Neurological manifestations of coronavirus disease 2019: exploring past to understand present

SARS-CoV-2 infection, resulting in Coronavirus disease 2019 (COVID-19), has significantly affected the entire world. It was labelled a pandemic by World Health Organization. Although it commonly produces respiratory symptoms, neurological features have been described. Neurological manifestations may vary from non-specific symptoms such as headache, dizziness, myalgia and/or fatigue, olfactory or taste dysfunction to specific syndromes including meningitis, stroke, acute transverse myelitis and Guillain-Barre syndrome. This review describes potential pathogenetic mechanisms and neurological manifestations of COVID-19 along with its management. Considering structural and pathogenetic similarity of SARS-CoV-2 with SARS-CoV and MERS viruses, we compared their neurological manifestations and mentioned few features expected in COVID-19 in future. Interestingly, many COVID-19 cases may present with pure neurological manifestations at onset with non-neurological features manifesting few days later and we propose the term Neuro-COVID syndrome for such cases. Awareness of neurological manifestations may facilitate its management and improve outcome in such patients.

Automated summary

SARS-CoV-2 infection causing COVID-19 has neurological manifestations, ranging from headaches and dizziness to taste or smell dysfunction. Some cases may initially present with purely neurological symptoms, followed by non-neurological symptoms a few days later.