Classification and Mechanisms of Neurological Symptoms
Every moment, the nervous system receives millions of bits of information from various sensory organs and nerves, integrating and processing this data to determine the body's response. In this regard, the nervous system performs highly complex and unique vital activities.
When abnormalities occur in part or all of the nervous system, a wide variety of clinical symptoms, or neurologic symptoms, can appear. Fundamentally, various types of pain, including headache, neck and back pain, and pain along nerve pathways, can manifest due to nervous system dysfunction.
Our consciousness and mental status are deeply related to nervous system function. Therefore, if the nervous system fails to operate normally, syncope, confusion, delirium, or dementia may occur. Additionally, cerebral dysfunction can lead to neurological symptoms such as aphasia, memory loss, hemispatial neglect, and frontal lobe syndrome.
Muscles, cutaneous senses, special senses (vision, taste, smell, and hearing), and various senses for maintaining balance function through the normal action of the nervous system. Problems in these functions can result in dizziness, vertigo, weakness, paralysis, numbness, tingling, sensory loss, gait disorders, imbalance, and falls.
Nervous system dysfunction can also disturb sleep, cause anxiety, or lead to uncontrolled excitement during sleep, resulting in fatigue or daytime sleepiness. The range of dysfunction is vast, spanning from mild symptoms like tingling in the hands and feet to life-threatening conditions like coma due to stroke.
Therefore, accurate diagnosis of nervous system dysfunction requires precise examination, testing, and evaluation by a specialist. The characteristics and patterns of neurological symptoms are greatly helpful in diagnosing neurologic disorders.
Neurological symptoms can be broadly categorized into issues of consciousness, balance, sensation/movement, and higher cognitive functions.
- Consciousness & Balance: Temporary reduction in blood flow to the brain causes Syncope, while abnormalities in the vestibular system or cerebellum lead to Vertigo (spinning sensation) and Imbalance.
- Motor & Sensory Deficits: Weakness or paralysis suggests damage to motor pathways, whereas tingling or sensory loss indicates issues in the peripheral nerves, spinal cord, or the brain's sensory centers.
- Cognitive & Sleep Disorders: Confusion, Delirium, and Dementia indicate cognitive decline. Sleep disorders like insomnia or sleep apnea signal a breakdown in the brain's rest and recovery systems.