroke Unit, Centro Hospitalar Universitário de Lisboa Central
Ana Paiva Nunes - Stroke Unit, Centro Hospitalar Universitário de Lisboa Central
Luisa Fonseca - Stroke Unit, Medicine Department, Centro Hospitalar Universitário de São João
João Pedro Marto - Jan Kochanowski University
Teresa Pinho e Melo - Centro Hospitalar Lisboa Norte
Miguel Rodrigues - Hospital Garcia de Orta
M. Luis Silva - Centro Hospitalar Universitário de São João
Adela Dimitriade - Amita Health St. Mary's Hospital
Cristian Falup-Pecurariu - Faculty
May Adel Hamid - Imam Abdulrahman Bin Faisal University
Narayanaswamy Venketasubramanian - Raffles Hospital
Georgi Krastev - Slovak Medical University
Miroslav Mako - Faculty
Oscar Ayo-Martin - Complejo Hospitalario Universitario de Albacete
Francisco Hernández-Fernández - Complejo Hospitalario Universitario de Albacete
Jordi Blasco - Complejo Hospitalario Universitario de Albacete
Alejandro Rodríguez-Vázquez - Hospital Clínic de Barcelona
Antonio Cruz-Culebras - Hospital Universitario Ramón y Cajal
Francisco Moniche - Hospital Universitario Virgen del Rocío
Joan Montaner - Hospital Universitario Virgen Macarena
Soledad Perez-Sanchez - Hospital Universitario Virgen Macarena
María Jesús García Sánchez - Hospital Universitario Rey Juan Carlos
Marta Guillán Rodríguez - Hospital Universitario Rey Juan Carlos
Katarina Jood - Sahlgrenska University Hospital
Annika Nordanstig - Sahlgrenska University Hospital
Michael V. Mazya - Karolinska University Hospital
Tiago T.P. Moreira - Karolinska University Hospital
Gianmarco Bernava - Interventional Neuroradiology, University Hospitals of Geneva
Morin Beyeler - Department of Neurology, Inselspital, Bern University Hospital, Neurocenter, Cantonal Hospital of Lucerne
Manuel Bolognese - Neurocenter, Cantonal Hospital of Lucerne
Emmanuel Carrera - Department of Neurology, University Hospitals of Geneva
Tomas Dobrocky - University of Bern
Grzegorz Marek Karwacki - Department of Radiology, Nuclear Medicine Cantonal Hospital of Lucerne
Emanuela Keller - University of Zurich
Chang Yang Hsieh - University of Zurich
Surawan Boonyakarnkul - Mahidol University
Anchalee Churojana - Mahidol University
Ozlem Aykac - Eskişehir Osmangazi University
Atilla Ã-Zcan Ozdemir - Eskişehir Osmangazi University
Arsida Bajrami - Istanbul Aydın University
Songul Senadim - Istanbul Aydın University
Syed Irteza Hussain - Cleveland Clinic
Seby John - Cleveland Clinic
Soma Banerjee - Imperial College Healthcare NHS Trust
Joseph Kwan - Imperial College Healthcare NHS Trust
Kailash Krishnan - Nottingham University Hospitals NHS Trust
Robert Lenthall - Nottingham University Hospitals NHS Trust
Ashok Matthews - Barking Havering and Redbridge University Hospitals
Ken Wong - Barts Health NHS Trust
Liqun Zhang - St. George's University
Dorothea Altschul - University of Illinois Urbana-Champaign
Kaiz S. Asif - University of Illinois Urbana-Champaign
Zeelalem Bahiru - Inova Design Solutions
Kristine Below - Bon Secours Mercy Health
José Biller - Loyola University Chicago
Sean Ruland - Loyola University Chicago
Saqib A. Chaudry - University of Virginia
Michael Chen - Rush University Medical Center
Alex Chebl - Henry Ford Health System
Jackie Cibulka - University of Tennessee Health Science Center
Leon Cistrunk - University of Tennessee Health Science Center
Judith Clark - Boston University
Marco Colasurdo - Department of Radiology, University of Texas Medical Branch
Alexandra Czap - Neurology, UTHealth McGovern Medical School
Adam de Havenon - Yale University
Salvatore D'Amato - Brigham and Women's Hospital
Sushrut Dharmadhikari - New England Baptist Hospital
Kasey B. Grimmett - New England Baptist Hospital
Adam A. Dmytriw - Brigham and Women's Hospital, Neurointerventional Program, Departments of Medical Imaging and Clinical Neurological Sciences, London Health Sciences Centre, Western University, Neuroendovascular Program, Massachusetts General Hospital, Brigham and Women's Hospital, Harvard Medical School
Mark R. Etherton - Massachusetts General Hospital
Chizoba Ezepue - Department of Interventional and Vascular, Neurology Neuroscience Center, SSM Health DePaul Hospital
Mudassir Farooqui - University of Iowa
Steven K. Feske - Boston University
Lauren Fink - Santa Barbara Cottage Hospital
Ulviyya Gasimova - Department of Neurology, Saint Louis University, School of Medicine
Amy K. Guzik - Atrium Health Wake Forest Baptist
Maryam Hakemi - Wayne State University
Majesta Hovingh - Michigan State University
Muhib Khan - Michigan State University
Dinesh Jillela - Emory University School of Medicine
Peter T. Kan - Department of Neurosurgery, University of Texas Medical Branch
Rakesh Khatri - Department of Neurology, Texas Tech University Health Science Center
Ayaz M. Khawaja - Wayne State University
Naim N. Khoury - Southern Illinois University School of Medicine
Nicole L. Kiley - Boston University
Benny S. Kim - Virginia Hospital Center
Murali K. Kolikonda - New England Baptist Hospital
Anna Luisa Kuhn - Division of Neurointerventional Radiology, Department of Radiology, University of Massachusetts Medical Center
Stephanie Lara - Atrium Health Wake Forest Baptist
Guillermo Linares - Vascular and Neurointerventional Services, Saint Louis University
Italo Linfante - Neuroscience Institute
Timothy G. Lukovits - Dartmouth–Hitchcock Medical Center
Sarah Lycan - Community Memorial Hospital
Shailesh S. Male - Department of Neurology & Neurosurgery, ECU Health Medical Center
Laith Maali - University of Kansas Medical Center
John Mancin - West Virginia University
Hesham Masoud - Department of Neurology, SUNY Upstate
Ghada A. Mohamed - Medical University of South Carolina
Andre Monteiro - Department of Neurosurgery, University at Buffalo
Fadi Nahab - Emory University
Krishna Nalleballe - University of Arkansas for Medical Sciences
Santiago Ortega-Gutierrez - University of Iowa
Ajit S. Puri - National University of Malaysia
Yazan Radaideh - Rush University Medical Center
Rahul H. Rahangdale - Ascension St Johns Medical Center
Ansaar Rai - Hospital Clínic de Barcelona
Pankajavalli Ramakrishnan - Riverside Regional Medical Center
Aravind B. Reddy - Department of Neurology, SUNY Upstate
Diana M. Rojas-Soto - Dartmouth–Hitchcock Medical Center
Jose Rafael Romero - Boston University
Natalia S. Rost - Massachusetts General Hospital
Aaron Rothstein - West Virginia University
Setareh Salehi Omran - University of Colorado, School of Medicine
Sunil A. Sheth - The University of Texas Health Science Center
Adnan H. Siddiqui - Department of Neurosurgery, University at Buffalo
Amy K. Starosciak - Neuroscience Institute
Nicholas E. Tarlov - Community Memorial Hospital
Robert A. Taylor - Santa Barbara Cottage Hospital
Michael J. Wang - UNC School of Medicine
Jared Wolfe - Cooper University Hospital
Ka-Ho Wong - University of Utah
Huynh Vu Le - Hue Central
Quy Viet Nguyen - Hue Central
Thong Nhu Pham - Da Nang Hospital
Trung Thanh Nguyen - Da Nang Hospital
Hoang Thi Phan - Bạch Mai Hospital
Mai Duy Ton - Bạch Mai Hospital
Urs Fischer - University of Basel
Patrik Michel - University of Lausanne
Davide Strambo - University of Lausanne
Sheila O. Martins - Universidade Federal do Rio Grande do Sul
Osama O. Zaidat - Bon Secours Mercy Health
Raul G. Nogueira - University of Pittsburgh Medical Center
May Adel Hamid - Imam Abdulrahman Bin Faisal University
Publication Details: Neurology, Vol.100(4), pp.E408-E421
Identifiers: 9915300408331
Academic Unit: Imam Abdulrahman Bin Faisal University
Language: English
Resource Type: Journal article