Loading…
Loading…
Common questions about neurology and headache consultations at Kathmandu Neurology Clinic & Cognitive Center. If you have a specific concern, the Book Appointment and Contact pages help you prepare.
Reviewed by Dr. Jitendra Prasad Yadav
Evidence-based answers to common neurology questions.
A thorough history, neurological examination, review of prior records, and discussion of what is found and what follow-up is recommended. Investigations are discussed when indicated.
Diagnosis is clinical using established criteria, including headache characteristics, associated symptoms, frequency calendar, medication history, and red-flag review. Imaging is reserved for atypical features.
Chronic headache means headache on 15 or more days per month for more than three months. Chronic migraine is a subtype where migraine features occur on at least eight of those days. Overlap and medication factors are assessed.
No. Imaging is guided by history and examination, particularly when red flags or atypical features exist. A headache diary often provides more diagnostic value.
Medication and allergy list, prior imaging and lab reports, referral notes if any, headache or symptom diary, and for cognitive concerns, a family member or informant.
Record date, duration, severity, associated symptoms, possible triggers in the prior 24 hours, medication taken, relief, and impact on function. This guides clinical decisions.
Thunderclap headache, headache with fever and neck stiffness or confusion, headache after head injury, new headache after age 50, progressive worsening, or headache with weakness, speech, or vision change.
No. Many factors affect cognition, including sleep, mood, medications, and medical conditions. A structured assessment clarifies contributors.
Assessment explores distribution of Tingling, numbness or pain, metabolic and medication contributors, sensory examination, and whether nerve conduction studies or labs are indicated.
Use the Book Appointment page or Contact page. Phone and email are consistent across the site.
For sudden weakness, speech or vision change, severe headache unlike prior episodes, chest pain, breathing difficulty, or seizure lasting over 5 minutes — contact emergency services immediately. Clinic visits do not replace emergency care.
Content is reviewed by Dr. Jitendra Prasad Yadav, Consultant Neurologist & Headache Specialist, MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM, with 15+ years of clinical experience in neurology and headache medicine. Content is educational only.
Common triggers include sleep disruption, stress, hormonal changes, irregular meals, dehydration, and certain foods or drinks — but triggers vary widely and alone do not cause migraine without susceptibility. A diary helps identify patterns.
Vertigo is a sensation of spinning, often related to vestibular dysfunction. Dizziness is broader — lightheadedness, faintness, or unsteadiness. Duration, triggers, and associated symptoms help distinguish them.
When vertigo is recurrent, prolonged, or accompanied by slurred speech, double vision, weakness, or severe headache — these suggest central causes. Brief positional vertigo (BPPV) also benefits from specialist assessment for maneuver guidance.
Protect brain health through regular exercise, vascular risk management (blood pressure, diabetes), good sleep, hearing loss treatment, cognitive and social engagement, and avoiding smoking — general measures, not guarantees.
When forgetfulness affects daily tasks, is noticed by family, or progresses over months — especially with safety concerns. Early assessment clarifies reversible contributors and plans support.
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.