COVID-19, SARS and MERS: A neurological perspective

Koy Chong Ng Kee Kwong, Puja R Mehta, Garima Shukla, Arpan R Mehta (Lead / Corresponding author)

Research output: Contribution to journalReview articlepeer-review

114 Citations (Scopus)
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Central to COVID-19 pathophysiology is an acute respiratory infection primarily manifesting as pneumonia. Two months into the COVID-19 outbreak, however, a retrospective study in China involving more than 200 participants revealed a neurological component to COVID-19 in a subset of patients. The observed symptoms, the cause of which remains unclear, included impaired consciousness, skeletal muscle injury and acute cerebrovascular disease, and appeared more frequently in severe disease. Since then, findings from several studies have hinted at various possible neurological outcomes in COVID-19 patients. Here, we review the historical association between neurological complications and highly pathological coronaviruses including SARS-CoV, MERS-CoV and SARS-CoV-2. We draw from evidence derived from past coronavirus outbreaks, noting the similarities and differences between SARS and MERS, and the current COVID-19 pandemic. We end by briefly discussing possible mechanisms by which the coronavirus impacts on the human nervous system, as well as neurology-specific considerations that arise from the repercussions of COVID-19.

Original languageEnglish
Pages (from-to)13-16
Number of pages4
JournalJournal of Clinical Neuroscience
Early online date4 May 2020
Publication statusPublished - Jul 2020


  • Coronavirus
  • COVID-19
  • MERS
  • Neurology
  • Neurotropism
  • SARS


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