Telemedizin bietet erhebliches Potenzial, die neurologische Versorgung zu verbessern,
insbesondere bei chronischen Erkrankungen wie Epilepsie. Dieser Artikel beleuchtet
anhand der WHO-Klassifikation von Telemedizin vier Anwendungsbereiche in der Epileptologie:
Telekonsultationen zwischen Patient*innen und Behandelnden, Telemonitoring, Übertragung
von medizinischen Daten an Behandelnde und Telekonsile zwischen Behandelnden.
Abstract
Telemedicine offers great potential to improve healthcare. Relevant tele-applications
are consultations between patients and healthcare providers, remote monitoring, transmission
of medical data (e. g. videos) to healthcare providers and consultations between healthcare
providers. Consultations via (video) telephone can be useful in epileptology because
during the course of the disease the focus of follow-up visits is on clinical history,
adjustments to medication and counselling rather than physical examination. In addition,
these patients are often limited in their mobility due to driving restrictions. Telemonitoring
through wearables allows better detection of epileptic seizures, but, as of yet, cannot
reliably detect all seizure types. Most systems can only reliably recognise motor
seizures, especially bilateral tonic-clonic seizures. Transmission of „epileptological
data” such as smartphone videos of seizures and digital seizure diaries to healthcare
providers must be enabled. At present in Germany, commercial providers still have
to be used, and particular attention must be paid to data security and data protection.
Telemedical consultations between healthcare providers facilitate access to epileptological
expertise and can improve the quality of care. There are particular challenges in
terms of remuneration, integration and technical implementation.
