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LETTERS TO THE EDITOR
Year : 2022  |  Volume : 25  |  Issue : 3  |  Page : 533
 

Adverse effects of telemedicine


1 Private Academic Consultant, Bangkok, Thailand
2 Honorary Professor, Department of Community Medicine, Dr D Y Patil University, Pune, Maharashtra, India

Date of Submission04-Nov-2021
Date of Acceptance06-Nov-2021
Date of Web Publication05-Jan-2022

Correspondence Address:
Pathums Sookaromdee
Private Academic Consultant, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aian.aian_963_21

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How to cite this article:
Sookaromdee P, Wiwanitkit V. Adverse effects of telemedicine. Ann Indian Acad Neurol 2022;25:533

How to cite this URL:
Sookaromdee P, Wiwanitkit V. Adverse effects of telemedicine. Ann Indian Acad Neurol [serial online] 2022 [cited 2022 Dec 8];25:533. Available from: https://www.annalsofian.org/text.asp?2022/25/3/533/335002




Dear Editor,

We would like to share ideas on “Teleneurorehabilitation Among Person with Parkinson's Disease in India: The Initial Experience and Barriers to Implementation” by Garg et al.[1] In the paper, they conclude that “Multiple challenges were faced in implementing a telerehabilitation program among persons with PD, exacerbated … adherence issues and maintenance. Future TNR programs must address these concerns.” In general, the COVID-19 pandemic has resulted in several problems in patient care. Difficulty in accessing health care services at medical centers has become a common problem during the pandemic. An adjustment to the situation is required. Telemedicine is a current useful method for providing care during the pandemic.[2]

Garg et al.[1] give many useful points in implementation of a telemedicine communication system. We would like to add a little mentioned aspect: the negative effect of telemedicine. As an electronic tool, telemedicine might cause problems to the neurological patient. A recent report observes that seizures might be associated with telemedicine use.[3] Sounds or bright lights from electronic phones might be the cause.[4] For patients with Parkinson's disease, seizures are also a possible problem.[5] It is necessary to have a good instruction for patient and cousin on safe and appropriate environmental adjustment when using telemedicine communication.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Garg D, Majumdar R, Chauhan S, Preenja R, Parihar J, Saluja A, et al. Teleneurorehabilitation among person with Parkinson's disease in India: The initial experience and barriers to implementation. Ann Indian Acad Neurol 2021;24:536-41.  Back to cited text no. 1
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2.
Mitra A, Veerakone R, Li K, Nix T, Hashikawa A, Mahajan P. Telemedicine in paediatric emergency care: A systematic review. J Telemed Telecare 2021. doi: 10.1177/1357633X211010106.  Back to cited text no. 2
    
3.
Kubota T, Kuroda N. Association between telemedicine and incidence of status epilepticus during the COVID-19 pandemic. Epilepsy Behav 2021;124:108303. doi: 10.1016/j.yebeh. 2021.108303.  Back to cited text no. 3
    
4.
Kikuchi K, Hamano SI, Horiguchi A, Nonoyama H, Hirata Y, Matsuura R, et al. Telephone-induced seizures: A new type of reflex epilepsy. Epilepsia 2004;45:280-5.  Back to cited text no. 4
    
5.
Cano A, Fonseca E, Ettcheto M, Sánchez-López E, de Rojas I, Alonso-Lana S, et al. Epilepsy in neurodegenerative diseases: Related drugs and molecular pathways. Pharmaceuticals (Basel) 2021;14:1057. doi: 10.3390/ph14101057.  Back to cited text no. 5
    




 

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