Annals of Indian Academy of Neurology
LETTERS TO THE EDITOR
Year
: 2022  |  Volume : 25  |  Issue : 3  |  Page : 533-

Adverse effects of telemedicine


Pathums Sookaromdee1, Viroj Wiwanitkit2,  
1 Private Academic Consultant, Bangkok, Thailand
2 Honorary Professor, Department of Community Medicine, Dr D Y Patil University, Pune, Maharashtra, India

Correspondence Address:
Pathums Sookaromdee
Private Academic Consultant, Bangkok
Thailand




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


How to cite this URL:
Sookaromdee P, Wiwanitkit V. Adverse effects of telemedicine. Ann Indian Acad Neurol [serial online] 2022 [cited 2022 Oct 6 ];25:533-533
Available from: https://www.annalsofian.org/text.asp?2022/25/3/533/335002


Full Text



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

1Garg 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.
2Mitra 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.
3Kubota 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.
4Kikuchi 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.
5Cano 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.