When to See a Neurologist in Kathmandu — Dr. Jitendra Prasad Yadav

See a neurologist soon (schedule appointment)

• Headache on 10+ days/month, or acute medication use rising
• Migraine with aura, chronic migraine, or medication-overuse pattern
• Recurrent vertigo/dizziness, especially positional or with migraine features
• Tingling, numbness, burning pain or weakness (neuropathy)
• First seizure, or recurrent seizures/blackouts
• Tremor, Parkinson features, gait/balance change
• Memory lapses, word-finding difficulty, family-noticed change
• Persistent symptoms despite primary-care management

Seek emergency care now (do not wait for clinic)

• Thunderclap headache — maximal in seconds
• Headache with fever, neck stiffness, confusion or rash
• Headache after head trauma
• Sudden one-sided weakness, face droop, slurred speech, vision loss (FAST — stroke)
• Seizure lasting >5 minutes or without recovery between seizures
• Sudden severe dizziness with inability to walk, speech change or double vision

What to bring

• Medication list (including over-the-counter), allergies, prior reports
• Headache/symptom diary — frequency, triggers, medication days
• For memory visits: family member who sees daily change
• Questions about prognosis, options and follow-up plan

What happens at the clinic

45–60 min comprehensive history, neurological exam, cognitive screening where indicated, report review, then clear diagnosis and individualized plan with scheduled follow-up to measure diary trends with the same consultant.