虚拟神经检查：COVID-19 时代的教学视频和指导。
The Virtual Neurologic Exam: Instructional Videos and Guidance for the COVID-19 Era.
机构信息
Division of Neurology, Department of Medicine, Postgraduate Medical Education, University of Toronto, Toronto, Ontario, Canada.
Division of Neurology, Department of Medicine, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
出版信息
Can J Neurol Sci. 2020 Sep;47(5):598-603. doi: 10.1017/cjn.2020.96. Epub 2020 May 21.
OBJECTIVE
To outline features of the neurologic examination that can be performed virtually through telemedicine platforms (the virtual neurological examination [VNE]), and provide guidance for rapidly pivoting in-person clinical assessments to virtual visits during the COVID-19 pandemic and beyond.
METHODS
The full neurologic examination is described with attention to components that can be performed virtually.
RESULTS
A screening VNE is outlined that can be performed on a wide variety of patients, along with detailed descriptions of virtual examination maneuvers for specific scenarios (cognitive testing, neuromuscular and movement disorder examinations).
CONCLUSIONS
During the COVID-19 pandemic, rapid adoption of virtual medicine will be critical to provide ongoing and timely neurological care. Familiarity and mastery of a VNE will be critical for neurologists, and this article outlines a practical approach to implementation.
目的
概述可通过远程医疗平台（虚拟神经系统检查[VNE]）进行的神经系统检查的特点，并为在 COVID-19 大流行期间及之后迅速将面对面临床评估转向虚拟就诊提供指导。
方法
详细描述完整的神经系统检查，并重点介绍可通过虚拟方式进行的检查内容。
结果
概述了一种可用于各种患者的筛选性 VNE，并详细描述了特定情况下的虚拟检查操作（认知测试、神经肌肉和运动障碍检查）。
结论
在 COVID-19 大流行期间，快速采用虚拟医疗将对提供持续和及时的神经科护理至关重要。熟悉和掌握 VNE 对于神经科医生至关重要，本文概述了一种实用的实施方法。
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