Highlights COVID-19 disease is associated with stroke All strokes subtypes are seen in association with COVID-19, with ischemic stroke being most prevalent The most common etiology for ischemic stroke in SARS-CoV2 infection is cryptogenic Sex plays an important role in stroke outcomes in patients with COVID-19 disease Males have higher rates of ICU admission, in-hospital complications and more likely to have worse outcome at hospital discharge compare with females

Patients with lateropulsion following stroke have a lower FIM efficiency and more dependency at discharge when compared with matched controls with equal functional limitations. Secondary analyses show worse outcomes for the subgroup of patients with right hemisphere stroke; lateropulsion and greater leg weakness may account for differences. Patients with lateropulsion may require longer rehabilitation to reach outcome goals.

The initial therapeutic approach to acute ischemic stroke consists of thrombolytic therapy and early initiation of supportive care, usually commenced prior to the determination of the underlying stroke etiology. Varying stroke mechanisms may call for specific, etiology-based treatment.

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