Teleneurology by Internet



The Internet is one of the major technological advances of our time (Dyson 1999), with many potential applications in medicine generally, not least patient information seeking behavior. Most neurologists will be familiar with the experience of consultations in which the patient arrives armed with a mass of infor­mation downloaded from the Internet, of greater or lesser relevance to the neurological problem at hand. But how frequently do patients use such resources without declaring so, and how might this shape their health expectations and beliefs?


Down Syndrome Cluster Headache Medical Information Internet Access Lyme Disease 


  1. Adab N, Larner AJ. Adult-onset seizure disorder in 18q deletion syndrome. J Neurol. 2006;253:527–8.PubMedCrossRefGoogle Scholar
  2. Delamothe T. Quality of websites: kitemarking the west wind. BMJ. 2000;321:843–4.PubMedCrossRefGoogle Scholar
  3. Dyson FJ. The sun, the genome, and the internet. Tools of scientific revolutions. New York: New York Public Library/Oxford University Press; 1999.Google Scholar
  4. Larner AJ. Use of Internet medical websites and NHS Direct by neurology outpatients before consultation. Int J Clin Pract. 2002a;56:219–21.PubMedGoogle Scholar
  5. Larner AJ. Missed diagnosis of vitamin B12 deficiency presenting with paraesthetic symptoms. Int J Clin Pract. 2002b;56:377–8.PubMedGoogle Scholar
  6. Larner AJ. Use of the internet and of the NHS Direct telephone helpline for medical information by a cognitive function clinic population. Int J Geriatr Psychiatry. 2003;18:118–22.PubMedCrossRefGoogle Scholar
  7. Larner AJ. 2004a. e-patients: autonomy and competence. Accessed 18 May 2004.
  8. Larner AJ. What use do patients with headache make of the internet for medical information? J Headache Pain. 2004b;5:265.CrossRefGoogle Scholar
  9. Larner AJ. Searching the internet for medical information: frequency over time and by age and gender in an outpatient population in the UK. J Telemed Telecare. 2006a;12:186–8.PubMedCrossRefGoogle Scholar
  10. Larner AJ. Cluster headache: self-diagnosis by internet. Headache Care. 2006b;3(2):53–4.CrossRefGoogle Scholar
  11. Larner AJ. Headache induced by dopamine agonists prescribed for prolactinoma: think SUNCT! Int J Clin Pract. 2006c;60:360–1.PubMedCrossRefGoogle Scholar
  12. Larner AJ. Medical hazards of the internet: gambling in Parkinson’s disease. Mov Disord. 2006d;21:1789.PubMedCrossRefGoogle Scholar
  13. Larner AJ. Awareness and use of complementary therapies for AD. Prog Neurol Psychiatry. 2007a;11(8):27, 29.CrossRefGoogle Scholar
  14. Larner AJ. Down syndrome in the neurology clinic: Too much? Too little? Too late? Downs Syndr Res Pract. 2007b;12:69–71.PubMedCrossRefGoogle Scholar
  15. Larner AJ. Gambling. Adv Clin Neurosci Rehabil. 2007c;7(1):26.Google Scholar
  16. Larner AJ. Trigeminal autonomic cephalalgias: frequency in a general neurology clinic setting. J Headache Pain. 2008a;9:325–6.PubMedCrossRefGoogle Scholar
  17. Larner AJ. Monogenic Mendelian disorders in general neurological practice. Int J Clin Pract. 2008b;62:744–6.PubMedCrossRefGoogle Scholar
  18. Lenert LA, Looman T, Argoncillo T, Nguyen M, Sturley A, Jackson CM. Potential validity of conducting research on headache in internet populations. Headache. 2002;42:200–3.PubMedCrossRefGoogle Scholar
  19. Larner AJ. Telemedicine and older people. GM Geriatr Med. 2011;41:247–250, 252.Google Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  1. 1.Cognitive Function ClinicWalton Centre for Neurology and NeurosurgeryLiverpoolUK
  2. 2.Society of Apothecaries’ Honorary Lecturer in the History of MedicineUniversity of LiverpoolLiverpoolUK

Personalised recommendations