Remote telemedicine technologies in pediatric neurology.

Abstract

Introduction. Neurologic disorders make a significant contribution to overall morbidity. For example, in recent years in Moscow, the overall incidence of diseases of the nervous system in children is 7637.1 per 100.000 people. The chronic course of neurologic disorders and the need for long-term rehabilitation determine the widespread use of digital technologies in this area. Materials and methods. A literature review was conducted in the PubMed database. The inclusion criteria for studies were the use of digital technologies and the participation of patients under 18 years of age in testing and evaluating the effectiveness of these methods. Results. In this paper we reviewed the use of digital technologies in disorders such as cerebral palsy (CP), epilepsy, headaches including migraines, and multiple sclerosis. Modern wearable diagnostic and neuroimaging devices have been described. In the treatment of cerebral palsy, home rehabilitation options are receiving high interest. The most common area in which remote monitoring is used is the chronic headaches monitoring. Many available solutions have been developed in this area, such as digital diaries, which are used to identify the causes and triggers of migraines exacerbations and tension headaches. Telemedicine consultations increase patient access to neurological and neurosurgical care, and use of teleconsultations is increasing rapidly in recent years. Conclusion. Thus, there is currently an active development of digital technologies in pediatric neurology. Telemedicine consultations, virtual and augmented reality technologies, and the use of applications on smartphones and related devices are becoming new high-quality and objective methods of patient management.