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

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

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

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.

2020

Guidelines, Protocols, neurodegenerative disorders, Health care services, Coronavirus disease 2019 (COVID-19), chronic neurological disease

DOI: 10.3389/fneur.2020.00664

Frontiers in Neurology

Frontiers Media S.A.

Neurology. Diseases of the nervous system