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Neurological Long COVID

Persistent neurological symptoms following SARS-CoV-2 infection.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Neurological Long COVID?

Neurological long COVID encompasses neurological and cognitive symptoms lasting more than 12 weeks after SARS-CoV-2 infection.

It is most often characterized by brain fog, cognitive impairment, persistent headache, anxiety-depression and dysautonomia such as POTS.

Mechanisms include neuroinflammation, microthrombi, mitochondrial dysfunction and autoimmunity.

Symptoms

Brain fog: difficulty concentrating, memory disturbance
Persistent fatigue and post-exertional malaise
Headache, especially tension type and migraine-like
Postural orthostatic tachycardia syndrome POTS
Anosmia, ageusia and dysautonomic symptoms

Risk Factors

Severe acute COVID-19 infection
Female sex and middle age
Pre-existing autoimmune disease or migraine
High BMI and metabolic syndrome
Anxiety-depression history

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Cognitive symptoms persisting more than 12 weeks after COVID-19
  • Severe orthostatic intolerance and recurrent syncope
  • New-onset headache or migraine attacks
  • Severe fatigue interfering with daily activities

Treatment Methods

01
Multidisciplinary post-COVID clinic evaluation
02
Cognitive rehabilitation and pacing strategies
03
Migraine prophylaxis and dysautonomia treatment such as midodrine and ivabradine
04
Graded exercise therapy avoiding post-exertional malaise
05
Mental health support: CBT and antidepressants when indicated

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.