Table 1.

Characteristics, imaging and echocardiogram of the four reported patients.

Variable	Patient 1	Patient 2	Patient 3	Patient 4
Age	60	59	55	59
Sex	Female	Male	Male	Male
Risk factors for stroke	Diabetes mellitus type 2, hypertension	No known Risk Factors	Diabetes mellitus type 2, hypertension	Hypertension, DM and cardiac mass
Medications	Aspirin	–	Aspirin	–
NIHSS initial	6	7	4	30
NIHSS 24 ​h	4	6	4	28
NIHSS discharge	3	–	4	–
Outcome	Rehab	Deceased	Rehab, for cervical spinal stenosis	Deceased
Stroke symptom and signs	Right sided facial droop and weakness	Right sided facial droop and weakness	Presented with quadriparesis, has severe cervical spine stenosis	Right sided weakness
Imaging result	MRI Brain: bilateral embolic tiny cortical infarcts in different vascular territories.	CT head: Embolic infarcts in the left parieto-occipital area	MRI brain: multiple small infarcts in the centrum semiovale of the bilateral frontoparietal lobes suggestive of watershed infarcts	MRI brain: Multiple infarcts in bilateral medullar, left occipital lobe and right parahippocampal region
Vessel imaging	No evidence of LVO or ICAD	No evidence of LVO or ICAD	Intracranial atherosclerosis	Occlusion of the right vertebral artery
Acute treatment of stroke	TPA	No tPA or endovascular therapy	No tPA or endovascular therapy	No tPA or endovascular therapy
Treatment of COVID	Azithromycin Toclizumab	Tocilizumab	Hydroxychloroquine and azithromycin	Remdesivir and dexamethasone
COVID-19 symptoms	Fever, cough and shortness of breath	cough, dyspnea and confusion	Fever, cough and shortness of breath	Shortness of breath
ICU admission	Yes	Yes	No	Yes
Transthoracic Echocardiogram	Normal	Not done	Pending	Not done