Practical Guide

Questions Worth Asking a Neurologist

Most lists of questions to ask a specialist are generic. These are the ones that change what happens next.

Quick Answer

The questions worth asking concern how confident the diagnosis is, what a proposed test will change, how treatment success will be judged, and what the practice does not do. A practice that answers those readily is telling you something about how it operates.

Part ofThis guide sits beneath epilepsy and seizures, which covers the study itself, how it is performed and what the report should contain.

Epilepsy and Seizures →

Key Takeaways

Clinician reviewing prior records with an adult patient
  • Ask how confident the diagnosis is, what else it could be, and what would change the clinician’s mind.
  • Ask what a proposed test will change. If the answer is nothing, it may not be needed.
  • Ask who interprets the study, what their training is, and whether the report will contain the measurements.
  • Ask what the practice does not do, so you know when to go elsewhere.
  • Ask whether a cheaper clinically reasonable option exists, because a treatment you cannot afford does not work.

Epilepsy

Epilepsy is a brain disorder characterised by a lasting predisposition to unprovoked seizures. A seizure is a burst of abnormal, synchronised electrical activity; epilepsy is the underlying tendency for those bursts to recur.

Questions worth asking, and why each one earns its place

Most lists of questions to ask a specialist are generic. These are the ones that change what happens next.

About the diagnosis

What is the diagnosis, and how confident are you in it. What else could this be. What would change your mind. Those three matter because a diagnosis held with moderate confidence should be managed differently from one held firmly, and a clinician who will say so is giving you something useful.

About testing

What question will this test answer, and what will you do differently depending on the result. If the answer is nothing, the test may not be needed. Who will interpret it and what is their training in it. Will the report contain the actual measurements. And can it be extended on the day if an early finding raises a new question, or is it a fixed protocol.

About treatment

What are we hoping to achieve and how will we know whether it worked. How long before we can judge that. What are the common side effects, and which ones mean I should contact you rather than wait. Is there a cheaper option that is clinically reasonable. And what happens if this does not work.

About the boundaries

What does this practice not do, so I know when to go elsewhere. What would count as an emergency for my condition specifically. And who do I contact between appointments. A practice that answers those readily is telling you something about how it operates.

Epilepsy: what it is often confused with, and how clinicians tell them apart
Also consideredHow it is distinguished
Syncope (fainting)Warning lightheadedness, pallor and rapid recovery; a witnessed account usually separates it from a seizure.
Provoked seizuresTriggered by alcohol withdrawal, very low sodium or glucose, or acute illness — treating the provocation comes first.
Functional (non-epileptic) eventsEpisodes without epileptic activity on EEG; ambulatory or prolonged recording is often what settles it.
Sleep and movement disordersEvents arising only from sleep may need overnight or multi-day recording to classify.
Seizure classification pathwayHow an evaluation is sequenced at CNS. Process diagram, not patient data.Referral or symptomConsultation andexamIndicated in-officetestingInterpretation bythe orderingneurologistWritten plan andfollow-up
Seizure classification pathway at Clinical Neurology Specialists. Which studies are performed depends on what the examination indicates.

What this practice will tell you

01

What brings people in

A first witnessed event, spells of uncertain cause, or seizures that continue despite treatment.

02

What the evaluation settles

Whether the events are epileptic, whether they are focal or generalised, and whether an EEG or a longer recording is needed to classify them.

03

What you leave with

A classification where the recording supports one, a medication and safety plan including driving guidance, and a follow-up interval.

The scope, stated rather than implied

No imaging suite, so magnetic resonance and computed tomography are coordinated externally. No infusion suite. No surgery, no interventional pain programme, no paediatric service and no emergency or inpatient care. Adults 18 and older. Naming that boundary is more useful than a longer service list, and it means you know when this is the wrong door.

Who interprets what

All six in-office studies are performed and interpreted within the practice rather than sent out, and EEG interpretation sits with a neurologist holding fellowship training in epilepsy. Both electrodiagnostic laboratories hold AANEM accreditation independently. Worth being precise: that accreditation covers nerve and muscle testing rather than ultrasound.

What to bring so the questions can be answered

A written timeline, your complete medication list with doses, and prior results as full reports. Roughly half of first appointments end with a diagnosis and a plan and no testing at all, which is a legitimate outcome rather than an incomplete one.

The first 30, 60 and 90 days

Step 1

First visit

History and neurological examination, a review of records and prior imaging, and a decision on which studies are actually indicated. You leave with the plan, not just a referral.

Step 2

Within 30 days

Indicated in-office studies are performed and interpreted by the neurologist who ordered them, in our AANEM-accredited laboratories. Results are explained in plain language.

Step 3

60 to 90 days

Follow-up to judge whether the plan is working, adjust it, and coordinate with your referring clinician. Where a diagnosis needs time to confirm, this is where it is revisited.

Moving your care or choosing a practice?

Request the actual documents rather than summary letters. That single step matters most.

Book a consultation or call 702-804-1212
EEG electrodes applied to an adult patient during recording at CNS
EEG electrodes applied to an adult patient during recording at CNS

The Bottom Line

Ask what a test will change and what the practice does not do. Both answers tell you more than any credential list.

Frequently Asked Questions

What should I ask about a proposed test?

What question it will answer and what would be done differently depending on the result. If the answer is nothing, the test may not be needed. Also who interprets it, what their training is, and whether the report will contain the actual measurements. A report without numbers in it is difficult to compare against a later study.

What should I ask about a diagnosis?

How confident the clinician is in it, what else it could be, and what would change their mind. A diagnosis held with moderate confidence should be managed differently from one held firmly. Asking what the next step would be if the current explanation turns out to be wrong is equally useful.

What should I ask about treatment?

What you are hoping to achieve and how you will know whether it worked, how long before that can be judged, which side effects warrant contacting the practice rather than waiting, and whether a cheaper clinically reasonable option exists. Asking what happens if it does not work is worth doing at the outset rather than months later.

Is it reasonable to ask what a practice does not do?

Yes, and it is one of the more useful questions available. A practice that names its boundaries readily is telling you something about how it operates, and it means you know when to go elsewhere rather than losing weeks finding out. It also avoids the situation where a patient discovers mid-course that part of their care has to happen elsewhere.

Should I ask about cost?

Yes. For most conditions more than one reasonable option exists and they differ substantially in cost, with clinically equivalent generics available for many first-line treatments. A treatment you cannot afford does not work. Prior authorisation requirements are worth asking about at the same time, since they affect how quickly treatment can start.

Will my medication be changed at the first visit?

Not usually, and not before the events have been classified. What happens first is establishing whether they are epileptic, whether they are focal or generalised, and what was genuinely tried before at what dose. A drug stopped early for side effects is a different situation from one that failed at full dose.

What should I do about driving in the meantime?

Do not drive until it has been discussed, and raise it at the appointment rather than waiting to be asked. Restrictions follow a seizure immediately and Nevada applies its own framework case by case, so what applies to you is worked through individually rather than quoted as a fixed interval.

Can I bring someone who saw the event?

Please do, and it is the single most useful thing you can arrange. What a witness saw carries more diagnostic weight than a normal EEG, because classification rests substantially on description. If they cannot attend, a written account with times, or a short recording made soon afterwards, preserves detail that fades within days.

How long does a first appointment take?

Longer than a routine primary care visit, because most of it is history taking and that is the part carrying the diagnosis. A physical examination follows. Allow rather more time in your day than the slot itself suggests, since it is better not to be watching the clock during the examination or the explanation afterwards.

What happens after the appointment?

You leave with an explanation and either a plan or a specific study ordered to answer a specific question, plus a follow-up interval. Where testing is indicated it is performed in-office and interpreted by the ordering neurologist. Your referring clinician receives the findings, so care continues rather than stopping at the door.

How this page was sourced

Practice facts come from Clinical Neurology Specialists directly: two offices each performing all six in-office studies, nine clinicians, independently accredited electrodiagnostic laboratories, EEG interpretation held in-house with fellowship training in epilepsy, and adults 18 and older only. Clinical context is sourced to the organisations listed below.

No opening hours, appointment intervals, insurance participation or record-request turnaround times are stated as figures, because none is confirmed for publication. Nevada driving requirements are referred to rather than quoted. Scope is adults 18 and older.

Change log

  • 2026-07-28 — page published; clinical content reviewed.
  • 2026-07-28 — last reviewed against AAN, AANEM and NINDS guidance; internal links and schema verified.
  • Review cadence: quarterly, or sooner if guidance changes.

How to cite this page

Clinical Neurology Specialists. “Questions to ask a neurologist.” Reviewed 2026-07-28. https://www.cnsnevada.com/conditions/epilepsy-seizures/questions-to-ask-a-neurologist/

References

  1. American Epilepsy Society — clinical guidance on epilepsy diagnosis and management.
  2. National Institute of Neurological Disorders and Stroke — the reference catalogue of nervous-system disorders.
  3. American Academy of Neurology — practice guidance and specialist supply.

This page is for general information about a Clinical Neurology Specialists office and is not medical advice, a diagnosis, or a treatment recommendation. It does not create a physician-patient relationship. Adults 18 and older. For an active stroke, a first-time or prolonged seizure, sudden severe headache, sudden weakness, sudden vision loss, or a head injury with loss of consciousness, call 911 or go to the nearest emergency department.

Emergency & crisis resources: Clinical Neurology Specialists is not an emergency service. For stroke symptoms, a seizure lasting more than five minutes or any medical emergency, call 911 or go to the nearest emergency room. For a mental health crisis, call or text 988 (Suicide & Crisis Lifeline).