First, the reflex that saves, recognizing stroke
Above all, a vital message. Faced with signs of stroke, a face drooping on one side, weakness in an arm, a speech problem, you must call emergency services immediately, this is not the time for a scheduled work-up. Time is brain, it is estimated that about 1.9 million neurons are lost each minute during an untreated stroke. A coordination service has no place in an emergency, emergency services do.
For everything else, symptoms that last or recur, chronic headaches, migraines, tingling, dizziness, memory problems, a structured neurological work-up takes stock.
Migraine, common and highly disabling
Migraine is the leading cause of disability in people under 50, and it affects nearly 1.16 billion people worldwide. It is not a simple headache, it is a neurological disease that weighs on work and life, and that can be treated, provided it is well diagnosed.
Headaches, distinguishing the benign from what is not
Most headaches are benign, but some red flags call for a prompt evaluation, for example a sudden, explosive headache, a headache with fever and neck stiffness, or one accompanied by neurological signs. A precise work-up sorts things out, without dramatizing or minimizing.
Persistent neurological symptoms, not staying without an answer
Tingling, weakness, dizziness, memory or sleep problems that last deserve an evaluation, to make a diagnosis and, often, to reassure. A specialist opinion avoids months of uncertainty and directs toward the right care.
What a complete neurological work-up covers
A structured work-up combines a clinical and neurological examination, targeted imaging if needed, additional tests, and a plan or a second opinion. Essential reminder, this work-up concerns non-emergency situations, any emergency, in particular signs of stroke, is a matter for emergency services without delay.
Who benefits most from this work-up
Wherever you are, if access to a complete specialist assessment is slow, fragmented or uncertain, this work-up gives you a clear answer and a plan in 24 to 48 hours, in a single episode of care and at a European standard, rather than weeks of waiting and scattered appointments.
The NoriaHealth pathway
Speed first, an acknowledgment within 4 hours and a full work-up in 24 to 48 hours. You are cared for by nos medecins a Bruxelles, a large network of specialists recognized for the quality of their facility. If care is warranted, it is planned within 7 days. Structured follow-up at day 14, 30 and 90, with discretion. Logistics come last.
Frequently asked questions
Is a persistent headache serious ? Most often no, but some red flags call for a prompt evaluation, hence the value of an opinion.
Can migraine really be treated ? Yes, many options exist, which is why a precise diagnosis is essential.
What to do faced with signs of stroke ? Call emergency services immediately, this is not a situation for a scheduled work-up.
Is a neurological work-up in 48 hours remotely realistic ? Yes, for non-emergency situations, with care afterward if needed.
Describe your symptoms and their history, reply within 4 hours, full work-up in 24 to 48 hours.
Passing it on to someone close
You may be reading this for someone else, a relative, a parent, a colleague. If this can help someone close to you get a clear and fast answer, feel free to pass it on, it is often the first step that is missing.
Sources
Time is brain, quantified, Stroke, 2006, link
Global burden of migraine in young people, Frontiers in Neurology, 2025, link
Global burden of headache disorders and projections, Frontiers in Neurology, 2026, link
Global burden of migraine and tension-type headache, GBD, Lancet Neurology, link
Further reading: Neurology, 1 migraine in 4 may go unrecognised