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It can feel overwhelming to understand the wide range of conditions neurologists deal with. Their work spans cerebrovascular problems such as stroke and carotid artery disease, seizure disorders, and progressive illnesses like Alzheimer’s disease and frontotemporal dementia. They also treat headaches and facial pain, movement disorders including Parkinson’s, muscle conditions, sleep disorders such as narcolepsy, and many other issues.
“If there’s a nerve somewhere, a neurologist could get involved,” explains Dr. Andrew Dorsch, division chief for general neurology at Rush University System for Health and a specialist in neurologic rehabilitation. “Nerves run through the entire body. That means there are countless ways the nervous system can be affected, and figuring out the cause often requires real detective work.” He notes that many people dismiss neurological symptoms for years, blaming them on ageing or assuming they will pass. That delay can be costly.
Neurological symptoms are warning signs that something may be affecting the brain, spinal cord, or nerves. They can look very different from person to person. Some experience headaches, changes in vision, speech, or hearing, or sensations like numbness and tingling.
Others notice tremors, weakness, poor balance, or trouble coordinating movements. Cognitive changes such as memory lapses, confusion, seizures, sleep problems, and intense pain can also fall under this category. These symptoms happen when nerve signals are disrupted, interfering with sensation, movement, thinking, and even consciousness, according to the Cleveland Clinic.
According to TIME, four neurologists shared the symptoms that should never be brushed aside, along with what they could mean.
Double vision affecting one eye is a symptom many people underestimate. It can stem from a range of serious conditions, including multiple sclerosis, stroke, aneurysm, myasthenia gravis, brain tumours, or infections of the brain, says Dr. Luis Cruz-Saavedra, a neurologist at Memorial Hermann Health System.
So when does it require action? “Right away,” he says. “Sudden double vision is a reason to go straight to the emergency room.” Doctors will assess vital signs, look for signs of stroke, examine the eyes and nervous system, and may recommend imaging tests such as a CT scan or brain MRI.
Have you noticed one leg dragging when you walk, or found yourself limping without a clear reason? Maybe holding a cup or writing with your usual hand has become difficult. If so, it is time to see a doctor.
“I’m always struck by how many people downplay weakness on one side of the body,” Cruz-Saavedra says, noting this is far from a good thing. “Patients often come in months after it starts. Many assume it’s a pinched nerve, but it could signal a stroke, a brain tumour, multiple sclerosis, or inflammation in the brain.” During evaluation, neurologists assess muscle strength, reflexes, coordination, and walking patterns to narrow down the cause.
Some neurological conditions cause brief moments where a person seems to switch off, then quickly returns to normal without remembering what happened. These episodes are often linked to temporal lobe seizures, which affect brain areas involved in memory and emotional processing, Cruz-Saavedra explains.
Stroke remains one of the leading causes of death in the United States, yet many people fail to recognize its signs and delay seeking help. “I hear stories all the time where someone has stroke symptoms and decides to lie down and wait it out,” says Dr. Enrique Leira, director of the division of cerebrovascular diseases at the University of Iowa.
Stroke symptoms usually come on suddenly and involve a loss of function. Speech changes are a common example. A person may slur words, speak unusually slowly, struggle to find the right words, or have trouble understanding others. In such cases, immediate medical attention is essential, Leira stresses.
Headaches can be tricky for neurologists because there are so many possible causes, many of them harmless. Still, certain types raise red flags. A headache that is extremely intense and appears out of nowhere, rather than building gradually, deserves attention. If it strikes during physical exertion, that concern increases.
“If it’s severe, sudden, and linked to effort, it needs to be checked right away,” Leira says, as it could point to something serious like a stroke.
When patients report numbness, it most often affects their fingers or toes. “That usually means the nerves aren’t sending signals back to the brain properly,” Dorsch explains. “The nerve may be temporarily stunned, or in some cases, permanently damaged.” This differs from tingling, which tends to suggest irritation rather than loss of signal.
The first step is a thorough evaluation to identify which nerves are involved and why. Diabetes is a common cause, but not the only one. Genetic disorders or immune conditions that attack nerves can also be responsible, Dorsch says.
Almost everyone experiences déjà vu now and then. But frequent episodes are a different matter. “If it’s happening regularly, it’s worth getting evaluated,” Dorsch advises. Repeated déjà vu can be an early sign of temporal lobe seizures. He recalls treating a patient who experienced these episodes weekly or every few weeks, far more often than is typical.
With age, stiffness and slower movement are common. Still, certain difficulties stand out. If standing up from a chair becomes a recurring struggle, a medical check-up is important.
“It could be joint-related, but we also need to rule out problems with the muscles, nerves, or spinal cord,” Dorsch says. Conditions such as Parkinson’s disease or amyotrophic lateral sclerosis (ALS) may be involved. “That’s not something I’d want anyone in my family to ignore.”
Neurologists watch closely for changes in how someone speaks. One example is hypophonic speech, where the voice becomes unusually soft or breathy, which can be a sign of Parkinson’s disease, says Dr. Alexandru Olaru, a neurologist at University of Maryland St. Joseph Medical Center. Slurred speech, on the other hand, may point to a stroke.
Another concerning sign is wet dysarthria, when speech sounds gurgly, often due to saliva or mucus pooling at the back of the throat. “Muscle loss in that area makes it harder to manage saliva,” Olaru explains. Common causes include Parkinson’s disease, ALS, and multiple sclerosis.
Occasional muscle twitching is normal. It can happen anywhere in the body and may even be visible under the skin as small ripples. “You can sometimes feel it if you place your hand over the muscle,” Olaru says. Persistent or widespread twitching, however, may warrant further evaluation.
Sudden shifts in behaviour or personality can signal neurological disease. Conditions such as autoimmune encephalitis, frontotemporal dementia, or other cognitive disorders may present this way. One frequent example is new-onset paranoia. A person might believe they are being targeted, betrayed, or plotted against, even when there is no logical basis, Cruz-Saavedra says.
Neurologists also take note when a typically reserved person becomes unusually talkative or disinhibited. “Some people may develop hypersexual behaviour or make inappropriate remarks,” he adds. Others may change in the opposite direction, becoming withdrawn and quiet. Dementia can also show up as new obsessive behaviours or hoarding, Cruz-Saavedra notes.
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California made it news for a disease that has no vaccination. This is the human metapneumovirus or the HMPV. While some of the symptoms of this virus are similar to that of any common cold or influenza like cough, fever, nasal congestion or shortness of breath, there are several symptoms that are unique to the disease.
Unlike mild common colds, HMPV often presents with a high-grade fever, particularly in children. Some of the other symptoms also include persistent coughing, including dry or productive and may persist for a long duration.
Furthermore, it could cause wheezing, difficulty in breathing, which could also lead to severe lower respiratory tract illness like bronchiolitis or pneumonia. In children and older adults, it could also cause severe or often fatal bronchiolitis or rapid-onset pneumonia.
In infants, it could also exhibit irritability, poor feeding, or dehydration.
Other symptoms, which could resemble common cold like symptoms are:
As per the public database WasterwaterScan Dashboard, high levels of HMPV were detected across Northern California cities. The highest levels were reported in Redwood City, whereas elevated levels were found in San Francisco Bay Area and Napa's Wine Country. What's more dangerous is that this virus is without a vaccine.
The good news is that in other parts of country HMPV remains lower. However, the Centers for Disease Control and Prevention (CDC) noted that data from October 2025 shows the cases are trending up, especially during winter and spring.
Read: Virus Without Vaccine Hits California; No Need To Worry, Say Public Health Officials
Dr. Matthew Binnicker, director of the Clinical Virology Laboratory at Mayo Clinic, as reported by The Independent said, "In the late winter, early spring, it can account for five percent to 10 percent of all the respiratory infections that we diagnose in the United States. So it's definitely out there." Experts explain that other viruses like HMPV or influenza get a chance when COVID is quieter.
HMPV was first discovered in 2001 and is part of the Pneumoviridae family along with the Respiratory syncytial virus (RSV).
HMPV most likely spreads from an infected person to others through:
In the US, HMPV circulates in predictable patterns each year, typically beginning in winter and lasting through spring.
People at risk include:
"The HMPV is not deadly, and there is no evidence of mortality or a severe transmission rate," former Indian Council of Medical Research (ICMR) scientist, Dr. Raman Gangakhedkar, told IANS, during the virus's outbreak in India in 2025.
“The virus may cause pneumonitis-like illness, but the mortality rates are almost unknown so far. HMPV has a global prevalence of about 4 per cent,” he added.
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Smoking has been long recognized as one of the worst habits a person can have, and Dr Jeremy London agrees with this statement. Dr. London, a cardiovascular surgeon, in a recent interview with Mel Robbins revealed that his number one advice as a heart doctor is to avoid smoking.
“I cannot come up with one single thing that does as much damage to every organ in the body as smoking cigarettes. And look, it's incredibly addictive and I know that and I pass no judgment because I know how difficult it is.”
He explained that in his practice he has dealt with chronic smokers for years and still believed that it is the single most dangerous thing one can do to themselves.
Also Read: Why Is It Harder For Women To Quit Smoking?
Emphasizing how this one habit affects all organs in our body, Dr London mentioned the well-known link between lung cancer and smoking.
However, there are many more chronic diseases associated with the rest of the body that can develop due to smoking apart from lung conditions, according to the American Lung Association.
Here is what you should keep an eye out for:
Also Read: 3 Science-Backed Methods To Quit Smoking For Good
Smoking is the leading cause of lung cancer, accounting for nearly 90 percent of all cases. Although medical treatments have improved, the five-year survival rate remains low. Quitting is the most effective way to lower your risk of this deadly disease.
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Fasting for three hours before bed can significantly improve heart health and reduce the risk of coronary artery disease (CAD) as well as other chronic conditions, an Arteriosclerosis, Thrombosis, and Vascular Biology study suggests.
While many believe that diet plans such as intermittent fasting or time-restricted eating can help reduce their weight, researchers at Northwestern University have found that not eating three hours before going to sleep can reduce overnight blood pressure by nearly four percent, heart rate by five percent and strengthen overall heart rhythms.
This can help reduce overall strain on the heart which lowers risks for conditions like hypertension and CAD. Additionally, the scientists also discovered a drop in blood sugar levels, improved glucose tolerance and insulin sensitivity.
Participants who underwent glucose tests also showed better insulin release which tend to stabilize during the day. Additionally, an improved heart rate also lowered nighttime cortisol, which helped in metabolic balance.
Dr. Phyllis Zee, director of the Center for Circadian and Sleep Medicine and chief of sleep medicine in the department of neurology at Feinberg and corresponding author said of the results: "It's not only how much and what you eat, but also when you eat relative to sleep that is important for the physiological benefits of time-restricted eating."
The study authors also noted: "Extending overnight fasting duration by three hours in alignment with sleep improved cardiometabolic health in middle-aged/older adults by strengthening coordination between circadian- and sleep-regulated autonomic and metabolic activity.
"This sleep-aligned time-restricted eating approach represents a novel, accessible lifestyle intervention with promising potential for improving cardiometabolic function."
Despite being as a common heart disease, coronary artery disease (CAD) develops over years and has no clear signs and symptoms apart from a heart attack. The illness begins due to a buildup of fats, cholesterol and other substances known as plaque in and on the artery walls.
Over time, this can cause narrowing or blockage of the coronary arteries and block the supply of oxygen-rich blood to heart which can lead chest pain (angina), shortness of breath and ultimately, heart attacks.
Typically, those above the age of 45, having a biological family member with heart disease, lack of sleep, smoking, consuming saturated fats along with other autoimmune diseases such as lupus and rheumatoid arthritis can increase the risk of developing CAD.
Treatment options may include medicines and surgery. Eating a nutritious diet, getting regular exercise and not smoking can help also prevent CAD and the conditions that can cause it.
Nearly one in 10 Indian adults suffer from CAD and about two million people die from the disease annually. Apart from this, about 18 to 20 million American adults aged 20 and older are also affected about the disease.
One in seven stroke patients in India are young adults aged below 45 years, with hypertension leading as the major risk factor, according to a study by the Indian Council of Medical Research (ICMR).
The Global Burden of Disease Study 2021 identified hypertension, air pollution, tobacco smoking, high cholesterol, increased salt intake, and diabetes as the leading risk factors of stroke.
Incidence of stroke is increasing significantly in low- and middle-income countries (LMICs), especially in India, due to population growth, aging, and greater exposure to risk factors.
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