When to refer: Neurological complications

Tutorial presented by Dr Tom Hughes, Consultant Neurologist.

In this tutorial Dr Tom Hughes provides an overview of the neurological complications of COVID-19, some of the symptoms that patients might present with, the primary care workup of these patients, and when to consider referral to secondary care.

From a neurological perspective, the most common features of long COVID include malaise and fatigue, which can have a detrimental effect to the patient’s ability to return to their normal daily routine. Reassuringly, the majority of patients will improve, but they should be encouraged to gradually increase their level of activity and exercise until they are back to normal levels.

Patients with persistent symptoms should be referred for a neurology opinion if:

  • Not back to normal activity after 3-4 months due to persistent fatigue
  • Persistent focal problems, including walking, swallowing, use of their upper or lower limbs
  • Profound problems with cognition

When to refer: Cardiac complications

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