Clinical Guide

Patient Guide: When to See a Doctor?

Assoc. Prof. Özgür AkşanIssue 01October–December 2026 2 min read

Patient Guide: When to See a Doctor?

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

A headache that peaks within minutes requires emergency evaluation.
A headache that peaks within minutes requires emergency evaluation.

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

The first 4.5 hours are critical in stroke symptoms.
The first 4.5 hours are critical in stroke symptoms.

Kaynaklar

  1. Chen CY et al. Curr Opin Neurol. 2021. PMID 33661161
  2. Long D et al. J Emerg Med. 2019. PMID 30879843
  3. Tao C et al. N Engl J Med. 2025. PMID 40616232
  4. Campbell BCV et al. Lancet. 2019. PMID 31128925
  5. Najjar E et al. Spine J. 2026. PMID 41991105
  6. Kögl N et al. Dtsch Arztebl Int. 2024. PMID 38835174
Doç. Dr. Özgür Akşan

Doç. Dr. Özgür Akşan

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