Teleneurology (TN) is the application of telemedicine to all areas of neurology. During the COVID-19 pandemic, TN provided an alternative for accessing medical care for patients. With the relaxation of COVID-related restrictions, there has been marked variability in the utilization of TN across countries and regions. With this survey, the ILAE Telemedicine Task Force aims to better understand the evolving practice in clinical epilepsy before, during, and in the early stage of the post-COVID-19 pandemic era.
The definition of TN in this survey encompasses a wide range of different services used to evaluate and manage neurological diseases, including telephone calls, synchronous (simultaneous) audio-video connections between provider and patient, asynchronous (non-simultaneous) electronic communications between provider and patient (e.g., text messaging) or diagnostic imaging systems and interpreting provider, or remote monitoring systems that make use of sensor technologies to record and transmit physiological or imaging data from the patient to provider.
There is a wide range of preferences and practices amongst medical care providers in the use of TN in managing epilepsy patients. A similar diversity also exists in the expectations and choices of patients while receiving care through TN. Further variability in the national laws of individual countries related to TN is also noted. We are therefore collecting opinions from a wide, global audience to help ILAE play a more focused role in further advocating for TN in the future.