COVID-19 pandemic has led to a change in the way we manage acute medical illnesses. This pandemic had a negative impact on stroke care worldwide. The World Stroke Organization (WSO) has raised concerns due to the lack of available care and compromised acute stroke services globally. The numbers of thrombolysis and thrombectomy therapies are declining. As well as, the rates and door-to treatment times for thrombolysis and thrombectomy therapies are increasing. The stroke units are being reallocated to serve COVID-19 patients, and stroke teams are being redeployed to COVID-19 centers. Covid 19 confirmed cases and deaths are rising day by day. This pandemic clearly threatened and threatening all stroke care achievements regionally. Managing stroke patients during this pandemic is even more challenging at our region. The Middle East and North Africa Stroke and Interventional Neurotherapies Organization (MENA-SINO) is the main stroke organization regionally. MENA-SINO urges the need to developing new strategies and recommendations for stroke care during this pandemic. This will require multiple channels of interventions and create a protective code stroke with fast triaging path. Developing and expanding the tele-stroke programs are urgently required. There is an urgent need for enhancing collaboration and cooperation between stroke expertise regionally and internationally. Integrating such measures will inevitably lead to an improvement and upgrading of the services to a satisfactory level.

COVID-19 大流行导致我们管理急性疾病的方式发生了变化。这次大流行对全世界的中风护理产生了负面影响。由于全球范围内缺乏可用的护理和急性中风服务受到影响，世界中风组织（WSO）提出了担忧。溶栓和血栓切除术治疗的数量正在下降。此外，溶栓和血栓切除术治疗的比率和就诊时间也在增加。中风科室正在重新分配以服务 COVID-19 患者，中风小组也正在重新部署到 COVID-19 中心。Covid 19确诊病例和死亡人数逐日上升。这种流行病显然威胁并威胁着该地区所有的中风护理成就。在我们地区，在这次大流行期间管理中风患者更具挑战性。中东和北非卒中和介入神经治疗组织（MENA-SINO）是该地区主要的卒中组织。MENA-SINO 敦促有必要在这次大流行期间制定新的中风护理策略和建议。这将需要多个干预渠道，并创建具有快速分类路径的保护性代码笔画。迫切需要开发和扩展远程卒中项目。迫切需要加强区域和国际脑卒中专业知识之间的协作与合作。整合这些措施必然会导致服务的改善和提升，达到令人满意的水平。