
Sudden Severe Headache: "The worst headache of my life" — could be a subarachnoid haemorrhage. A headache that peaks within minutes requires emergency evaluation.1,2

Sudden Loss of Strength or Speech Impairment: Facial asymmetry, weakness in the arm/leg, speech impairment — signs of a stroke. The first 4.5 hours are critical.3,4
Loss or Alteration of Consciousness: Post-traumatic or spontaneous confusion, loss of wakefulness.
Loss of Bowel/Bladder Control + Leg Weakness: Could be cauda equina syndrome — surgery may be required within 24-48 hours.5,6
After Head Trauma: Vomiting, alteration of consciousness, abnormal behaviour, unilateral pupil dilation.
Conditions Requiring Prompt Evaluation
Progressively worsening headache (especially in the morning and with vomiting), progressive weakness in the arm or leg, new-onset seizure (epilepsy), vision loss or double vision, balance disorder and falling, difficulty swallowing.
Preparation Before Seeing a Doctor
Note down your symptoms (when they started, what triggers them, what relieves them). Bring a list of the medications you use. Have your previous MRI/CT scans with you (on CD or digitally). Provide your surgical history and chronic conditions.
→ Next page: S82 — Paediatric Neurosurgery Guide

Kaynaklar
- Chen CY et al. Curr Opin Neurol. 2021. PMID 33661161
- Long D et al. J Emerg Med. 2019. PMID 30879843
- Tao C et al. N Engl J Med. 2025. PMID 40616232
- Campbell BCV et al. Lancet. 2019. PMID 31128925
- Najjar E et al. Spine J. 2026. PMID 41991105
- Kögl N et al. Dtsch Arztebl Int. 2024. PMID 38835174

Doç. Dr. Özgür Akşan
Beyin ve Sinir Cerrahisi Uzmanı
Beyin ve Sinir · Sorumlu Yazı İşleri Müdürü ve Editör · Künye


