Journal of Biology and Today's World 2021, Vol.10, Issue 3, 001-003 1 Mini-Review Telemedicine in Stroke Clinic during the COVID Era and the Challenges in Patient Management: Review Article Sajid Iqbal 1 , Aisha Hasan 2 , Behzad Saeed Gill 3 , Anab Rehan Taseer 4 , Aimen Iqbal 5 , Muhammad Hanif 6 , Sohaib Tousif 7 , Ahmed Mohamed Abdelrhim Ellqany 8 , Fesih Muhammad Waseem 3 , Keron Akintola Ayodele Blair 9 , Anjli Tara 10 , Saif Ali Malik 3 , Zain Ghufran Ul Haq 7 , Ahmed Mustafa 11 , Tetiana Medvid 12 , Nadeem Iqbal 13* 1 Department of Rehabilitation, PNS Hospital, Karachi, Pakistan 2 Department of Medicine, Avicenna Medical College, Lahore, Pakistan 3 Department of Medicine, Shifa International Hospital, Islamabad, Pakistan 4 Department of Medicine, Khyber Medical College, Peshawar, Pakistan 5 Department of Medicine, Bahria University Medical and Dental College, Karachi, Pakistan 6 Department of Medicine, Hayatabad Medical Complex, Peshawar, Pakistan 7 Department of Medicine, Ziauddin Medical University, Karachi, Pakistan 8 Department of Medicine, Cairo University, Cairo, Egypt 9 Department of Medicine, American International School of Medicine, Georgetown, Guyana 10 Department of Medicine, Liaqat University of Medical and Health Sciences, Jamshoro, Pakistan 11 Department of Medicine, FMH College of Medicine and Dentistry, Lahore, Pakistan 12 Department of Medicine, Danylo Halytsky Lviv, National Medical University, Lviv, Ukraine 13 Department of Urology and Kidney Transplant, Pakistan Kidney and Liver Institute, Lahore, Pakistan Corresponding Author* Nadeem Iqbal Department of Urology and Kidney Transplant, Pakistan Kidney and Liver Institute, Lahore, Pakistan, E-mail: dr_nadeemiqbal84@yahoo.com Copyright: © 2021 Iqbal S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Received date: March 12, 2021; Accepted date: March 26, 2021; Published date: April 02, 2021 Abstract The ongoing COVID-19 challenge has disrupted the social, economic and health care system around the globe. As a result of this pandemic, social distancing policies have been strictly implemented creating an immense stress on health care services. Telemedicine is an evolving and a time-saving, logical and effective means for emergency patient assessment. In far flung areas, where local consulting stroke specialist are not available, telemedicine can act as an alternative tool for provision of suitable stroke care within the short and safe therapeutic time window. Telemedicine has a precious role in emergency stroke consultation. Specialists have ability to swiftly evaluate and supervise management of stroke patients telemedicine in coordination with the remote physicians at the distant health units. Keywords: COVID-19 • Pandemic • Thrombectomy • Stroke clinic • Telemedicine clinic Introduction The ongoing COVID-19 challenge has affected social, economic and health care system around the globe. The COVID-19 pandemic has enormously impacted all specialty clinics also including neurology practices across the globe. As a result of this pandemic, social distancing policies have been strictly implemented creating an immense stress on the world’s economic affairs, governance, organizational functioning, and health care services. All this had resulted in cancellations of outdoor clinic visits, interventional procedures [1-3]. Keeping in view the safety concerns to health care workers and the patients alike, hospitals are desperately in search for coping with pressures of demand for medical supplies and physicians in the face of overburdened healthcare systems. New clinical pathways and tools are underway during this crisis to safeguard the health care personnel and patients [4-6]. From the genesis of the COVID-19 pandemic, stern social distancing steps; promoted the utilization of telemedicine. It has become a key tool to minimize the strain on clinicians and patients alike withstand the current challenges [6-9]. The Centers for Disease Control and Prevention has endorsed the concept of telemedicine in lieu of live clinic visits due to the anticipated uncertain duration of lock downs and social distancing [8-12]. Telemedicine can be defned as “the utilization of telecommunication technologies to dispense medical information and services” and “the exercise by which electronic, visual, and audio communications are used to furnish diagnostic and consultation pathways to reinforce clinicians at distant sites, assist in or directly deliver medical care to patients at distant sites, and enhance the skills and knowledge of distant medical care providers.” In order to combat the disparity between rural and urban care and to promote enhance and optimize stroke services, Levine and Gorman mapped out the concept of outreach for acute stroke telemedicine for appraisal and management and called it “tele stroke” [13,14]. Telemedicine is evolving as a timesaving, logical and effective means for emergency patient assessment. In far flung areas, where local consulting stroke specialist are not available, telemedicine can act as an alternative tool for provision of suitable stroke care within the short and safe therapeutic time window. The stroke specialists are suitable enough discourse queries regarding risk and benefts directly with the family right away. Telemedicine has a precious role in emergency stroke consultation. Specialists have ability to swiftly evaluate and supervise management of stroke patients telemedicine with remote physicians at the distant health units [12-15]. via via via