Technology

Neurosurgery Consultation in Telemedicine

Assoc. Prof. Özgür AkşanIssue 01October–December 2026 2 min read

Neurosurgery Consultation in Telemedicine

Telemedicine is the provision of healthcare services through technology despite the physical distance between the patient and the doctor. Video consultation, image sharing, and remote monitoring are the core components.

Telemedicine prevents unnecessary travel for patients during preoperative evaluation.
Telemedicine prevents unnecessary travel for patients during preoperative evaluation.

Use of Telemedicine in Neurosurgery

Preoperative Evaluation: The patient shares MRI and CT images digitally. Medical history and examination findings are evaluated during a video consultation. Surgical indications and plans are established. The patient avoids unnecessary travel.

Postoperative Follow-up: Wound photos and neurological status are evaluated via video. The need to visit the hospital for routine check-ups is reduced. If an issue is detected, a face-to-face examination is scheduled.

Second Opinion: Opinions can be obtained from specialists in different cities or countries. Image files are securely shared in DICOM format.

Telementoring: An experienced surgeon provides remote video guidance during surgery. It is especially valuable in complex surgeries when an experienced mentor is not present on-site.1,2

Telemedicine Practice in Turkey

Telemedicine consultations are conducted over KVKK-compliant, end-to-end encrypted video infrastructures. Image files are shared using secure transfer protocols; the storage and deletion of records are subject to legislation. It is essential that the consultation is conducted by a physician and recorded.

Second Opinion: Opinions can be obtained from specialists in different cities or countries.

Limitations

It cannot fully replace a physical examination (especially a neurological examination).3,4 It requires internet access and digital literacy.


→ Next page: S68 — Intraoperative Neuromonitoring

Experienced surgeons can provide remote video guidance during surgery.
Experienced surgeons can provide remote video guidance during surgery.

Kaynaklar

  1. Del Rosario SD et al. J Neurosurg Pediatr. 2026. PMID 41759086
  2. Snyderman CH et al. Laryngoscope. 2016. PMID 27010229
  3. Angelopoulou E et al. Medicina (Kaunas). 2024. PMID 38929575
  4. van den Bergh R et al. Curr Opin Neurol. 2021. PMID 33990100
  5. Razak SS et al. Neurosurg Focus. 2025. PMID 40022758
Doç. Dr. Özgür Akşan

Doç. Dr. Özgür Akşan

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