The purpose of this study is to discuss the burden of acute ischemic stroke in Africa, as well as how health care systems have attempted to reduce the disease's incidence and improve outcomes.

Acute ischemic stroke is one of the leading causes of disability and mortality worldwide, and its prevalence is increasing in Africa, which is already plagued by infectious diseases. Rapid diagnosis and treatment are critical, as even minor delays in reperfusing the brain have a significant impact on recovery. In specialized stroke care units, neuroimaging is critical for optimal care and thrombolytic or endovascular therapy.

Data were gathered using the online databases PubMed, Ovid MEDLINE, ScienceDirect, and Embase. All articles on acute ischemic stroke in Africa were reviewed.

The medical care for acute ischemic stroke is far from optimal in Africa, with little adherence to recommended protocols. Due to a lack of funding, there is a lack of public awareness of the disease, imaging infrastructure, personnel, stroke care units, and recovery facilities. Inadequate knowledge of stroke signs and symptoms leads to treatment delays and a poor prognosis.

We urge African leaders and private entities to invest in stroke care by constructing appropriate infrastructure, providing medical equipment, and putting in place guidelines and long-term follow-up systems. Telehealth is one proposed strategy to address the shortage of health personnel, and international and national efforts to increase treatment affordability should be increased. It is encouraged that more extensive research on the impact of acute ischemic stroke on the African population be conducted.