Quick Answer
From tingling to tremor —— which symptoms are urgent and which merit planned evaluation.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
Neurological symptoms reflect brain, spine or nerve involvement and deserve systematic sorting:
Headache with red flags (thunderclap, fever+neck stiffness, new after 50, focal weakness, post-trauma) —— urgent. Dizziness/vertigo with speech change, diplopia or imbalance —— urgent/possible central cause. Sudden weakness, facial droop or speech loss —— stroke emergency (FAST). First seizure, especially with tongue bite or prolonged confusion —— prompt evaluation. Progressive numbness (feet?legs), burning pain, or weakness —— neuropathy workup. Tremor at rest or action, slowness, rigidity —— movement disorder review. Memory change noticed by family, with functional impact —— cognitive screening (MoCA/MMSE).
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for stroke & tia.
At Kathmandu Neurology Clinic, Dr. Jitendra Prasad Yadav (NMC 8029) takes a witness-informed history, full neurological exam and targeted tests (MRI, EEG, NCS/EMG only when indicated by presentation). Bring prior reports, medication list and symptom diary; an informant for memory visits is invaluable.
If symptoms are sudden and severe, go to the nearest emergency department —— do not wait for an appointment.
Frequently asked questions
Answers reviewed by Dr. Jitendra Prasad Yadav • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
Note time of onset, call emergency services, do not give food/drink or leave the person alone.
TIA symptoms resolve, but it signals high short-term stroke risk. Urgent evaluation and prevention planning are essential.
Not necessarily; a single unprovoked seizure needs careful assessment before a diagnosis of epilepsy is made.
No; seizures vary widely. Some involve jerking (generalized or focal), while others present as staring spells, automatisms, or behavioral change with no apparent movement.
Migraine typically presents as moderate-severe throbbing headache with nausea and/or sensitivity to light or sound, worsened by routine activity. Duration 4–72 hours. Dr. Jitendra Prasad Yadav (NMC 8029) uses ICHD-3 criteria plus your headache diary (frequency, aura, medication days) and red-flag screen to distinguish …
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References & Review
Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-09-04
- International Classification of Headache Disorders, 3rd edition (ICHD-3).
- Harrison's Principles of Internal Medicine — Neurology sections.
- American Academy of Neurology guidelines for selected conditions (where applicable).
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.