• Mariam Al Hussona, Monica Maher, David Chan, Jonathan A Micieli, Jennifer D Jain, Houman Khosravani, Aaron Izenberg, Charles D Kassardjian, and Sara B Mitchell.
• Division of Neurology, Department of Medicine, Postgraduate Medical Education, University of Toronto, Toronto, Ontario, Canada.
• Can J Neurol Sci. 2020 Sep 1; 47 (5): 598-603.

ObjectiveTo outline features of the neurologic examination that can be performed virtually through telemedicine platforms (the virtual neurological examination [VNE]), and provide guidance for rapidly pivoting in-person clinical assessments to virtual visits during the COVID-19 pandemic and beyond.MethodsThe full neurologic examination is described with attention to components that can be performed virtually.ResultsA screening VNE is outlined that can be performed on a wide variety of patients, along with detailed descriptions of virtual examination maneuvers for specific scenarios (cognitive testing, neuromuscular and movement disorder examinations).ConclusionsDuring the COVID-19 pandemic, rapid adoption of virtual medicine will be critical to provide ongoing and timely neurological care. Familiarity and mastery of a VNE will be critical for neurologists, and this article outlines a practical approach to implementation.

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