Quick Answer
History, exam, diary, and judicious tests —— how a neurology consultation is structured.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
A neurology consultation is primarily conversation and examination. Expect:
1) History: onset, course, frequency, severity, associated features, triggers, medical and medication history, prior investigations, family history, and functional impact. A headache or symptom diary and witness account (seizure, confusion) are especially valuable. 2) Examination: focused neurologic exam (cranial nerves, motor, sensory, coordination, gait, cognition where relevant) and relevant systemic checks. 3) Discussion: differential possibilities, whether neuroimaging (MRI/CT), EEG, NCS/EMG, or labs are indicated —— ordered selectively, not routinely for every symptom, and explained with benefits/limitations. 4) Plan: education, lifestyle context, safety counseling, medication discussion where appropriate (no guaranteed outcomes), and scheduled follow-up to review change.
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for migraine.
What to bring: medication and allergy list, prior imaging/labs, referral notes, diary, and for cognitive visits an informant/family member. Appointments at Kathmandu Neurology Clinic & Cognitive Center are by booking (Sun-Sat 9AM-7PM, Durbar Marg, Opposite of Yak & Yeti Hotel, 974-7736624) under Clinics Tree. See /book-appointment and /doctor (NMC 8029).
This guide is educational and does not replace individual medical advice.
Frequently asked questions
Answers reviewed by Dr. Jitendra Prasad Yadav • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
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.
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.
More: All FAQs → · Ask Dr. Jitendra →
Related articles
Questions to Ask Your Neurologist
Make the most of your appointment —— key questions about diagnosis, investigations, treatment options, benefits, risks, and follow-up.
How to Choose a Neurologist in Kathmandu: A Patient's Checklist
What to check when choosing a neurologist in Kathmandu —— NMC registration, qualifications, headache and neurology depth, accessibility, and follow-up.
Neurological Symptoms That Require Urgent Care
Which neurologic symptoms cannot wait for an appointment —— red flags for headache, stroke, seizure, vertigo, and acute confusion.
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.