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March 25, 2021Article

Global Impact of COVID-19 on Stroke Care and Intravenous Thrombolysis

Raul G Nogueira, Muhammed M Qureshi, View ORCID ProfileMohamad Abdalkader, Sheila Ouriques Martins, Hiroshi Yamagami, View ORCID ProfileZhongming Qiu, Ossama Yassin Mansour, Anvitha Sathya, View ORCID ProfileAnna Czlonkowska, View ORCID ProfileGeorgios Tsivgoulis, View ORCID ProfileDiana Aguiar de Sousa, View ORCID ProfileJelle Demeestere, View ORCID ProfileRobert Mikulik, Peter Vanacker, James E Siegler, View ORCID ProfileJanika Kõrv, View ORCID ProfileJose Biller, Conrad W Liang, Navdeep S Sangha, View ORCID ProfileAlicia M Zha, View ORCID ProfileAlexandra L Czap, View ORCID ProfileChristine Anne Holmstedt, View ORCID ProfileTanya N. Turan, View ORCID ProfileGeorge Ntaios, Konark Malhotra, View ORCID ProfileAshis Tayal, Aaron Loochtan, View ORCID ProfileAnnamarei Ranta, View ORCID ProfileEva A. Mistry, Anne W Alexandrov, David Y. Huang, View ORCID ProfileShadi Yaghi, View ORCID ProfileEytan Raz, Sunil A Sheth, Mahmoud H Mohammaden, View ORCID ProfileMichael Frankel, Eric Guemekane Bila Lamou, Hany M Aref, View ORCID ProfileAhmed Elbassiouny, Farouk Hassan, Tarek Menecie, View ORCID ProfileWessam Mustafa, Hossam M Shokri, View ORCID ProfileTamer Roushdy, View ORCID ProfileFred S Sarfo, Tolulope Oyetunde Alabi, View ORCID ProfileBabawale Arabambi, View ORCID ProfileErnest O Nwazor, Taofiki Ajao Sunmonu, View ORCID ProfileKolawole Wahab, Joseph Yaria, Haytham Hussein Mohammed, Philip B Adebayo, Anis D Riahi, View ORCID ProfileSamia Ben Sassi, View ORCID ProfileLenon Gwaunza, View ORCID ProfileGift Wilson Ngwende, David Sahakyan, Aminur Rahman, View ORCID ProfileZhibing Ai, View ORCID ProfileFanghui Bai, View ORCID ProfileZhenhui Duan, View ORCID ProfileYonggang Hao, Wenguo Huang, Guangwen Li, Wei Li, Ganzhe Liu, Jun Luo, Xianjin Shang, Yi Sui, Ling Tian, Hongbin Wen, Bo Wu, Yuying Yan, Zhengzhou Yuan, Hao Zhang, Jun Zhang, Wenlong Zhao, Wenjie Zi, Thomas W. Leung, View ORCID ProfileChandril Chugh, View ORCID ProfileVikram Huded, Bindu Menon, View ORCID ProfileJeyaraj Durai Pandian, View ORCID ProfilePN Sylaja, View ORCID ProfileFritz Sumantri Usman, View ORCID ProfileMehdi Farhoudi, View ORCID ProfileElyar Sadeghi Hokmabadi, View ORCID ProfileAnat Horev, Anna Reznik, View ORCID ProfileRotem Sivan Hoffmann, View ORCID ProfileNobuyuki Ohara, View ORCID ProfileNobuyuki Sakai, Daisuke Watanabe, Ryoo Yamamoto, Ryosuke Doijiri, Naoki Tokuda, View ORCID ProfileTakehiro Yamada, Tadashi Terasaki, Yukako Yazawa, Takeshi Uwatoko, View ORCID ProfileTomohisa Dembo, Hisao Shimizu, Yuri Sugiura, View ORCID ProfileFumio Miyashita, Hiroki Fukuda, Kosuke Miyake, Junsuke Shimbo, View ORCID ProfileYusuke Sugimura, View ORCID ProfileYoshiki Yagita, View ORCID ProfileYohei Takenobu, View ORCID ProfileYuji Matsumaru, Satoshi Yamada, Ryuhei Kono, View ORCID ProfileTakuya Kanamaru, View ORCID ProfileHidekazu Yamazaki, View ORCID ProfileManabu Sakaguchi, Kenichi Todo, View ORCID ProfileNobuaki Yamamoto, Kazutaka Sonoda, View ORCID ProfileTomoko Yoshida, Hiroyuki Hashimoto, View ORCID ProfileIchiro Nakahara, View ORCID ProfileAida Kondybayeva, Kamila Faizullina, View ORCID ProfileSaltanat Kamenova, Murat Zhanuzakov, View ORCID ProfileJang-Hyun Baek, Yangha Hwang, Jin Soo Lee, Si Baek Lee, View ORCID ProfileJusun Moon, View ORCID ProfileHyungjong Park, View ORCID ProfileJung Hwa Seo, Kwon-Duk Seo, View ORCID ProfileSung Il Sohn, Chang Jun Young, View ORCID ProfileRechdi Ahdab, View ORCID ProfileWan Asyraf Wan Zaidi, View ORCID ProfileZariah Abdul Aziz, View ORCID ProfileHamidon bin Basri, View ORCID ProfileLaw Wan Chung, Aznita Binti Ibrahim, View ORCID ProfileKhairul Azmi Ibrahim, View ORCID ProfileIrene Looi, Wee Yong Tan, View ORCID ProfileNafisah Wan Yahya, View ORCID ProfileStanislav Groppa, View ORCID ProfilePavel Leahu, View ORCID ProfileAmal M. Al Hashmi, Yahia Zakaria Imam, Naveed Akhtar, Maria Carissa Pineda-Franks, View ORCID ProfileChristian Oliver Co, Dmitriy Kandyba, View ORCID ProfileAdel Alhazzani, View ORCID ProfileHosam Al-Jehani, View ORCID ProfileCarol Huilian Tham, Marlie Jane Mamauag, Narayanaswamy Venketasubramanian, Chih-Hao Chen, View ORCID ProfileSung-Chun Tang, View ORCID ProfileAnchalee Churojana, View ORCID ProfileEsref Akil, View ORCID ProfileOzlem Aykaç, Atilla Ozcan Ozdemir, View ORCID ProfileSemih Giray, Syed Irteza Hussain, View ORCID ProfileSeby John, View ORCID ProfileHuynh Le Vu, Anh Duc Tran, Huy Hoang Nguyen, Thong Nhu Pham, Thang Huy Nguyen, Trung Quoc Nguyen, Thomas Gattringer, View ORCID ProfileChristian Enzinger, Monika Killer-Oberpfalzer, Flavio Bellante, Sofie De Blauwe, View ORCID ProfileGeert Vanhooren, View ORCID ProfileSylvie De Raedt, Anne Dusart, Robin Lemmens, View ORCID ProfileNoemie Ligot, View ORCID ProfileMatthieu Pierre Rutgers, View ORCID ProfileLaetitia Yperzeele, View ORCID ProfileFilip Alexiev, Teodora Sakelarova, View ORCID ProfileMarina Roje Bedeković, View ORCID ProfileHrvoje Budincevic, Igor Cindrić, Zlatko Hucika, View ORCID ProfileDavid Ozretic, Majda Seferovic Saric, View ORCID ProfileFrantiek Pfeifer, Igor Karpowic, David Cernik, Martin Sramek, Miroslav Skoda, Helena Hlavacova, Lukas Klecka, View ORCID ProfileMartin Koutny, View ORCID ProfileDaniel Vaclavik, Ondrej Skoda, View ORCID ProfileJan Fiksa, Katerina Hanelova, View ORCID ProfileMiroslava Nevsimalova, Robert Rezek, View ORCID ProfilePetr Prochazka, Gabriela Krejstova, Jiri Neumann, Marta Vachova, Henryk Brzezanski, David Hlinovsky, Dusan Tenora, View ORCID ProfileRene Jura, View ORCID ProfileLubomír Jurák, Jan Novak, Ales Novak, Zdenek Topinka, Petr Fibrich, Helena Sobolova, View ORCID ProfileOndrej Volny, View ORCID ProfileHanne Krarup Christensen, View ORCID ProfileNicolas Drenck, View ORCID ProfileHelle Klingenberg Iversen, View ORCID ProfileClaus Z. Simonsen, Thomas Clement Truelsen, View ORCID ProfileTroels Wienecke, View ORCID ProfileRiina Vibo, Katrin Gross-Paju, View ORCID ProfileToomas Toomsoo, Katrin Antsov, Francois Caparros, View ORCID ProfileCharlotte Cordonnier, Maria Dan, Jean-Marc Faucheux, View ORCID ProfileLaura Mechtouff, View ORCID ProfileOmer Eker, View ORCID ProfileEmilie Lesaine, Basile Ondze, Roxane Peres, Fernando Pico, View ORCID ProfileMichel Piotin, View ORCID ProfileRaoul Pop, View ORCID ProfileFrancois Rouanet, Tatuli Gubeladze, Mirza Khinikadze, Nino Lobjanidze, Alexander Tsikaridze, View ORCID ProfileSimon Nagel, View ORCID ProfilePeter Arthur Ringleb, View ORCID ProfileMichael Rosenkranz, View ORCID ProfileHolger Schmidt, Annahita Sedghi, View ORCID ProfileTimo Siepmann, View ORCID ProfileKristina Szabo, View ORCID ProfileGötz Thomalla, View ORCID ProfileLina Palaiodimou, View ORCID ProfileDimitrios Sagris, View ORCID ProfileOdysseas Kargiotis, Peter Klivenyi, Laszlo Szapary, Gabor Tarkanyi, View ORCID ProfileAlessandro Adami, View ORCID ProfileFabio Bandini, View ORCID ProfilePaolo Calabresi, View ORCID ProfileGiovanni Frisullo, View ORCID ProfileLeonardo Renieri, View ORCID ProfileDavide Sangalli, View ORCID ProfileAnne V Pirson, View ORCID ProfileMaarten Uyttenboogaart, View ORCID ProfileIdo van den Wijngaard, View ORCID ProfileEspen Saxhaug Kristoffersen, View ORCID ProfileWaldemar Brola, View ORCID ProfileMałgorzata Fudala, Ewa Horoch-Lyszczarek, View ORCID ProfileMichal Karlinski, View ORCID ProfileRadoslaw Kazmierski, View ORCID ProfilePawel Kram, Marcin Rogoziewicz, View ORCID ProfileRafal Kaczorowski, View ORCID ProfilePiotr Luchowski, View ORCID ProfileHalina Sienkiewicz-Jarosz, View ORCID ProfilePiotr Sobolewski, Waldemar Fryze, View ORCID ProfileAnna Wisniewska, View ORCID ProfileMalgorzata Wiszniewska, Patricia Ferreira, Paulo Ferreira, Luisa Fonseca, View ORCID ProfileJoão Pedro Marto, View ORCID ProfileTeresa Pinho e Melo, Ana Paiva Nunes, Miguel Rodrigues, View ORCID ProfileVítor Tedim Cruz, View ORCID ProfileCristian Falup-Pecurariu, View ORCID ProfileGeorgi Krastev, View ORCID ProfileMiroslav Mako, View ORCID ProfileMaría Alonso de Leciñana, View ORCID ProfileJuan F Arenillas, View ORCID ProfileOscar Ayo-Martin, View ORCID ProfileAntonio Cruz Culebras, View ORCID ProfileExuperio Diez Tejedor, Joan Montaner, View ORCID ProfileSoledad Pérez-Sánchez, View ORCID ProfileMiguel Angel Tola Arribas, Alejandro Rodriguez Vasquez, Michael Mazya, View ORCID ProfileGianmarco Bernava, View ORCID ProfileAlex Brehm, View ORCID ProfilePaolo Machi, View ORCID ProfileUrs Fischer, View ORCID ProfileJan Gralla, Patrik L. Michel, View ORCID ProfileMarios-Nikos Psychogios, View ORCID ProfileDavide Strambo, Soma Banerjee, View ORCID ProfileKailash Krishnan, View ORCID ProfileJoseph Kwan, View ORCID ProfileAsif Butt, View ORCID ProfileLuciana Catanese, View ORCID ProfileAndrew Demchuk, View ORCID ProfileThalia Field, Jennifer Haynes, View ORCID ProfileMichael D Hill, View ORCID ProfileHouman Khosravani, Ariane Mackey, View ORCID ProfileAleksandra Pikula, View ORCID ProfileGustavo Saposnik, Courtney Anne Scott, Ashkan Shoamanesh, View ORCID ProfileAshfaq Shuaib, Samuel Yip, Miguel A Barboza, Jose Domingo Barrientos, Ligia Ibeth Portillo Rivera, View ORCID ProfileFernando Gongora-Rivera, View ORCID ProfileNelson Novarro-Escudero, Anmylene Blanco, Michael Abraham, Diana Alsbrook, Dorothea Altschul, Anthony J Alvarado-Ortiz, View ORCID ProfileIvo Bach, View ORCID ProfileAamir Badruddin, Nobl Barazangi, Charmaine Brereton, View ORCID ProfileAlicia Castonguay, View ORCID ProfileSeemant Chaturvedi, Saqib A. Chaudhry, Hana Choe, Jae H Choi, View ORCID ProfileSushrut Dharmadhikari, View ORCID ProfileKinjal Desai, View ORCID ProfileThomas G Devlin, View ORCID ProfileVinodh T Doss, Randall Edgell, View ORCID ProfileMark Etherton, View ORCID ProfileMudassir Farooqui, Don Frei, View ORCID ProfileDheeraj Gandhi, View ORCID ProfileMikayel Grigoryan, Rishi Gupta, View ORCID ProfileAmeer E Hassan, Johanna Helenius, View ORCID ProfileArtem Kaliaev, View ORCID ProfileRitesh Kaushal, View ORCID ProfilePriyank Khandelwal, Ayaz M. Khawaja, View ORCID ProfileNaim N Khoury, Benny S Kim, View ORCID ProfileDawn O. Kleindorfer, View ORCID ProfileFeliks Koyfman, View ORCID ProfileVivien H. Lee, View ORCID ProfileLester Y Leung, View ORCID ProfileGuillermo Linares, View ORCID ProfileItalo Linfante, View ORCID ProfileHelmi L Lutsep, Lisa Macdougall, View ORCID ProfileShailesh Male, View ORCID ProfileAmer Malik, View ORCID ProfileHesham Masoud, Molly McDermott, Brijesh P Mehta, View ORCID ProfileJiangyong Min, Manoj Mittal, Jane G Morris, Sumeet S Multani, View ORCID ProfileFadi Nahab, View ORCID ProfileKrishna Nalleballe, View ORCID ProfileClaude B Nguyen, Roberta Novakovic-White, View ORCID ProfileSantiago Ortega-Gutierrez, View ORCID ProfileRahul H Rahangdale, View ORCID ProfilePankajavalli Ramakrishnan, Jose Rafael Romero, View ORCID ProfileNatalia Rost, View ORCID ProfileAaron Rothstein, View ORCID ProfileSean Ruland, View ORCID ProfileRuchir Shah, View ORCID ProfileMalveeka Sharma, View ORCID ProfileBrian Silver, Marc Simmons, View ORCID ProfileAbhishek Singh, View ORCID ProfileAmy K Starosciak, Sheryl L. Strasser, View ORCID ProfileViktor Szeder, View ORCID ProfileMohamed Teleb, View ORCID ProfileJenny P. Tsai, View ORCID ProfileBarbara Voetsch, View ORCID ProfileOscar Balaguera, View ORCID ProfileVirginia A. Pujol Lereis, Adriana Luraschi, Marcele Schettini Almeida, Fabricio Buchdid Cardoso, View ORCID ProfileAdriana Conforto, View ORCID ProfileLeonardo De Deus Silva, Luidia Varrone Giacomini, Fabricio Oliveira Lima, View ORCID ProfileAlexandre L Longo, Pedro SC Magalhães, Rodrigo Targa Martins, Francisco Mont’alverne, View ORCID ProfileDaissy Liliana Mora Cuervo, View ORCID ProfileLeticia Costa Rebello, View ORCID ProfileLenise Valler, View ORCID ProfileViviane Flumignan Zetola, Pablo M Lavados, View ORCID ProfileVictor Navia, View ORCID ProfileVerónica V. Olavarría, Juan Manuel Almeida Toro, Pablo Felipe Ricardo Amaya, View ORCID ProfileHernan Bayona, Angel Basilio Corredor-Quintero, Carlos Eduardo Rivera Ordonez, View ORCID ProfileDiana Katherine Mantilla Barbosa, Osvaldo Lara, Mauricio R. Patiño, Luis Fernando Diaz Escobar, Donoband Edson Dejesus Melgarejo Farina, Analia Cardozo Villamayor, Adolfo Javier Zelaya Zarza, Danny Moises Barrientos Iman, Liliana Rodriguez Kadota, Bruce Campbell, Graeme J Hankey, Casey Hair, Timothy Kleinig, View ORCID ProfileAlice Ma, Rodrigo Tomazini Martins, Ramesh Sahathevan, View ORCID ProfileVincent Thijs, Daniel Salazar, View ORCID ProfileTeddy Yuan-Hao Wu, View ORCID ProfileDiogo C. Haussen, View ORCID ProfileDavid Liebeskind, View ORCID ProfileDileep Yavagal, View ORCID ProfileTudor G. Jovin, View ORCID ProfileOsama O Zaidat, Thanh N. Nguyen, on behalf of the SVIN COVID-19 Global Stroke Registry
First published March 25, 2021, DOI: https://doi.org/10.1212/WNL.0000000000011885
Raul G Nogueira
1 Department of Radiology, Boston Medical Center, Boston University School of Medicine, Boston, MA;
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Muhammed M Qureshi
2 Radiation Oncology, Boston Medical Center;
3 Department of Neurology, Federal University of Rio Grande do Sul, and Hospital de Clínicas de Porto Alegre, Brazil;
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Mohamad Abdalkader
2 Radiation Oncology, Boston Medical Center;
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Sheila Ouriques Martins
4 Department of Stroke Neurology, National Hospital Organization, Osaka National Hospital, Japan;
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Hiroshi Yamagami
10 Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal;
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Zhongming Qiu
11 Department of Neurology, Leuven University Hospital, Belgium;
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Ossama Yassin Mansour
12 International Clinical Research Center and Department of Neurology, St. Anne´s University Hospital in Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic;
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Anvitha Sathya
13 Department of Neurology, Groeninge Hospital, Kortrijk, Kortrijk, Belgium, Department of Neurology, University Hospitals Antwerp, Antwerp, Belgium, Department of Translational Neuroscience, University of Antwerp, Belgium;
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Anna Czlonkowska
14 Department of Neurology, Cooper Neurological Institute, Cooper University Hospital, Camden, New Jersey;
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Georgios Tsivgoulis
10 Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal;
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Diana Aguiar de Sousa
11 Department of Neurology, Leuven University Hospital, Belgium;
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Jelle Demeestere
12 International Clinical Research Center and Department of Neurology, St. Anne´s University Hospital in Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic;
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Robert Mikulik
13 Department of Neurology, Groeninge Hospital, Kortrijk, Kortrijk, Belgium, Department of Neurology, University Hospitals Antwerp, Antwerp, Belgium, Department of Translational Neuroscience, University of Antwerp, Belgium;
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Peter Vanacker
14 Department of Neurology, Cooper Neurological Institute, Cooper University Hospital, Camden, New Jersey;
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James E Siegler
15 Department of Neurology and Neurosurgery, University of Tartu, Tartu, Estonia;
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Janika Kõrv
16 Department of Neurology, Loyola University Chicago Stritch School of Medicine, Chicago, IL, USA;
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Jose Biller
17 Department of Neurosurgery, Kaiser Permanente Fontana Medical Center;
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Conrad W Liang
18 Department of Neurology, Kaiser Permanente Los Angeles Medical Center;
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Navdeep S Sangha
19 Department of Neurology, UT Health McGovern Medical School, Houston, Texas, USA;
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Alicia M Zha
20 Department of Neurology, Medical University of South Carolina, Charleston, South Carolina, USA;
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Alexandra L Czap
20 Department of Neurology, Medical University of South Carolina, Charleston, South Carolina, USA;
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Christine Anne Holmstedt
21 Department of Internal Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece;
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Tanya N. Turan
21 Department of Internal Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece;
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George Ntaios
22 Department of Neurology, Allegheny Health Network, Pittsburgh, PA, USA;
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Konark Malhotra
23 Department of Neurology, Ohio Health Doctors Hospital;
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Ashis Tayal
23 Department of Neurology, Ohio Health Doctors Hospital;
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Aaron Loochtan
24 Department of Medicine and Neurology, University of Otago and Wellington Hospital, Wellington, New Zealand;
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Annamarei Ranta
25 Department of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee;
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Eva A. Mistry
26 Department of Neurology, University of Tennessee Health Center, Memphis;
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Anne W Alexandrov
27 Department of Neurology, University of North Carolina at Chapel Hill, North Carolina, USA;
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David Y. Huang
28 Department of Neurology, New York University Grossman School of Medicine, New York, USA;
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Shadi Yaghi
29 Department of Radiology, New York University Grossman School of Medicine, New York, USA;
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Eytan Raz
30 Douala Gynaeco-Obstetric and Pediatric Hospital, University of Douala, Faculty of Medicine and Pharmaceutical Science, Cameroon;
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Sunil A Sheth
20 Department of Neurology, Medical University of South Carolina, Charleston, South Carolina, USA;
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Mahmoud H Mohammaden
1 Department of Radiology, Boston Medical Center, Boston University School of Medicine, Boston, MA;
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Michael Frankel
1 Department of Radiology, Boston Medical Center, Boston University School of Medicine, Boston, MA;
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Eric Guemekane Bila Lamou
31 Ain Shams University Specialized Hospital, Egypt;
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Hany M Aref
32 Ain Shams University Hospital, Egypt;
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Ahmed Elbassiouny
33 Cairo University Affiliated MOH Network, Egypt;
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Farouk Hassan
34 Department of Neurology, Nasser Institute for Research and Treatment, Cairo;
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Tarek Menecie
35 Mansoura University Affiliated Private Hospitals Network, Egypt;
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Wessam Mustafa
36 Kwame Nkrumah University of Science and Technology, Kumasi, Ghana;
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Hossam M Shokri
32 Ain Shams University Hospital, Egypt;
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Tamer Roushdy
33 Cairo University Affiliated MOH Network, Egypt;
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Fred S Sarfo
37 Stroke Unit, University of Ilorin Teaching Hospital, Nigeria;
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Tolulope Oyetunde Alabi
38 Neurology Unit, Department of Medicine, Lagos State University Teaching Hospital, Nigeria;
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Babawale Arabambi
39 Neurology Unit, Department of Medicine, Federal Medical Centre, Owerri, Nigeria;
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Ernest O Nwazor
40 Taofiki Ajao Sunmonu, MD, Neurology Unit, Department of Medicine, Federal Medical Centre, Owo, Ondo State, Nigeria;
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Taofiki Ajao Sunmonu
41 University College Hospital, Ibadan, Nigeria;
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Kolawole Wahab
38 Neurology Unit, Department of Medicine, Lagos State University Teaching Hospital, Nigeria;
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Joseph Yaria
42 The National Ribat University Affiliated Hospitals, Khartoum, Sudan;
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Haytham Hussein Mohammed
43 Neurology Section, Department of Internal Medicine, Aga-Khan University, Medical College East Africa, Dar es Salaam, Tanzania;
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Philip B Adebayo
44 Tunis El Manar University, Military Hospital of Tunis, Tunisia;
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Anis D Riahi
45 Department of Neurology, Mongi Ben Hmida National Institute of Neurology, Faculty of Medicine of Tunis, University Tunis El Manar;
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Samia Ben Sassi
46 Department of Physiology, Parirenyatwa Hospital, University of Zimbabwe;
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Lenon Gwaunza
47 Departments of Physiology and Medicine, University of Zimbabwe;
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Gift Wilson Ngwende
48 Department of Cerebrovascular / Endovascular Neurosurgery Division, Erebouni Medical Center, Yerevan, Armenia;
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David Sahakyan
49 Department of Neurology, Sir Salimulah College, Dhaka, Bangladesh;
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Aminur Rahman
50 Department of Neurology, Taihe Hospital of Shiyan City, Hubei, China;
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Zhibing Ai
51 Department of Neurology, Nanyang Central Hospital, Henan, China;
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Fanghui Bai
52 Department of Neurology, Wuhan No. 1 Hospital, Wuhan, Hubei, China;
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Zhenhui Duan
53 Department of Neurology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang, China;
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Yonggang Hao
54 Department of Neurology, Traditional Chinese Medicine Hospital of Maoming, Guangdong, China;
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Wenguo Huang
55 Department of Neurology, Affiliated Hospital of Qingdao University, Shandong, China;
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Guangwen Li
56 Department of Neurology, The First Affiliated Hospital of Hainan Medical College, Hainan, China;
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Wei Li
57 Department of Neurology, Wuhan Central Hospital, Wuhan, Hubei, China;
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Ganzhe Liu
58 Department of Neurology, Mianyang 404th Hospital, Sichuan, China;
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Jun Luo
59 Department of Neurology, Yijishan Hospital of Wannan Medical College, Anhui, China;
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Xianjin Shang
60 Department of Neurology and Neuroscience, Shenyang Brain Institute, Shenyang First People’s Hospital, Shenyang Medical College Affiliated Brain Hospital, China;
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Yi Sui
61 Department of Neurology, Affiliated Yantai Yuhuangding Hospital of Qingdao University, Shandong, China;
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Ling Tian
62 Department of Neurology, Xiangyang Central Hospital, Hubei, China;
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Hongbin Wen
63 Department of Neurology, West China Hospital, Sichuan University, Chengdu, China;
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Bo Wu
64 Department of Neurology, West China Hospital, Sichuan University, Chengdu, China;
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Yuying Yan
65 Department of Neurology, Affiliated Hospital of Southwest Medical University, Sichuan, China;
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Zhengzhou Yuan
66 Department of Neurology, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Zhejiang, China;
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Hao Zhang
67 Department of Neurology, The First Affiliated Hospital of Shandong First Medical University, Shandong, China;
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Jun Zhang
68 Department of Neurology, First Affiliated Hospital of Fujian Medical University, Fujian, China;
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Wenlong Zhao
69 Acute Stroke Unit, The Prince of Wales Hospital, Kwok Tak Seng Centre for Stroke Research and Intervention, The Chinese University of Hong Kong, Hong Kong;
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Wenjie Zi
11 Department of Neurology, Leuven University Hospital, Belgium;
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Thomas W. Leung
70 Interventional Neurology, MAX Superspecialty Hospital, Saket, New Delhi, India;
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Chandril Chugh
71 NH Institute of Neurosciences, NH Mazumdar Shaw Medical Center, Bangalore, India;
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Vikram Huded
72, Department of Neurology, Apollo Speciality Hospitals Nellore, India;
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Bindu Menon
73 Department of Neurology, Christian Medical College, Ludhiana, Punjab, India;
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Jeyaraj Durai Pandian
74 Sree Chitra Tirunal Institute for Medical Sciences and Technology, Kerala, India;
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PN Sylaja
75 Stroke Unit, Pelni Hospital, Jakarta, Indonesia;
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Fritz Sumantri Usman Sr
76 Neurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran;
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Mehdi Farhoudi
77 Beer Sheva Hospital, Israel;
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Elyar Sadeghi Hokmabadi
77 Beer Sheva Hospital, Israel;
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Anat Horev
78 Department of Interventional Neuroradiology, Rambam Health care Campus, Haifa, Israel;
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Anna Reznik
79 Department of Neurology, Kobe City Medical Center General Hospital, Kobe, Japan;
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Rotem Sivan Hoffmann
79 Department of Neurology, Kobe City Medical Center General Hospital, Kobe, Japan;
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Nobuyuki Ohara
80 Department of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Japan;
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Nobuyuki Sakai
81 Department of Stroke and Neurovascular Surgery, IMS Tokyo-Katsushika General Hospital, Tokyo, Japan;
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Daisuke Watanabe
82 Yokohama Brain and Spine Center, Japan;
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Ryoo Yamamoto
83 Iwate Prefectural Central, Japan;
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Ryosuke Doijiri
84 Japanese Red Cross Kyoto Daiichi Hospital, Japan;
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Naoki Tokuda
85 Department of Neurology, Kyoto Second Red Cross Hospital, Kyoto, Japan;
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Takehiro Yamada
86 Department of Neurology, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan;
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Tadashi Terasaki
87 Department of Stroke Neurology, Kohnan Hospital, Sendai, Japan;
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Yukako Yazawa
88 Department of Cerebrovascular Medicine, Saga-Ken Medical Centre, Saga, Japan;
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Takeshi Uwatoko
89 Department of Neurology, Saitama Medical Center, Kawagoe, Japan;
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Tomohisa Dembo
90 Department of Neurology, Nara City Hospital, Nara, Japan;
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Hisao Shimizu
91 Department of Neurology, Toyonaka Municipal Hospital, Osaka, Japan;
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Yuri Sugiura
92 Department of Neurology, Kagoshima City Hospital, Kagoshima, Japan;
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Fumio Miyashita
93 Department of Neurology, Japanese Red Cross Matsue Hospital, Shimane, Japan;
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Hiroki Fukuda
94 Department of Neurology, Shiroyama Hospital, Osaka, Japan;
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Kosuke Miyake
95 Department of Cerebrovascular Medicine, Niigata City General Hospital, Niigata, Japan;
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Junsuke Shimbo
96 Department of Neurology, Sugimura Hospital, Kumamoto, Japan;
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Yusuke Sugimura
97 Stroke Medicine, Kawasaki Medical School, Okayama, Japan;
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Yoshiki Yagita
98 Department of Neurology, Osaka Red Cross Hospital, Osaka, Japan;
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Yohei Takenobu
99 Department of Stroke Prevention and Treatment, Department of Neurosurgery, University of Tsukuba, Ibaraki, Japan;
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Yuji Matsumaru
100 Department of Neurology, Stroke Center and Neuroendovascular Therapy, Saiseikai Central Hospital, Tokyo, Japan;
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Satoshi Yamada
101 Department of Neurology, Kin-ikyo Chuo Hospital, Hokkaido, Japan;
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Ryuhei Kono
102 Department of Cerebrovascular Medicine, NTT Medical Center Tokyo, Japan;
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Takuya Kanamaru
103 Department of Neurology and Neuroendovascular Treatment, Yokohama Shintoshi Neurosurgical Hospital, Yokohama, Japan;
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  • ORCID record for Takuya Kanamaru
Hidekazu Yamazaki
104 Department of Neurology, Osaka General Medical Center, Japan;
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Manabu Sakaguchi
105 Department of Neurology, Osaka University Hospital, Japan;
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Kenichi Todo
106 Department of Advanced Brain Research, Tokushima University Hospital Tokushima, Japan;
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Nobuaki Yamamoto
107 Department of Neurology, Saiseikai Fukuoka General Hospital, Fukuoka, Japan;
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Kazutaka Sonoda
108 Department of Neurology, Tane General Hospital, Osaka, Japan;
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Tomoko Yoshida
109 Division of Stroke, Department of Internal Medicine, Osaka Rosai Hospital, Osaka, Japan;
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  • ORCID record for Tomoko Yoshida
Hiroyuki Hashimoto
110 Department of Comprehensive Stroke, Fujita Health University School of Medicine, Toyoake, Japan;
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Ichiro Nakahara
111 Department of Neurology, Asfendiyarov Kazakh National Medical University, Kazakhstan;
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  • ORCID record for Ichiro Nakahara
Aida Kondybayeva
112 Republican Center for eHealth, Ministry of Health of the Republic of Kazakhstan;
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Kamila Faizullina
113 Al-Farabi Kazakh National University, Department of Medicine, Kazakhstan;
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Saltanat Kamenova
114 Kazakh-Russian Medical University, Kazakhstan;
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Murat Zhanuzakov
115 Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea;
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Jang-Hyun Baek
116 Department of Neurology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, South Korea;
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Yangha Hwang
117 Ajou University Hospital, South Korea;
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Jin Soo Lee
118 Department of Neurology, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, South Korea;
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Si Baek Lee
119 Department of Neurology, National Medical Center, Seoul, South Korea;
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Jusun Moon
120 Department of Neurology, Keimyung University School of Medicine, Dongsan Medical Center, Daegu, South Korea;
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Hyungjong Park
121 Department of Neurology, Busan Paik Hospital, School of Medicine, Inje University, Busan, South Korea;
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Jung Hwa Seo
122 Department of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, South Korea;
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Kwon-Duk Seo
123 Asan Medical Center, Seoul, Korea;
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Sung Il Sohn
121 Department of Neurology, Busan Paik Hospital, School of Medicine, Inje University, Busan, South Korea;
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Chang Jun Young
124 Department of Neurology, LAU Medical Center-Rizk Hospital, Beirut, Lebanon;
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  • For correspondence: kjychang@gmail.com
Rechdi Ahdab
125 Department of Medicine, Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia;
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Wan Asyraf Wan Zaidi
126 Sultanah Nur Zahirah, Kuala Terengganu, Malaysia;
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Zariah Abdul Aziz
127 University Putra Malaysia;
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Hamidon bin Basri
128Sarawak General Hospital, Kuching, Malaysia;
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Law Wan Chung
129 Hospital Sultan Abdul Halim, Sungai Petani Kedah, Malaysia;
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Aznita Binti Ibrahim
130 Hospital Seberang Jaya, Pulau Pinang, Malaysia;
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Khairul Azmi Ibrahim
127 University Putra Malaysia;
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Irene Looi
131 Thomson Hospital Kota Damansara, Malaysia;
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Wee Yong Tan
132 “Nicolae Testemitanu” State University of Medicine and Pharmacy, Chisinau, Republic of Moldova, Department of Neurology Department, Emergency Medicine Institute, Chisinau, Republic of Moldova;
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Nafisah Wan Yahya
126 Sultanah Nur Zahirah, Kuala Terengganu, Malaysia;
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Stanislav Groppa
133 Department of Stroke Unit, Royal Hospital Muscat, Oman;
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Pavel Leahu
133 Department of Stroke Unit, Royal Hospital Muscat, Oman;
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Amal M. Al Hashmi
134 Neuroscience Institute, Hamad Medical Corporation, Doha, Qatar;
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Yahia Zakaria Imam
135 St. Luke’s Medical Center – Institute of Neurosciences, Philippines;
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Naveed Akhtar
135 St. Luke’s Medical Center – Institute of Neurosciences, Philippines;
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Maria Carissa Pineda-Franks
136 Endovascular Neurosurgery, Saint-Petersburg Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg, Russia;
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Christian Oliver Co
136 Endovascular Neurosurgery, Saint-Petersburg Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg, Russia;
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Dmitriy Kandyba
137 Department of Neurology, Stroke Unit, King Saud University, College of Medicine, Riyadh, Saudi Arabia;
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Adel Alhazzani
138 Department of Neurosurgery, Interventional Radiology, and Critical Care Medicine, King Fahad Hospital of the University, Imam Abdulrahman bin Faisal University, Saudi Arabia;
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Hosam Al-Jehani
139 Singapore National Neuroscience Institute, Singapore;
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Carol Huilian Tham
140 Changi General Hospital, Singapore;
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Marlie Jane Mamauag
141 Neuroscience Center, Raffles Hospital, Singapore;
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Narayanaswamy Venketasubramanian
142 Department of Neurology, National Taiwan University Hospital, Taiwan;
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Chih-Hao Chen
143 Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand;
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Sung-Chun Tang
143 Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand;
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  • ORCID record for Sung-Chun Tang
Anchalee Churojana
144 Dicle University Medical School and Hospital, Diyarbakir, Turkey;
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  • ORCID record for Anchalee Churojana
Esref Akil
145 Stroke and Neurointervention Unit, Eskisehir Osmangazi University, Turkey;
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  • ORCID record for Esref Akil
Ozlem Aykaç
146 Gaziantep University Faculty of Medicine, Turkey;
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Atilla Ozcan Ozdemir
146 Gaziantep University Faculty of Medicine, Turkey;
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Semih Giray
147 Department of Neurology, Neurological Institute at Cleveland Clinic Abu Dhabi, United Arab Emirates;
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  • ORCID record for Semih Giray
Syed Irteza Hussain
148 Stroke Center, Hue Central Hospital, Hue, Vietnam;
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Seby John
148 Stroke Center, Hue Central Hospital, Hue, Vietnam;
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Huynh Le Vu
149 Stroke Department, Da Nang Hospital, Da Nang City, Vietnam;
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Anh Duc Tran
149 Stroke Department, Da Nang Hospital, Da Nang City, Vietnam;
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Huy Hoang Nguyen
150 115 People’s Hospital, Vietnam;
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Thong Nhu Pham
150 115 People’s Hospital, Vietnam;
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Thang Huy Nguyen
151 Department of Neurology, Medical University of Graz, Austria;
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Trung Quoc Nguyen
151 Department of Neurology, Medical University of Graz, Austria;
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Thomas Gattringer
152 Neurology, Research Institute of Neurointervention, University Hospital Salzburg / Paracelsus Medical University, Salzburg, Austria;
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Christian Enzinger
152 Neurology, Research Institute of Neurointervention, University Hospital Salzburg / Paracelsus Medical University, Salzburg, Austria;
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Monika Killer-Oberpfalzer
153 Department of Neurology, Centre Hospitalier de l’Universite Charleroi, Belgium;
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Flavio Bellante
154 Department of Neurology, Sint Jan Hospital, Bruges, Belgium;
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Sofie De Blauwe
155 Department of Neurology, Brussels University Hospital (UZ Brussel), Belgium;
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Geert Vanhooren
155 Department of Neurology, Brussels University Hospital (UZ Brussel), Belgium;
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Sylvie De Raedt
156 Department of Neurology, Centre Hospitalier Universitaire de Charleroi, Belgium;
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Anne Dusart
157 Department of Neurology, ULB Erasme Hospitals Brussels, Brussels, Belgium;
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Robin Lemmens
12 International Clinical Research Center and Department of Neurology, St. Anne´s University Hospital in Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic;
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Noemie Ligot
158 Department of Neurology, Europa Hospitals Brussels, Brussels, Belgium;
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Matthieu Pierre Rutgers
159 Department of Neurology, Antwerp University Hospital, Antwerp, Belgium;
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Laetitia Yperzeele
160 Neurology Clinic, St. Anna University Hospital, Sofia, Bulgaria;
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Filip Alexiev
161 Department of Neurology, Sestre Milosrdnice University Hospital, Zagreb, Croatia;
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Teodora Sakelarova
161 Department of Neurology, Sestre Milosrdnice University Hospital, Zagreb, Croatia;
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Marina Roje Bedeković
162 Department of Neurology, Sveti Duh University Hospital, Zagreb, Croatia;
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Hrvoje Budincevic
163 Department of Neurology, General Hospital Virovitica, Croatia;
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Igor Cindrić
164 Department of Neurology, General Hospital Zabok, Croatia;
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Zlatko Hucika
165 Department of Radiology, University Hospital Centre Zagreb, Croatia;
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David Ozretic
166 Regional Hospital Karlovy Vary, Czech Republic;
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Majda Seferovic Saric
165 Department of Radiology, University Hospital Centre Zagreb, Croatia;
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Frantiek Pfeifer
166 Regional Hospital Karlovy Vary, Czech Republic;
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Igor Karpowic
167 Masaryk Hospital Usti nad Labem, Czech Republic;
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David Cernik
168 Military University Hospital Praha, Czech Republic;
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Martin Sramek
169 Oblastní Nemocnice Náchod, Czech Republic;
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Miroslav Skoda
170 Regional Hospital Pribram, Czech Republic;
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Helena Hlavacova
171 Municipal Hospital Ostrava, Czech Republic;
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Lukas Klecka
172 Hospital Mlada Boleslav, Czech Republic;
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Martin Koutny
173 Hospital Vitkovice, Czech Republic;
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Daniel Vaclavik
174 Hospital Jihlava, Czech Republic;
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Ondrej Skoda
175 General University Hospital Praha, Czech Republic;
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Jan Fiksa
176 Hospital Litomysl, Czech Republic;
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Katerina Hanelova
177 Hospital České Budejovice, Czech Republic;
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Miroslava Nevsimalova
178 Hospital Pisek, Czech Republic;
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Robert Rezek
179 Hospital Uherske Hradiste, Czech Republic;
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Petr Prochazka
180 Hospital Prostejov, Czech Republic;
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Gabriela Krejstova
181 Regional Hospital Chomutov, Czech Republic;
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Jiri Neumann
182 Hospital Teplice, Czech Republic;
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Marta Vachova
183 Mining Hospital Karvina, Czech Republic;
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Henryk Brzezanski
184 Thomayer Hospital Praha, Czech Republic;
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David Hlinovsky
185 Hospital Blansko, Czech Republic;
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Dusan Tenora
186 University Hospital Brno, Czech Republic;
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Rene Jura
187 Regional Hospital Liberec, Czech Republic;
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Lubomír Jurák
188 Hospital Ceska Lipa, Czech Republic;
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Jan Novak
189 Hospital Sokolov, Czech Republic;
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Ales Novak
190 Regional Hospital Kolin, Czech Republic;
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Zdenek Topinka
191 Hospital Trutnov, Czech Republic;
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Petr Fibrich
192 Hospital Trinec, Czech Republic;
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Helena Sobolova
193 Department of Neurology, University Hospital Ostrava, Faculty of Medicine, Masaryk University, Brno, Czech Republic;
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Ondrej Volny
194 Bispebjerg Hospital, University of Copenhagen, Denmark;
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Hanne Krarup Christensen
195 Bispebjerg Hospital, University of Copenhagen, Denmark Stroke Center, Rigshospitalet, University of Copenhagen, Denmark;
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Nicolas Drenck
195 Bispebjerg Hospital, University of Copenhagen, Denmark Stroke Center, Rigshospitalet, University of Copenhagen, Denmark;
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Helle Klingenberg Iversen
196 Aarhus University Hospital, Aarhus, Denmark;
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Claus Z. Simonsen
197 Sjaelland University Hospital, Zealand University Hospital, Roskilde, Denmark;
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Thomas Clement Truelsen
196 Aarhus University Hospital, Aarhus, Denmark;
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Troels Wienecke
198 Neurology Clinic, West Tallinn Central Hospital, Tallinn, Estonia;
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Riina Vibo
16 Department of Neurology, Loyola University Chicago Stritch School of Medicine, Chicago, IL, USA;
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Katrin Gross-Paju
199 Center of Neurology, East Tallinn Central Hospital, School of Natural Sciences and Health, Tallinn University, Tallinn, Estonia;
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Toomas Toomsoo
200 Internal Medicine Clinic, Pärnu Hospital, Pärnu, Estonia;
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Katrin Antsov
201 Université Lille, Inserm, CHU Lille, Lille Neuroscience & Cognition, Lille, France;
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Francois Caparros
202 Centre Hospitalier d’Arcachon, Gujan-Mestras, France;
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Charlotte Cordonnier
202 Centre Hospitalier d’Arcachon, Gujan-Mestras, France;
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Maria Dan
203 Centre Hospitalier d’Agen, Agen, France;
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Jean-Marc Faucheux
204 Neurologie Vasculaire, Hospices Civils de Lyon, Hôpital Pierre Wertheimer, Bron, France;
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Laura Mechtouff
205 Neuroradiologie, Hospices Civils de Lyon, Hôpital Pierre Wertheimer, Bron, France;
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Omer Eker
206 Centre Hospitalier et Universitaire de Bordeaux;
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Emilie Lesaine
207 Centre Hospitalier de Mont de Marsan, France;
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Basile Ondze
208 Neurologie, Fondation Ophtalmologique Adolphe de Rothschild, France;
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Roxane Peres
209 Versailles Saint-Quentin-en-Yvelines University, Versailles, France;
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Fernando Pico
210 Neuroradiologie Interventionelle, Fondation Ophtalmologique Adolphe de Rothschild, France;
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Michel Piotin
211 Neuroradiologie Interventionelle, Hôpitaux Universitaires de Strasbourg, France;
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Raoul Pop
212 K.Eristavi National Center of Experimental and Clinical Surgery, Tbilisi, Georgia;
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Francois Rouanet
207 Centre Hospitalier de Mont de Marsan, France;
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Tatuli Gubeladze
213 Department of Neurosurgery, New Vision University Hospital, Tbilisi, Georgia and Vivamedi Medical Center, Georgia;
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Mirza Khinikadze
214 Pineo Medical Ecosystem, Tbilisi, Georgia;
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Nino Lobjanidze
215 Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia;
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Alexander Tsikaridze
216 Department of Neurology, University Hospital Heidelberg, Germany;
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Simon Nagel
217 Department of Neurology, Albertinen Krankenhaus, Hamburg, Germany;
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Peter Arthur Ringleb
217 Department of Neurology, Albertinen Krankenhaus, Hamburg, Germany;
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Michael Rosenkranz
218 Department of Neurology, Elbe Klinken Stade, Stade, Germany, University Medical Center Göttingen, Germany;
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Holger Schmidt
219 Department of Neurology, University Hospital Carl Gustav Carus, Dresden, Germany;
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Annahita Sedghi
220 Kristina Szabo, MD, Department of Neurology, Medical Faculty Mannheim, University Heidelberg, Mannheim, Germany;
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Timo Siepmann
220 Kristina Szabo, MD, Department of Neurology, Medical Faculty Mannheim, University Heidelberg, Mannheim, Germany;
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Kristina Szabo
221 Klinik und Poliklinik für Neurologie, Kopf- und Neurozentrum, Universitätsklinikum Hamburg–Eppendorf, Germany;
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Götz Thomalla
222 Department of Internal Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece;
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Lina Palaiodimou
10 Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal;
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Dimitrios Sagris
223 Second Department of Neurology, Stroke Unit, Metropolitan Hospital, Piraeus, Greece;
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Odysseas Kargiotis
224 University of Szeged, Szeged, Hungary;
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Peter Klivenyi
225 University of Pecs, Hungary;
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Laszlo Szapary
226 Stroke Center, IRCCS Istituto di Ricovero e Cura a Carattere Scientifico, Negrar, Verona, Italy;
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Gabor Tarkanyi
226 Stroke Center, IRCCS Istituto di Ricovero e Cura a Carattere Scientifico, Negrar, Verona, Italy;
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Alessandro Adami
227 Department of Neurology, Ospedale San Paolo, Savona, Italy;
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Fabio Bandini
228 Institute of Neurology, Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy;
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Paolo Calabresi
229 Interventional Neurovascular Unit, Careggi University Hospital, Florence, Italy;
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Giovanni Frisullo
229 Interventional Neurovascular Unit, Careggi University Hospital, Florence, Italy;
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Leonardo Renieri
230 Stroke Unit, Azienda Socio Sanitaria Territoriale (ASST) di Lecco, Italy;
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  • ORCID record for Leonardo Renieri
Davide Sangalli
231 Maastricht University Medical Center;
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Anne V Pirson
232 Department of Neurology, Radiology, University Medical Center Groningen, Groningen;
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Maarten Uyttenboogaart
233 Department of Neurology, Haaglanden Medical Center, the Hague, the Netherlands;
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Ido van den Wijngaard
234 Department of Neurology, Akershus University Hospital, Lørenskog, General Practice, HELSAM, University of Oslo, Oslo, Norway;
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Espen Saxhaug Kristoffersen
235 Neurological Ward with Stroke Unit, Specialist Hospital in Konskie, Gimnazjalna, Poland;
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Waldemar Brola
236 Neurological Ward with Stroke Unit, District Hospital in Skarzysko-Kamienna, Poland;
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Małgorzata Fudala
237 Department of Neurology, Szpitala im. T. Marciniaka in Wroclaw, Poland;
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Ewa Horoch-Lyszczarek
238 2nd Department of Neurology, Institute of Psychiatry and Neurology, Warsaw, Poland;
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Michal Karlinski
239 Department of Neurology and Cerebrovascular Disorders, Poznan University of Medical Sciences, Poznan, Poland;
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Radoslaw Kazmierski
240 107th Military Hospital with Polyclinic, Walcz, Poland;
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Pawel Kram
240 107th Military Hospital with Polyclinic, Walcz, Poland;
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Marcin Rogoziewicz
241 Department of Neurology, St. Queen Jadwiga, Clinical Regional Hospital No. 2, Rzeszow, Poland;
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Rafal Kaczorowski
242 Department of Neurology, Medical University of Lublin, Lublin, Poland;
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Piotr Luchowski
243 1st Department of Neurology, Institute of Psychiatry and Neurology, Warsaw, Poland;
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  • ORCID record for Piotr Luchowski
Halina Sienkiewicz-Jarosz
244 Department of Neurology and Stroke Unit, Holy Spirit Specialist Hospital in Sandomierz, Collegium Medicum Jan Kochanowski University in Kielce, Poland;
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Piotr Sobolewski
245 Copernicus PL, Neurology and Stroke Department, Hospital M. Kopernik, Gdansk, Poland;
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  • ORCID record for Piotr Sobolewski
Waldemar Fryze
246 Stroke Unit, Neurological Department, Stanislaw Staszic University of Applied Sciences, Pila, Poland;
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Anna Wisniewska
246 Stroke Unit, Neurological Department, Stanislaw Staszic University of Applied Sciences, Pila, Poland;
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Malgorzata Wiszniewska
247 Hospital São José, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal;
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Patricia Ferreira
248 Stroke Unit, Hospital Pedro Hispano, Matosinhos;
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Paulo Ferreira
249 Department of Neurology, Neuroradiology Department, Centro Hospitalar Universitário de São João, Porto, Portugal;
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Luisa Fonseca
250 Department of Neurology, Hospital de Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal;
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João Pedro Marto
251 Department of Neurosciences, Hospital de Santa Maria-CHLN, North Lisbon University Hospital, Lisbon, Portugal;
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Teresa Pinho e Melo
252 Hospital São José, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal;
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Ana Paiva Nunes
253 Department of Neurology, Hospital Garcia de Orta, Portugal;
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Miguel Rodrigues
254 Department of Neurology, Transilvania University, Brasov, Romania;
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Vítor Tedim Cruz
249 Department of Neurology, Neuroradiology Department, Centro Hospitalar Universitário de São João, Porto, Portugal;
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Cristian Falup-Pecurariu
255 Department of Neurology, Faculty Hospital Trnava, Slovakia;
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Georgi Krastev
256 Department of Neurology and Stroke Center, Hospital Universitario La Paz, Madrid, Spain;
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Miroslav Mako
256 Department of Neurology and Stroke Center, Hospital Universitario La Paz, Madrid, Spain;
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María Alonso de Leciñana
257 Department of Neurology, Hospital Clínico Universitario, Universidad de Valladolid, Valladolid, Spain;
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Juan F Arenillas
258 Department of Neurology, Complejo Hospitalario Universitario de Albacete, Spain;
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Oscar Ayo-Martin
259 Department of Neurology, Unidad de Ictus. Hospital Universitario Ramon y Cajal, Madrid, Spain;
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Antonio Cruz Culebras
260 Department of Neurology, Hospital Universitario Virgen Macarena & Neurovascular Research Laboratory, Instituto de Biomedicina de Sevilla-IbiS, Seville, Spain;
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Exuperio Diez Tejedor
257 Department of Neurology, Hospital Clínico Universitario, Universidad de Valladolid, Valladolid, Spain;
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Joan Montaner
261 Rio Hortega University Hospital. University of Valladolid;
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Soledad Pérez-Sánchez
261 Rio Hortega University Hospital. University of Valladolid;
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Miguel Angel Tola Arribas
262 Cerebrovascular Diseases, Hospital Clinic of Barcelona, Spain;
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Alejandro Rodriguez Vasquez
263 Department of Neurology, Karolinska University Hospital and Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden;
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Michael Mazya
264 Department of Interventional Neuroradiology, University Hospitals of Geneva, Switzerland;
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Gianmarco Bernava
265 Department of Interventional and Diagnostic Neuroradiology, Radiology and Nuclear Medicine, University Hospital Basel, Switzerland;
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Alex Brehm
266 Department of Neurology, University of Bern, Bern, Switzerland;
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Paolo Machi
265 Department of Interventional and Diagnostic Neuroradiology, Radiology and Nuclear Medicine, University Hospital Basel, Switzerland;
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Urs Fischer
267 Department of Neuroradiology, University of Bern, Bern, Switzerland;
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Jan Gralla
268 Department of Neuroscience, Lausanne University Hospital, Lausanne, Switzerland;
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Patrik L. Michel
269 Department of Stroke Medicine, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK;
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Marios-Nikos Psychogios
266 Department of Neurology, University of Bern, Bern, Switzerland;
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Davide Strambo
269 Department of Stroke Medicine, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK;
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Soma Banerjee
270 Department of Neurology, Queen’s Medical Centre, Nottingham University Hospitals NHS Trust, United Kingdom;
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Kailash Krishnan
271 Department of Neurology, University of Alberta, Edmonton, Canada;
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Joseph Kwan
270 Department of Neurology, Queen’s Medical Centre, Nottingham University Hospitals NHS Trust, United Kingdom;
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Asif Butt
272 Department of Neurology, McMaster University, Hamilton, Canada;
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Luciana Catanese
273 Department of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Canada;
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Andrew Demchuk
274 Department of Neurology, University of British Columbia, Vancouver, British Columbia, Canada;
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Thalia Field
275 Mackenzie Health;
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Jennifer Haynes
276 Department of Neurology, Sunnybrook Health Sciences Centre, University of Toronto, Canada;
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Michael D Hill
274 Department of Neurology, University of British Columbia, Vancouver, British Columbia, Canada;
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Houman Khosravani
277 Department of Neurology, Hopital Enfant Jesus, Centre Hospitalier de l’Universite Laval, Quebec City, Canada;
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Ariane Mackey
278 Department of Neurology, University of Toronto, Canada;
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Aleksandra Pikula
279 Medicine, St. Michael’s Hospital, University of Toronto, Canada;
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Gustavo Saposnik
280 Department of Neurosciences, Hospital Dr. Rafael A. Calderon Guardia, CCSS. San Jose, Costa Rica;
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Courtney Anne Scott
276 Department of Neurology, Sunnybrook Health Sciences Centre, University of Toronto, Canada;
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Ashkan Shoamanesh
273 Department of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Canada;
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Ashfaq Shuaib
272 Department of Neurology, McMaster University, Hamilton, Canada;
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Samuel Yip
275 Mackenzie Health;
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Miguel A Barboza
281 Neurovascular Service, Hospital General San Juan de Dios, Guatemala City;
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Jose Domingo Barrientos
282 Department of Neurología, Hospital General de Enfermedades, Instituto Guatemalteco de Seguridad Social, Guatemala;
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Ligia Ibeth Portillo Rivera
283 Department of Neurology, University Hospital Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Mexico;
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Fernando Gongora-Rivera
284 Pacífica Salud – Hospital Punta Pacífica, Panama;
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Nelson Novarro-Escudero
285 Department of Neurology, Radiology, University of Kansas Medical Center, Kansas;
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Anmylene Blanco
285 Department of Neurology, Radiology, University of Kansas Medical Center, Kansas;
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Michael Abraham
286 Department of Neurointerventional Neurosurgery, Valley Baptist;
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Diana Alsbrook
27 Department of Neurology, University of North Carolina at Chapel Hill, North Carolina, USA;
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Dorothea Altschul
287 Palmetto General Hospital, Tenet, Florida, USA;
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Anthony J Alvarado-Ortiz
288 Neurology, University Hospital Newark, New Jersey Medical School, Rutgers, Newark, NJ, USA;
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Ivo Bach
289 Community Healthcare System, Munster, Indiana;
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Aamir Badruddin
290 Department of Neurology, California Pacific Medical Center, CA;
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Nobl Barazangi
291 Department of Neurology, Mount Sinai South Nassau, New York, USA;
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Charmaine Brereton
292 University of Toledo, Ohio, USA;
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Alicia Castonguay
293 Department of Neurology, University of Maryland School of Medicine, USA;
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Seemant Chaturvedi
294 Neuroscience, Inova Fairfax Hospital, Virginia;
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Saqib A. Chaudhry
295 Department of Neurology, Abington Jefferson Hospital, Pennsylvania;
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Hana Choe
296 Department of Neurology, Mount Sinai South Nassau, New York, USA;
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Jae H Choi
297 Baptist Health Medical Center, Little Rock, Arkansas, USA;
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Sushrut Dharmadhikari
298 Department of Neurology, HCA Houston Healthcare Clearlake, Texas, USA;
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Kinjal Desai
299 Department of Neurology, Erlanger, Tennessee, USA;
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Thomas G Devlin
300 Wilmington North Carolina;
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Vinodh T Doss
301 Department of Vascular and Neurointerventional Services, St. Louis University
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Randall Edgell
302 Department of Neurology, Massachusetts General Hospital, Boston, USA;
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Mark Etherton
303 Department of Neurology, Neurosurgery, and Radiology, University of Iowa Hospitals and Clinics, USA;
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Mudassir Farooqui
304 Department of Radiology, Swedish Medical Center, Englewood, Colorado, USA;
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Don Frei
305 Department of Radiology, Neurosurgery, University of Maryland School of Medicine, USA;
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Dheeraj Gandhi
306 Adventist Health Glendale Comprehensive Stroke Center, Los Angeles, CA, USA;
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Mikayel Grigoryan
307 Wellstar Neuroscience Institute, Marietta, Georgia, USA;
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Rishi Gupta
308 Department of Neurology, University of Texas Rio Grande Valley-Valley Baptist Medical Center, Texas, USA;
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Ameer E Hassan
309 Department of Neurology, Lahey Hospital & Medical Center, Beth Israel Lahey Health, Burlington, USA;
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Johanna Helenius
310 Department of Neurology, Wayne State, Detroit, USA;
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Artem Kaliaev
2 Radiation Oncology, Boston Medical Center;
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Ritesh Kaushal
288 Neurology, University Hospital Newark, New Jersey Medical School, Rutgers, Newark, NJ, USA;
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Priyank Khandelwal
289 Community Healthcare System, Munster, Indiana;
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Ayaz M. Khawaja
311 HSHS St. John’s Hospital, Southern Illinois University School of Medicine, Springfield, USA;
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Naim N Khoury
312 Virginia Hospital Center, USA;
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Benny S Kim
313 Department of Neurology, University of Michigan, USA;
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Dawn O. Kleindorfer
314 Weill-Cornell Medical College, New York-Presbyterian Queens, New York, USA;
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Feliks Koyfman
315 Department of Neurology, Ohio State University, USA;
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Vivien H. Lee
316 Department of Neurology, Tufts Medical Center, Boston, USA;
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Lester Y Leung
317 Vascular and Neurointerventional Services, St. Louis University;
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Guillermo Linares
318 Vascular Institute, Florida, USA;
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Italo Linfante
319 Department of Neurology, Oregon Health & Science University, USA;
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Helmi L Lutsep
320 Department of Emergency Medicine, Steward Holy Family Hospital, MA, USA;
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Lisa Macdougall
321 Vidant Medical Center, Greenville, North Carolina;
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Shailesh Male
322 Department of Neurology, University of Miami Miller School of Medicine, Florida, USA;
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Amer Malik
323 Department of Neurology, SUNY Upstate New York, USA;
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Hesham Masoud
324 Memorial Neuroscience Institute, Pembroke Pines, Florida, USA;
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Molly McDermott
314 Weill-Cornell Medical College, New York-Presbyterian Queens, New York, USA;
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Brijesh P Mehta
325 Neurosciences, Spectrum Health, Michigan State University College of Medicine, Grand Rapids, MI;
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Jiangyong Min
326 Sutter Health, Sacramento, California;
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Manoj Mittal
327 Department of Neurology, Maine Medical Center, Portland, Maine, USA;
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Jane G Morris
328 Department of Neurology, Bayhealth, Dover, Delaware, USA;
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Sumeet S Multani
329 Department of Neurology, Grady Memorial Hospital, Emory University, Atlanta, Georgia, USA;
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Fadi Nahab
330 Department of Neurology, University of Arkansas for Medical Sciences, USA;
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Krishna Nalleballe
331 Department of Radiology and Neurology, UT Southwestern Medical Center, Dallas, Texas, USA;
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Claude B Nguyen
291 Department of Neurology, Mount Sinai South Nassau, New York, USA;
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Roberta Novakovic-White
332 Ascension St. John Medical Center, Tulsa Oklahoma, USA;
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Santiago Ortega-Gutierrez
304 Department of Radiology, Swedish Medical Center, Englewood, Colorado, USA;
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Rahul H Rahangdale
333 Riverside Regional Medical Center, Newport, Virginia, USA;
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Pankajavalli Ramakrishnan
334 Department of Neurology, Boston University School of Medicine, Boston, MA, USA;
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Jose Rafael Romero
335 Department of Neurology, Hospital of the University of Pennsylvania, USA;
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Natalia Rost
303 Department of Neurology, Neurosurgery, and Radiology, University of Iowa Hospitals and Clinics, USA;
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Aaron Rothstein
336 Department of Neurology, University of Washington School Medicine, Seattle, USA;
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Sean Ruland
17 Department of Neurosurgery, Kaiser Permanente Fontana Medical Center;
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Ruchir Shah
300 Wilmington North Carolina;
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Malveeka Sharma
337 Department of Neurology, University of Massachusetts Medical Center, Worcester, MA, USA;
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Brian Silver
338 Department of Neurology, CHI-Immanuel Neurological Institute, Creighton University, Omaha, Nebraska, USA;
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Marc Simmons
321 Vidant Medical Center, Greenville, North Carolina;
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Abhishek Singh
339 Holy Cross Hospital, Fort Lauderdale, Florida, USA;
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Amy K Starosciak
319 Department of Neurology, Oregon Health & Science University, USA;
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Sheryl L. Strasser
340 Department of Neurology, Interventional Neuroradiology, University of California in Los Angeles, Los Angeles, USA;
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Viktor Szeder
341 Banner Desert Medical Center, AZ USA;342 Hospital de Agudos Dr. Ignacio Privano, Argentina;
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Mohamed Teleb
343 Institute for Neurological Research, FLENI, Buenos Aires, Argentina;
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Jenny P. Tsai
326 Sutter Health, Sacramento, California;
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Barbara Voetsch
310 Department of Neurology, Wayne State, Detroit, USA;
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Oscar Balaguera
343 Institute for Neurological Research, FLENI, Buenos Aires, Argentina;
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Virginia A. Pujol Lereis
344 Hospital das Clinicas / Sao Paulo University, Brazil;
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Adriana Luraschi
343 Institute for Neurological Research, FLENI, Buenos Aires, Argentina;
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Marcele Schettini Almeida
345 Sumare State Hospital, Brazil;
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Fabricio Buchdid Cardoso
346 Hospital Vera Cruz, Deus Campinas, Brazil;
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Citation
Global Impact of COVID-19 on Stroke Care and Intravenous Thrombolysis
Raul G Nogueira, Muhammed M Qureshi, Mohamad Abdalkader, Sheila Ouriques Martins, Hiroshi Yamagami, Zhongming Qiu, Ossama Yassin Mansour, Anvitha Sathya, Anna Czlonkowska, Georgios Tsivgoulis, Diana Aguiar de Sousa, Jelle Demeestere, Robert Mikulik, Peter Vanacker, James E Siegler, Janika Kõrv, Jose Biller, Conrad W Liang, Navdeep S Sangha, Alicia M Zha, Alexandra L Czap, Christine Anne Holmstedt, Tanya N. Turan, George Ntaios, Konark Malhotra, Ashis Tayal, Aaron Loochtan, Annamarei Ranta, Eva A. Mistry, Anne W Alexandrov, David Y. Huang, Shadi Yaghi, Eytan Raz, Sunil A Sheth, Mahmoud H Mohammaden, Michael Frankel, Eric Guemekane Bila Lamou, Hany M Aref, Ahmed Elbassiouny, Farouk Hassan, Tarek Menecie, Wessam Mustafa, Hossam M Shokri, Tamer Roushdy, Fred S Sarfo, Tolulope Oyetunde Alabi, Babawale Arabambi, Ernest O Nwazor, Taofiki Ajao Sunmonu, Kolawole Wahab, Joseph Yaria, Haytham Hussein Mohammed, Philip B Adebayo, Anis D Riahi, Samia Ben Sassi, Lenon Gwaunza, Gift Wilson Ngwende, David Sahakyan, Aminur Rahman, Zhibing Ai, Fanghui Bai, Zhenhui Duan, Yonggang Hao, Wenguo Huang, Guangwen Li, Wei Li, Ganzhe Liu, Jun Luo, Xianjin Shang, Yi Sui, Ling Tian, Hongbin Wen, Bo Wu, Yuying Yan, Zhengzhou Yuan, Hao Zhang, Jun Zhang, Wenlong Zhao, Wenjie Zi, Thomas W. Leung, Chandril Chugh, Vikram Huded, Bindu Menon, Jeyaraj Durai Pandian, PN Sylaja, Fritz Sumantri Usman, Mehdi Farhoudi, Elyar Sadeghi Hokmabadi, Anat Horev, Anna Reznik, Rotem Sivan Hoffmann, Nobuyuki Ohara, Nobuyuki Sakai, Daisuke Watanabe, Ryoo Yamamoto, Ryosuke Doijiri, Naoki Tokuda, Takehiro Yamada, Tadashi Terasaki, Yukako Yazawa, Takeshi Uwatoko, Tomohisa Dembo, Hisao Shimizu, Yuri Sugiura, Fumio Miyashita, Hiroki Fukuda, Kosuke Miyake, Junsuke Shimbo, Yusuke Sugimura, Yoshiki Yagita, Yohei Takenobu, Yuji Matsumaru, Satoshi Yamada, Ryuhei Kono, Takuya Kanamaru, Hidekazu Yamazaki, Manabu Sakaguchi, Kenichi Todo, Nobuaki Yamamoto, Kazutaka Sonoda, Tomoko Yoshida, Hiroyuki Hashimoto, Ichiro Nakahara, Aida Kondybayeva, Kamila Faizullina, Saltanat Kamenova, Murat Zhanuzakov, Jang-Hyun Baek, Yangha Hwang, Jin Soo Lee, Si Baek Lee, Jusun Moon, Hyungjong Park, Jung Hwa Seo, Kwon-Duk Seo, Sung Il Sohn, Chang Jun Young, Rechdi Ahdab, Wan Asyraf Wan Zaidi, Zariah Abdul Aziz, Hamidon bin Basri, Law Wan Chung, Aznita Binti Ibrahim, Khairul Azmi Ibrahim, Irene Looi, Wee Yong Tan, Nafisah Wan Yahya, Stanislav Groppa, Pavel Leahu, Amal M. Al Hashmi, Yahia Zakaria Imam, Naveed Akhtar, Maria Carissa Pineda-Franks, Christian Oliver Co, Dmitriy Kandyba, Adel Alhazzani, Hosam Al-Jehani, Carol Huilian Tham, Marlie Jane Mamauag, Narayanaswamy Venketasubramanian, Chih-Hao Chen, Sung-Chun Tang, Anchalee Churojana, Esref Akil, Ozlem Aykaç, Atilla Ozcan Ozdemir, Semih Giray, Syed Irteza Hussain, Seby John, Huynh Le Vu, Anh Duc Tran, Huy Hoang Nguyen, Thong Nhu Pham, Thang Huy Nguyen, Trung Quoc Nguyen, Thomas Gattringer, Christian Enzinger, Monika Killer-Oberpfalzer, Flavio Bellante, Sofie De Blauwe, Geert Vanhooren, Sylvie De Raedt, Anne Dusart, Robin Lemmens, Noemie Ligot, Matthieu Pierre Rutgers, Laetitia Yperzeele, Filip Alexiev, Teodora Sakelarova, Marina Roje Bedeković, Hrvoje Budincevic, Igor Cindrić, Zlatko Hucika, David Ozretic, Majda Seferovic Saric, Frantiek Pfeifer, Igor Karpowic, David Cernik, Martin Sramek, Miroslav Skoda, Helena Hlavacova, Lukas Klecka, Martin Koutny, Daniel Vaclavik, Ondrej Skoda, Jan Fiksa, Katerina Hanelova, Miroslava Nevsimalova, Robert Rezek, Petr Prochazka, Gabriela Krejstova, Jiri Neumann, Marta Vachova, Henryk Brzezanski, David Hlinovsky, Dusan Tenora, Rene Jura, Lubomír Jurák, Jan Novak, Ales Novak, Zdenek Topinka, Petr Fibrich, Helena Sobolova, Ondrej Volny, Hanne Krarup Christensen, Nicolas Drenck, Helle Klingenberg Iversen, Claus Z. Simonsen, Thomas Clement Truelsen, Troels Wienecke, Riina Vibo, Katrin Gross-Paju, Toomas Toomsoo, Katrin Antsov, Francois Caparros, Charlotte Cordonnier, Maria Dan, Jean-Marc Faucheux, Laura Mechtouff, Omer Eker, Emilie Lesaine, Basile Ondze, Roxane Peres, Fernando Pico, Michel Piotin, Raoul Pop, Francois Rouanet, Tatuli Gubeladze, Mirza Khinikadze, Nino Lobjanidze, Alexander Tsikaridze, Simon Nagel, Peter Arthur Ringleb, Michael Rosenkranz, Holger Schmidt, Annahita Sedghi, Timo Siepmann, Kristina Szabo, Götz Thomalla, Lina Palaiodimou, Dimitrios Sagris, Odysseas Kargiotis, Peter Klivenyi, Laszlo Szapary, Gabor Tarkanyi, Alessandro Adami, Fabio Bandini, Paolo Calabresi, Giovanni Frisullo, Leonardo Renieri, Davide Sangalli, Anne V Pirson, Maarten Uyttenboogaart, Ido van den Wijngaard, Espen Saxhaug Kristoffersen, Waldemar Brola, Małgorzata Fudala, Ewa Horoch-Lyszczarek, Michal Karlinski, Radoslaw Kazmierski, Pawel Kram, Marcin Rogoziewicz, Rafal Kaczorowski, Piotr Luchowski, Halina Sienkiewicz-Jarosz, Piotr Sobolewski, Waldemar Fryze, Anna Wisniewska, Malgorzata Wiszniewska, Patricia Ferreira, Paulo Ferreira, Luisa Fonseca, João Pedro Marto, Teresa Pinho e Melo, Ana Paiva Nunes, Miguel Rodrigues, Vítor Tedim Cruz, Cristian Falup-Pecurariu, Georgi Krastev, Miroslav Mako, María Alonso de Leciñana, Juan F Arenillas, Oscar Ayo-Martin, Antonio Cruz Culebras, Exuperio Diez Tejedor, Joan Montaner, Soledad Pérez-Sánchez, Miguel Angel Tola Arribas, Alejandro Rodriguez Vasquez, Michael Mazya, Gianmarco Bernava, Alex Brehm, Paolo Machi, Urs Fischer, Jan Gralla, Patrik L. Michel, Marios-Nikos Psychogios, Davide Strambo, Soma Banerjee, Kailash Krishnan, Joseph Kwan, Asif Butt, Luciana Catanese, Andrew Demchuk, Thalia Field, Jennifer Haynes, Michael D Hill, Houman Khosravani, Ariane Mackey, Aleksandra Pikula, Gustavo Saposnik, Courtney Anne Scott, Ashkan Shoamanesh, Ashfaq Shuaib, Samuel Yip, Miguel A Barboza, Jose Domingo Barrientos, Ligia Ibeth Portillo Rivera, Fernando Gongora-Rivera, Nelson Novarro-Escudero, Anmylene Blanco, Michael Abraham, Diana Alsbrook, Dorothea Altschul, Anthony J Alvarado-Ortiz, Ivo Bach, Aamir Badruddin, Nobl Barazangi, Charmaine Brereton, Alicia Castonguay, Seemant Chaturvedi, Saqib A. Chaudhry, Hana Choe, Jae H Choi, Sushrut Dharmadhikari, Kinjal Desai, Thomas G Devlin, Vinodh T Doss, Randall Edgell, Mark Etherton, Mudassir Farooqui, Don Frei, Dheeraj Gandhi, Mikayel Grigoryan, Rishi Gupta, Ameer E Hassan, Johanna Helenius, Artem Kaliaev, Ritesh Kaushal, Priyank Khandelwal, Ayaz M. Khawaja, Naim N Khoury, Benny S Kim, Dawn O. Kleindorfer, Feliks Koyfman, Vivien H. Lee, Lester Y Leung, Guillermo Linares, Italo Linfante, Helmi L Lutsep, Lisa Macdougall, Shailesh Male, Amer Malik, Hesham Masoud, Molly McDermott, Brijesh P Mehta, Jiangyong Min, Manoj Mittal, Jane G Morris, Sumeet S Multani, Fadi Nahab, Krishna Nalleballe, Claude B Nguyen, Roberta Novakovic-White, Santiago Ortega-Gutierrez, Rahul H Rahangdale, Pankajavalli Ramakrishnan, Jose Rafael Romero, Natalia Rost, Aaron Rothstein, Sean Ruland, Ruchir Shah, Malveeka Sharma, Brian Silver, Marc Simmons, Abhishek Singh, Amy K Starosciak, Sheryl L. Strasser, Viktor Szeder, Mohamed Teleb, Jenny P. Tsai, Barbara Voetsch, Oscar Balaguera, Virginia A. Pujol Lereis, Adriana Luraschi, Marcele Schettini Almeida, Fabricio Buchdid Cardoso, Adriana Conforto, Leonardo De Deus Silva, Luidia Varrone Giacomini, Fabricio Oliveira Lima, Alexandre L Longo, Pedro SC Magalhães, Rodrigo Targa Martins, Francisco Mont’alverne, Daissy Liliana Mora Cuervo, Leticia Costa Rebello, Lenise Valler, Viviane Flumignan Zetola, Pablo M Lavados, Victor Navia, Verónica V. Olavarría, Juan Manuel Almeida Toro, Pablo Felipe Ricardo Amaya, Hernan Bayona, Angel Basilio Corredor-Quintero, Carlos Eduardo Rivera Ordonez, Diana Katherine Mantilla Barbosa, Osvaldo Lara, Mauricio R. Patiño, Luis Fernando Diaz Escobar, Donoband Edson Dejesus Melgarejo Farina, Analia Cardozo Villamayor, Adolfo Javier Zelaya Zarza, Danny Moises Barrientos Iman, Liliana Rodriguez Kadota, Bruce Campbell, Graeme J Hankey, Casey Hair, Timothy Kleinig, Alice Ma, Rodrigo Tomazini Martins, Ramesh Sahathevan, Vincent Thijs, Daniel Salazar, Teddy Yuan-Hao Wu, Diogo C. Haussen, David Liebeskind, Dileep Yavagal, Tudor G. Jovin, Osama O Zaidat, Thanh N. Nguyen, on behalf of the SVIN COVID-19 Global Stroke Registry
Neurology Mar 2021, 10.1212/WNL.0000000000011885; DOI: 10.1212/WNL.0000000000011885

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Abstract

Objective: The objectives of this study were to measure the global impact of the pandemic on the volumes for intravenous thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with two control 4-month periods.

Methods: We conducted a cross-sectional, observational, retrospective study across 6 continents, 70 countries, and 457 stroke centers. Diagnoses were identified by their ICD-10 codes and/or classifications in stroke databases.

Results: There were 91,373 stroke admissions in the 4 months immediately before compared to 80,894 admissions during the pandemic months, representing an 11.5% (95%CI, -11.7 to - 11.3, p<0.0001) decline. There were 13,334 IVT therapies in the 4 months preceding compared to 11,570 procedures during the pandemic, representing a 13.2% (95%CI, -13.8 to -12.7, p<0.0001) drop. Interfacility IVT transfers decreased from 1,337 to 1,178, or an 11.9% decrease (95%CI, -13.7 to -10.3, p=0.001). Recovery of stroke hospitalization volume (9.5%, 95%CI 9.2-9.8, p<0.0001) was noted over the two later (May, June) versus the two earlier (March, April) pandemic months. There was a 1.48% stroke rate across 119,967 COVID-19 hospitalizations. SARS-CoV-2 infection was noted in 3.3% (1,722/52,026) of all stroke admissions.

Conclusions: The COVID-19 pandemic was associated with a global decline in the volume of stroke hospitalizations, IVT, and interfacility IVT transfers. Primary stroke centers and centers with higher COVID19 inpatient volumes experienced steeper declines. Recovery of stroke hospitalization was noted in the later pandemic months.

  • Received October 30, 2020.
  • Accepted in final form March 11, 2021.
  • © 2021 American Academy of Neurology

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