• Radha Korupolu, Argyrios Stampas, Carlee Gibbons, Isaac Hernandez Jimenez, Felicia Skelton, and Monica Verduzco-Gutierrez.
• Department of Physical Medicine and Rehabilitation, McGovern Medical School, The University of Texas Health Science Center, Houston, TX, USA. radha.korupolu@uth.tmc.edu.
• Spinal Cord Ser Cases. 2020 May 11; 6 (1): 35.

AbstractAn outbreak of a novel coronavirus disease (COVID-19) that emerged in the Chinese city of Wuhan has rapidly become a global public health pandemic. As of March 2020, the Centers for Disease Control and Prevention (CDC) has described priority levels for testing patients with suspected COVID-19 and information on when to seek medical attention. However, there is a paucity of further guidance for people with spinal cord injury (SCI) who may not present with typical symptoms of COVID-19 due to altered physiology. This may pose challenges with surveillance, risk stratification, and initial management of this vulnerable population. In this point-counterpoint discussion, we outline important differences in presentation along with COVID-19 cases co-morbid with SCI.

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