Annals of Indian Academy of Neurology
: 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

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
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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.

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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.