Neurology Care · Local

Signs you need to see a neurologist

Book a neurology appointment for headaches that have changed pattern, numbness or tingling lasting more than a few weeks, unexplained weakness, repeated dizziness, memory problems affecting daily life, a new tremor, or episodes of altered awareness. Sudden severe symptoms need emergency care.

Quick answer

Book a neurology appointment for headaches that have changed pattern, numbness or tingling lasting more than a few weeks, unexplained weakness, repeated dizziness, memory problems affecting daily life, a new tremor, or episodes of altered awareness. Sudden severe symptoms need emergency care.

Head and face

Headaches that have changed in character, frequency or severity rather than simply continuing as they always have. Headaches waking you from sleep, or worse on lying flat, coughing or straining. Using pain medication on many days each month, which can itself convert an episodic problem into a daily one. Facial numbness, drooping or pain that follows a nerve rather than sitting diffusely. Persistent double vision, or visual disturbance that comes and goes in a stereotyped way.

Limbs, balance and movement

Numbness or tingling in hands or feet persisting beyond a few weeks, spreading, or waking you at night. Weakness of any kind, particularly if it is progressing or making you trip, drop things or struggle on stairs. Repeated dizziness, unsteadiness or falls, especially if worse in the dark. A new tremor, or stiffness and slowness that has come on gradually and started on one side. Muscle twitching combined with weakness or wasting, which is different from ordinary twitching alone.

Thinking, memory and episodes

Memory or concentration difficulty that is interfering with work or home life, particularly if someone close to you has noticed more than you have. Word-finding difficulty beyond the ordinary. Getting lost in familiar places. Any episode of altered awareness, blank staring, unexplained loss of consciousness or convulsive movement, ideally with an account from someone who witnessed it. Acting out dreams physically during sleep, which is associated with certain neurological conditions and is worth mentioning even though it sounds minor.

About this practice

Clinical Neurology Specialists has been physician-owned since 1998, when Leo Germin, M.D., FAANEM founded it. Five board-certified neurologists and four advanced practice providers see patients at the Las Vegas and Henderson offices, each with its own AANEM-accredited electrodiagnostic laboratory.

Clinical Neurology Specialists is an adult outpatient neurology practice for patients 18 and older. The practice performs no surgery and operates no imaging suite, infusion suite or interventional pain programme, and provides no emergency or inpatient care.

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).

Frequently asked

Questions about signs you need to see a neurologist

What are the signs I need to see a neurologist?
Headaches that have changed pattern, numbness or tingling lasting more than a few weeks, unexplained or progressing weakness, repeated dizziness or falls, memory problems affecting daily life, a new tremor, and any episode of altered awareness or unexplained loss of consciousness.
Which of these is most urgent?
None of the above list is an emergency by itself, because they describe gradual or recurrent problems. Sudden symptoms are different: one-sided weakness, sudden trouble speaking, sudden vision loss, the worst headache of your life, a first seizure or new confusion all need emergency care the same day rather than an appointment.
Should I go straight to a neurologist?
Usually your primary care physician is the right first step, and most insurance plans other than commercial ones require that referral anyway. They can identify and treat common causes such as thyroid problems, vitamin deficiencies and medication effects, and refer with a fuller picture if specialist input is still needed.
What if my symptoms come and go?
Intermittent symptoms are still worth assessing, particularly episodes involving altered awareness, vision or speech. Keep a written record of when they occur, how long they last and what preceded them, because that pattern is frequently more diagnostically useful than any single test result.
Do you see patients under 18?
No. This is an adult outpatient neurology practice for patients 18 and older. Paediatric neurology involves different conditions, different medication considerations and separate training, so children need a practice specifically equipped and staffed for it rather than an adult service.

Physician-reviewed. Reviewed by the physicians of Clinical Neurology Specialists — board-certified neurologists, AANEM-accredited electrodiagnostic laboratories, physician-owned since 1998. Reviewed 1 August 2026. This article is general education for adults 18 and older and is not a substitute for a consultation.

Next step

Speak to a board-certified neurologist

Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.