AUTHOR=Bhaskar Sonu , Bradley Sian , Israeli-Korn Simon , Menon Bindu , Chattu Vijay Kumar , Thomas Pravin , Chawla Jasvinder , Kumar Rajeev , Prandi Paolo , Ray Daniel , Golla Sailaja , Surya Nirmal , Yang Harvey , Martinez Sandra , Ozgen Mihriban Heval , Codrington John , González Eva María Jiménez , Toosi Mandana , Hariya Mohan Nithya , Menon Koravangattu Valsraj , Chahidi Abderrahmane , Mederer Hengstl Susana TITLE=Chronic Neurology in COVID-19 Era: Clinical Considerations and Recommendations From the REPROGRAM Consortium JOURNAL=Frontiers in Neurology VOLUME=11 YEAR=2020 URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2020.00664 DOI=10.3389/fneur.2020.00664 ISSN=1664-2295 ABSTRACT=
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.