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3 rd April 2020, at the moment we have 3116 positive COVID-19 patients with 50 mortality. Today, most of the critical care services in the country are allocated for SARI and COVID-19 patients. The Malaysia Stroke Council is concerned on the safety of both patients and health care personnel with the current extraordinary COVID-19 crisis. The usual rigorous process to create the national guideline will go through an extensive literature review. None is possible at the moment as we are in lockdown and the world is still in the process of understanding and adapting to this pandemic. Therefore, we produce this temporary statement as a suggestion on the necessary measures, which will be updated the soonest when more evidences available to us.
1. COVID-19 and neurology disease
The COVID-19 disease primarily manifested as a respiratory disease. However there are case series from China that described the commonest neurological manifestations are dizziness, headache and encephalopathy. In certain patients, they may also complain of anosmia, dysgeusia and muscle injury with raised creatine kinase.
2. Recommendations for hyperacute stroke management during the COVID-19 pandemic are as the followings:
MALAYSIA STROKE COUNCIL COMMITTEE