Telemedicine for Individuals with epilepsy: Recommendations from the International League Against Epilepsy Telemedicine Task Force

Seizure. 2023 Mar:106:85-91. doi: 10.1016/j.seizure.2023.02.005. Epub 2023 Feb 10.

Abstract

Worldwide, People with Epilepsy (PWE) are confronted with several barriers to face-to-face consultations. These obstacles hamper appropriate clinical follow-up and also increase the treatment gap for Epilepsy. Telemedicine holds the potential to enhance management as follow-up visits for PWE are focused on more on clinical history and counselling rather than physical examination. Besides consultation, telemedicine can also be used for remote EEG diagnostics and tele-neuropsychology assessments. In this article, the Telemedicine Task Force of the International League Against Epilepsy (ILAE) outlines recommendations regarding optimal practice in utilizing in the management of individuals with epilepsy. We formulated recommendations for minimum technical requirements, preparing for the first tele-consultation and the specificities for follow-up consultations. Special considerations are necessary for specific populations, including paediatric patients, patients who are not conversant with tele-medicine and those with intellectual disability. Telemedicine for individuals with epilepsy should be vigorously promoted with the aim of improving the quality of care and ultimately reduce the wide clinician access related treatment gap across several regions of the globe.

Keywords: Epilepsy; Telemedicine; Teleneurology; Treatment gap.

Publication types

  • Review

MeSH terms

  • Child
  • Epilepsy* / diagnosis
  • Epilepsy* / therapy
  • Humans
  • Intellectual Disability*
  • Neuropsychological Tests
  • Referral and Consultation
  • Telemedicine*