- Diagnosis
- History
- Examination
- Investigations
- History
- Management
- Interventions
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Neurological History-Taking
Presenting Complaints
Headache
Onset, severity, location, aggravating / relieving, prodromal symptoms
Seizure
Witnessed, duration, LOC, collateral
Presyncope / Syncope
Lightheadedness / loss of consciousness
Visual Changes
Blurring, diplopia, amaurosis fugax
Olfactory Changes
Loss of olfactory sensation, altered olfaction
Hearing Changes
Tinnitus, hearing loss
Vertigo
Room spinning or patient spinning
Muscular Symptoms
Weakness, spasm, tremor, facial droop
Sensory Changes
Loss of sensation / tingling / burning
Neck Stiffness
Fevers, headache, photophobia
Dysarthria
Difficulty articulating
Onset, associated symptoms
Further History
Past Medical History
Cerebrovascular Events
TIA / stroke
How many, when, functional residual
Epilepsy
Frequency / last seizure, type of seizures
Migraines
Frequency, severity, symptoms, impact
Multiple Sclerosis
Family history, relapses, management
Parkinson's Disease
Symptoms, dopamine replacement regimen
Motor Neuron Disease
Clinical phenotype, manifestations, management, prognosis
Myaesthenia Gravis
Symptoms, past myaesthenic crisis
Cerebrovascular Risk Factors
IHD, AF, HTN, lipids, Diabetes
Medications
Social History
Substance History
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