Telemedicine in Epilepsy

As a leading cause of neurological disability, Epilepsy continues to reveal marked disparities in diagnosis, treatment, and long-term management. Telemedicine has emerged as a pragmatic and scalable strategy to address these gaps across the care pathway: triage and referral, diagnostic workup, antiseizure medication (ASM) optimization, management of ketogenic dietary therapy, comorbidity screening, and surgical evaluation. In recent years there has been a rapid adoption of synchronous video consultations, remote EEG interpretation workflows, mobile seizure diaries, and device-integrated data sharing, demonstrating feasibility, patient acceptance, and potential cost-efficiency. Concurrent advances, such as wearable biosensors for seizure detection, home-based EEG/ECG, AI-driven event classification, and integrated electronic health records (EHRs), are enabling continuous monitoring and more personalized care plans. Yet, challenges persist around equity of access, data quality and interoperability, regulatory frameworks, reimbursement, clinician training, and safeguarding patient privacy. This Research Topic aims to consolidate evidence, highlight peer reviewed protocols and chart sustainable models for tele-epilepsy that are safe, inclusive, and outcomes-driven.Despite promising pilots and institutional programs, tele-epilepsy remains fragmented, with heterogeneous workflows, variable diagnostic yield, and undocumented long-term impact on seizure control, quality of life, and health economics. This collection aims to define the clinical scenarios where telemedicine provides impactful epilepsy care while identifying validated digital tools and data streams that improve decision-making and support personalized treatment. We seek pragmatic, equitable implementation pathways adaptable to diverse health systems and resource settings, alongside clear governance standards for privacy, safety, and reimbursement. We especially encourage contributions leveraging recent advances, such as home EEG and ambulatory neurophysiology, wearable- and AI-enabled detection, remote cognitive and mood screening, interoperable EHRs, and virtual multidisciplinary clinics, to generate actionable evidence and consensus frameworks that can be adopted at scale.We welcome all article types accepted by the journal, pertaining but not limited to the following themes:• Comparative effectiveness of tele- vs. in person epilepsy care (seizure control, QoL, utilization, costs)• Tele-triage and referral pathways, including surgical candidacy assessment• Remote diagnostics: validation of home/ambulatory EEG, multimodal wearables, and AI-assisted event classification• Digital phenotyping and monitoring: seizure forecasting, medication adherence, circadian patterns• Visit design and standards: minimum technical requirements; first-visit vs. follow-up tele-consultation workflows• Special populations: pediatric, geriatric, pregnancy, intellectual disability, and low digital literacy• Equity and global implementation: models for LMICs, rural/remote regions, accessibility and language inclusion• Integrated care models: virtual multidisciplinary clinics, tele-neuropsychology, tele-rehabilitation, self-management tools• Governance and operations: data privacy, interoperability/EHR integration, reimbursement/licensure, clinician training and competencies Topic editors: Pauline Samia, Mamta Bhushan Singh, Rohit Das, Amza Ali Source: https://www.frontiersin.org/research-topics/75861/telemedicine-in-epilepsy