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Dear Editor, The management and monitoring of neurological patients suddenly had to change due to coronavirus disease-19 pandemic. COVID-19, an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was declared a global pandemic on March 11, 2020, by the World Health Organization, after the virus spreading from China to Europe, Italy firstly.

In Italy, at the time we write this letter, 2 months after the first positive case, there are more than 197,000 infected people and more than 26,000 deaths. The authors of this communication are writing from Tertiary Regional Center for Amyotrophic Lateral Sclerosis (ALS) of Neurological Department, in Novara, Piedmont, Italy, which is the third most affected regions (roughly 24,000 cases). In this tragic situation, the clinical neurological practices have, by necessity, changed dramatically over the pandemic diffusion. The greatest …