Why Teleneurology Works for Patients

Takeaways: A study in the journal Neurology found that teleneurology delivers equivalent diagnostic accuracy and treatment outcomes to in-person visits for headaches, epilepsy, MS, and neuromuscular disorders. The neurological exam is primarily observational, making it well-suited to video. All you need is a smartphone or computer with a camera.

Is Teleneurology Really Effective?

When patients first hear about seeing a neurologist over video, a common reaction is skepticism. Neurology seems like a hands-on specialty that requires a physical examination. While there are certainly situations that require in-person evaluation, the evidence overwhelmingly shows that teleneurology is effective for the majority of neurological conditions and clinical scenarios.

A growing body of research supports this conclusion. A 2020 study published in Neurology found that teleneurology consultations resulted in equivalent diagnostic accuracy and treatment outcomes compared to in-person visits for conditions including headache, epilepsy, multiple sclerosis, and neuromuscular disorders. The American Academy of Neurology has endorsed teleneurology as a clinically appropriate modality for many neurological conditions.

The conditions most suited to teleneurology include headache and migraine management, seizure disorder follow-up, medication management for movement disorders, cognitive assessments, multiple sclerosis monitoring, and neuropathy evaluation. For these conditions, the neurological examination components that can be performed in person, such as reflex testing or gait assessment, can be effectively adapted for video or are not clinically necessary at every visit.

The neurological exam has always been primarily observational. A skilled neurologist can assess speech patterns, facial symmetry, tremor, gait, and cognitive function through video just as effectively as across a desk in an office.

For patients, the practical advantages of teleneurology are significant. There is no commute, no time spent in a waiting room, and no need to take a full day off work for what amounts to a 30-minute appointment. Patients with mobility challenges, those who live far from specialists, or those who simply value their time benefit enormously. Caregivers can easily join the call from wherever they are.

Technology has also made teleneurology more accessible than ever. A video visit requires nothing more than a smartphone, tablet, or computer with a camera. There is no special equipment to purchase and no software to install. If you can make a video call, you can see a neurologist through teleneurology. At Neuro Direct Virtual Care, we have designed our platform to be as simple as possible because the technology should get out of the way and let you focus on your health.