Romanian JouRnal of neuRology – Volume XX, No. 4, 2021 471 Clinical neurological characteristics of geriatric patients with COVID-19 in Sanglah General Hospital from 2020 to 2021 Adriana Marsha Yolanda, Anak Agung Ayu Putri Laksmidewi, Anak Agung Ayu Meidiary Neurology Department, Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia ABSTRACT Background and objectves. COVID-19 is a respiratory infecton caused by the severe acute respiratory syndrome coro- navirus (SARS-CoV-2). The COVID-19 associates multclinical symptoms such as neurological manifestatons with mild to advanced progression. This study aimed to determine the clinical neurological characteristcs of geriatric patents with COVID-19. Methods. The study was an observatonal and descriptve study on 27 geriatric patents with COVID-19. All patents’ age was over 60 years old who treated in the in-patent department of Sanglah General Hospital, Denpasar on July 2020 to January 2021. The data were taken from medical records. Outcomes. The mean age of all patents was 70.41 (± 8.902) years, and dominated by the males (51.9%). The majority of manifestatons in this study were fever in 13 people (48.1%), unconsciousness in 10 people (37%), hemiparesis in 10 people (37%) and cough in 9 people (33.3%). Conclusions. The clinical neurology characteristcs of geriatric patents with COVID-19 vary, which may involve general and neurological manifestatons. Promptly accurate diagnosis is necessary for further management. Keywords: COVID-19, geriatric patents, neurological manifestaton Corresponding author: Anak Agung Ayu Putri Laksmidewi E-mail: putri_laksmidewi@unud.ac.id ORIGINAL ARTICLES Ref: Ro J Neurol. 2021;20(4) DOI: 10.37897/RJN.2021.4.11 Artcle history: Received: 15 September 2021 Accepted: 20 December 2021 BACKGROUND Coronavirus disease-2019 (COVID-19) is a res- piratory infection caused by the severe acute res- piratory syndrome coronavirus (SARS-CoV-2) and frst discovered in Wuhan, China. Clinical symp- toms of COVID-19 vary from mild to advanced pro- gression (1). Neurological manifestations can be caused by infection of SARS-CoV-2 directly in the nervous system or indirectly through the immune response (2). A study of 214 COVID-19 elderly patients in Hunan Province, China, conducted on 53 patients (25%), highlighted symptoms related to the central nervous system: dizziness (17%), headache (13%), and decreased consciousness (17%). Some of the other neurological clinical manifestations found in- clude encephalopathy, encephalomyelitis, ischemic stroke, intracerebral hemorrhage, anosmia and neuromuscular disorders (3). Appropriate treatment requires a proper diag- nosis. Demographic data is necessary to consider the clinical diagnosis. Research on demographics data (including onset, age, gender, clinical symp- toms, and treatment durations) has not been estab- lishing widely. Therefore, our study aimed to deter- mine the clinical neurological characteristics of geriatric patients with COVID-19. METHOD This research was a retrospectively descriptive observational study. The data took from medical re- cords of patients who were admitted in the inpa-