Telemedicine and Telestroke

  • Kori S. ZachrisonEmail author
  • Juan Estrada
  • Lee H. Schwamm
Part of the Current Clinical Neurology book series (CCNEU)


Telemedicine is the use of audiovisual communication and computer systems to provide clinical care remotely. When used in the care of patients with stroke, this is referred to as telestroke. Telestroke networks connect patients in remote or under-resourced settings with centralized expertise in order to guide evaluation and treatment decisions. Telemedicine is used in the prehospital setting, in the emergency and acute setting, and in the inpatient setting to deliver care to stroke patients. There is a growing body of evidence supporting the use of telestroke. Telestroke guidelines have recently been developed, and recommendations have been made for the development of process and outcome measures to track telestroke network performance. Reimbursement and regulatory frameworks are continuing to adapt to this innovative but increasingly common modality of acute stroke care delivery.


Telemedicine Acute stroke Systems of care Remote evaluation Audiovisual communication 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Kori S. Zachrison
    • 1
    Email author
  • Juan Estrada
    • 2
  • Lee H. Schwamm
    • 3
  1. 1.Department of Emergency MedicineMassachusetts General HospitalBostonUSA
  2. 2.Department of Neurology and Center for TeleHealthMassachusetts General HospitalBostonUSA
  3. 3.Department of NeurologyMassachusetts General HospitalBostonUSA

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