Table 2.

Teleneurology Visit Elements

Initiation of encounter	Salutation
	Two-factor identification
	Consent
	It will be easier to perform the examination in the presence of a companion
	Preferable to have a few feet of space for gait assessment
Neurological assessment
Mental status	Routine bedside/clinic examination applicable
Speech	Comprehension, naming, repetition (ensure proper audio output and microphone)
Cranial nerves	Visual fields, and examination of palate raise and uvula can be limited
Motor exam	Non-confrontational measures: Pronator drift, Finger tapping, Rapid opening and closing of fist For lower extremity check drift, standing up unassisted (and arms crossed), squat, heel and toe walking
Sensory exam	If there is a companion, then light touch can be examined by cotton, and pin prick can be examined by a toothpick
Cerebellar	Rapid alternative movements Nose touch with extended upper extremities Heel to shin Gait
Reflexes	Can be difficult If there is a companion, attempts can be made to elicit patellar reflex with a household item such as back of the spoon, wooden spatula.
Gait	Be considerate of patient's capacity If no companion around, there can be fall risk.
Validated disease activity scores	Unified Parkinson's disease rating scale
	Unified Huntington's disease rating scale
	Abnormal involuntary movement scale
Partially validated disease activity score	ALS functional rating scale-revised