Headache, dizziness, insomnia, back pain, weakness, and fatigue occur often in medical practice, and the trivial must be separated from the potentially serious. Some neurologic problems require emergency action before a neurologist can be consulted.
Regardless of the problem's magnitude, the following principles may help during the neurologic evaluation: the anatomy of the lesion should be defined (to limit diagnostic possibilities); its pathophysiology, determined; and the examiner, prepared to provide immediate lifesaving treatment for neurologic emergencies.
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