ABSTRACT
In neurology, real-time telemedicine has the greatest potential in the management of neurological emergencies such as status epilepticus, stroke and movement disorders and in neurophysiology. Clinical telemedicine applications can be considered on two axes: a vertical axis representing the level of maturity and a horizontal axis representing the extent of the application. Recombinant tissue-type plasminogen activator represents a major breakthrough in the treatment of ischaemic stroke. The telephone has always been used for consultation between doctors, especially for fixing appointments, calling for home visits or obtaining immediate advice. Telemedicine has great potential to transform medical education at undergraduate, postgraduate and professional levels. The educator has to select the appropriate context, content and delivery method to suit the needs of the largest number of the learners. In developing countries, an increasing population and a very low doctor:patient ratio represent a difficult challenge for health care.
