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Background and Aim: The novel coronavirus disease of 2019 (COVID-19) is a viral infectious disease that has been occurred by the viral agent of severe acute respiratory distress syndrome coronavirus 2 (SARS-CoV-2).It is started in December 2019 in Wuhan city of China. The main presentation of this disease is pneumonia. For containing of this virus in March 2019 World Health Organization (WHO) proclaimed pandemic, and confinement for controlling of this disease occurred for one third of world population. -
 Methods and Materials/Patients: This is a narrative study about covid-19 infection in neurosurgery. For providing new information's we concisely reviewed the effects of covid-19 infection in neurosurgery. Using the keywords SARS-COV2, neurosurgery, and Covid-19, all the relevant articles were retrieved from Google scholar, Medline and PubMed reviewed, and critically analyzed.
Results: For risk reduction of COVID-19 nosocomial infection neurosurgeons can change neurosurgical routins in COVID-19 patients and change high-risk neurosurgical conditions in local nosocomial outbreaks. These changes in neurosurgical routins are as following: delay all nonemergent cases, replace general anesthesia with other anesthesia methods if possible, replace neurosurgical approaches with alternative approaches that bypass the respiratory tract, decrease the usage of aerosol-generating instruments[like: drills, electrocautery, ultrasonic aspirators, lasers, and carbon dioxide insufflators],and doing preoperative SRAS-COV-2 testing in patients who are nonurgent cases[for positive tests, if possible, delaying the procedures until they are cured and in negative cases decrease the usage of protective equipment]. Conclusion: For decreasing the risk of COVID-19 transmission in neurosurgery we can change routine surgical protocols without adverse effect on the surgical outcome. If for prevention of COVID-19 transmission don’t do anything then all neurosurgeons, personnel, and patients will contract COVID-19 and we will lose all of them in COVID-19 battle field.           

Keywords: SARS-COV2, Neurosurgery, Covid-19

     

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