Frontiers in Neurology (Jun 2020)

Chronic Neurology in COVID-19 Era: Clinical Considerations and Recommendations From the REPROGRAM Consortium

  • Sonu Bhaskar,
  • Sonu Bhaskar,
  • Sonu Bhaskar,
  • Sian Bradley,
  • Sian Bradley,
  • Simon Israeli-Korn,
  • Simon Israeli-Korn,
  • Bindu Menon,
  • Bindu Menon,
  • Vijay Kumar Chattu,
  • Vijay Kumar Chattu,
  • Pravin Thomas,
  • Pravin Thomas,
  • Jasvinder Chawla,
  • Jasvinder Chawla,
  • Rajeev Kumar,
  • Rajeev Kumar,
  • Paolo Prandi,
  • Paolo Prandi,
  • Daniel Ray,
  • Daniel Ray,
  • Sailaja Golla,
  • Sailaja Golla,
  • Nirmal Surya,
  • Nirmal Surya,
  • Harvey Yang,
  • Harvey Yang,
  • Sandra Martinez,
  • Sandra Martinez,
  • Mihriban Heval Ozgen,
  • Mihriban Heval Ozgen,
  • Mihriban Heval Ozgen,
  • John Codrington,
  • John Codrington,
  • Eva María Jiménez González,
  • Eva María Jiménez González,
  • Mandana Toosi,
  • Mandana Toosi,
  • Nithya Hariya Mohan,
  • Nithya Hariya Mohan,
  • Koravangattu Valsraj Menon,
  • Koravangattu Valsraj Menon,
  • Abderrahmane Chahidi,
  • Abderrahmane Chahidi,
  • Abderrahmane Chahidi,
  • Abderrahmane Chahidi,
  • Susana Mederer Hengstl,
  • Susana Mederer Hengstl

DOI
https://doi.org/10.3389/fneur.2020.00664
Journal volume & issue
Vol. 11

Abstract

Read online

With the rapid pace and scale of the emerging coronavirus 2019 (COVID-19) pandemic, a growing body of evidence has shown a strong association of COVID-19 with pre- and post- neurological complications. This has necessitated the need to incorporate targeted neurological care for this subgroup of patients which warrants further reorganization of services, healthcare workforce, and ongoing management of chronic neurological cases. The social distancing and the shutdown imposed by several nations in the midst of COVID-19 have severely impacted the ongoing care, access and support of patients with chronic neurological conditions such as Multiple Sclerosis, Epilepsy, Neuromuscular Disorders, Migraine, Dementia, and Parkinson disease. There is a pressing need for governing bodies including national and international professional associations, health ministries and health institutions to harmonize policies, guidelines, and recommendations relating to the management of chronic neurological conditions. These harmonized guidelines should ensure patient continuity across the spectrum of hospital and community care including the well-being, safety, and mental health of the patients, their care partners and the health professionals involved. This article provides an in-depth analysis of the impact of COVID-19 on chronic neurological conditions and specific recommendations to minimize the potential harm to those at high risk.

Keywords