Quick Answer
Thunderclap headache, sudden weakness, seizure >5 min, acute confusion —— emergencies vs routine appointment.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
Seek emergency immediately (do not book appointment) for:
Thunderclap headache peaking within seconds; headache with fever, neck stiffness, confusion, rash; headache after head injury; new headache after 50 with progressive worsening; sudden Face droop, Arm weakness, Speech loss (FAST); sudden vision loss or severe vertigo with double vision/slurred speech/weakness; seizure lasting >5 minutes or repeated without recovery; first seizure with injury or severe headache; acute confusion over hours-days (possible delirium) especially with fever or medication change; rapidly worsening weakness with bladder/bowel change.
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for stroke & tia.
What emergency does: brain imaging, labs, stabilization —— not outpatient clinic evaluation. This website's forms cannot handle emergencies.
For non-emergent but concerning symptoms (frequent headache 15+ days/month, persistent vertigo, progressive memory change over months, symmetric tingling, tremor), schedule neurology consultation and bring medication list, prior reports, and diary. Kathmandu Neurology Clinic & Cognitive Center coordinates with National Trauma Center (NAMS) when hospital care is needed. Discuss via /contact.
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.
Migraine is a neurological condition; headache is one feature. Associated symptoms and functional impact are important for diagnosis.
Aura refers to visual, sensory, or speech symptoms that precede the headache in some people. Both types are migraine; the presence of aura may influence management discussion.
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 …
Yes. Short or fragmented sleep impairs memory consolidation and lowers migraine threshold. Snoring with apneas fragments sleep and fragments cognition. Dr. Jitendra screens sleep duration, regularity, snoring and caffeine, and refers for sleep study when indicated — often before escalating headache or memory medicines.
More: All FAQs → · Ask Dr. Jitendra →
Related articles
Headache Red Flags: Know When to Seek Urgent Care
Headache red flags that should prompt urgent medical attention and why timely assessment matters.
Questions to Ask Your Neurologist
Make the most of your appointment —— key questions about diagnosis, investigations, treatment options, benefits, risks, and follow-up.
Neurology Consultation Guide: What to Expect in Kathmandu
Your first neurology visit —— history, examination, investigations, and follow-up planning at a Kathmandu specialty center.
Medical Disclaimer
Content on this website is for general educational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not a substitute for evaluation by a qualified healthcare professional. Always seek the advice of your physician or other qualified provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website. In case of a medical emergency, contact emergency services immediately. No doctor–patient relationship is established by use of this site or by contacting the clinic through the site.
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.