A number of mechanisms of neuropathogenesis related to COVID-19 have been described, including manifestations of systemic disease including hypoxia, metabolic derangements, and multi-organ failure; direct invasion of the nervous system (meningitis/encephalitis); and a postinfection immune-mediated process.5,6 All of these may lead to seizures, but the specific contribution of each mechanism is unclear, and in some cases the cause may be multifactorial. Meningoencephalitis associated with COVID 19 with transient seizures has been described in one patient.7 The responses in the AES survey reflected similar uncertainty of possible mechanisms causing seizures.