Neurological Exam

A neurological exam allows a neurologist to determine how well the brain and the rest of the nervous system are functioning.

Expect your first visit with a neurologist to last about one hour. Arrive at least 30 minutes ahead of time to make sure you finish your paperwork. If you are seeing a new neurologist, come prepared to discuss your medical history in detail and to undergo a thorough physical exam. Being prepared in advance will help you make the most of your time with the neurologist.

Your initial neurological exam will focus on two main areas:

  1. Your medical history—your neurologist will ask detailed questions about your medical past to help determine whether there’s an identifiable medical cause for your seizures. During this exam, you should share any concerns about your general health and tell your neurologist about any medications, vitamins, dietary supplements, or herbal treatments you’re taking or have taken in the past. This will help your neurologist form an overall picture of your past medical history and what factors may have caused the seizure.
  2. Your health and physical condition—in addition to a thorough discussion of your medical history, your neurologist will also conduct a comprehensive physical exam that may include looking into your eyes with a bright light, testing your reflexes, observing your gait and balance as you walk, and a variety of other tests. All of these will help your neurologist understand your general health and how it may contribute to your seizures.

At the end of your initial visit, your neurologist may have an idea of what the problem is. However, he or she may not make a definitive diagnosis without ordering more tests, including an EEG. It’s also possible that your neurologist will initiate epilepsy treatment and schedule a follow-up appointment. Learn more about epilepsy treatment options.

Next: EEG