A GP guide to long COVID ‘brain fog’

The recognition of post-viral syndrome-related cognitive changes helps reduce stigma, improve clinical management, and empower patients to seek support

This article focuses of the cognitive components of long COVID, also known as ‘brain fog’. It complements a previous How to Treat on post-infective fatigue syndrome and long COVID (see resources).1

There is evidence that long COVID is another example of post-viral syndrome, a well-recognised phenomenon.2 In this article the term post-viral syndrome is used synonymously with post-infective fatigue syndrome.1 

This illustrative and encompassing colloquial term describes the subjective cognitive symptoms associated with post-viral syndrome (PVS). It reflects a sense of feeling hazy, fuzzy and not sharp, especially when there is a need to concentrate and focus attention.

This is a common human experience. It may occur during an acute influenza-like illness, or when jet-lagged, or sleep deprived. This experience is usually transient and improves rapidly.