Transparent anatomical model of the human skull and brain used for neurological education.

Head & Brain Neurology: Migraine, Memory & Seizure Care

Specialized Neurology Care for Headaches, Seizures, Memory Loss & Cognitive Changes

Even small changes such as new headaches, memory lapses, or brief moments of confusion can disrupt daily life. We help you understand what is going on with clarity, reassurance, and a plan that brings direction and peace of mind.

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Conditions We Commonly Evaluate

Elderly woman struggling with memory and daily tasks as a caregiver supports her at the kitchen table.

Chronic or severe headaches
Migraines with or without aura
Memory loss or cognitive decline
Seizures or unexplained “spells”
Speech or language difficulties
Vision changes or visual disturbances
Episodes of confusion or disorientation
Post-concussion symptoms

A note we often share with patients:
Head & Brain symptoms can feel confusing because they often build slowly — a headache that changes, a moment of fog, a brief episode that’s hard to describe. Many people worry these experiences mean something serious, but most causes become clear once we evaluate the brain, nerves, and cognitive system together. You’re not expected to interpret these symptoms on your own — that’s what we’re here for.

If your concerns overlap with movement changes, nerve pain, or abnormal imaging, you may also benefit from our Nerves & Movement, Neuro-Oncology, and Diagnostics & Treatment services for a more complete evaluation.

What Happens During Your Evaluation

Step 1: Listening to Your Story

Siemens MRI machine used for brain, spine, and neurological imaging in a clinical exam room.

Step 3: On-Site Imaging or Testing (If Needed)

Most patients aren’t sure what a neurological visit for headaches, memory changes, or episodes of confusion will involve — and that can make the process feel intimidating. This section walks you through what typically happens during a Head & Brain evaluation so you know exactly what to expect from start to finish.

If your symptoms point toward a structural or electrical issue, we may recommend MRI brain imaging, EEG to evaluate seizure activity, or basic labs that can influence cognitive changes. Because these tools are available onsite, we can often complete them the same day.

Next, we assess how your brain is functioning. This may include checking memory, attention, orientation, speech, vision, and reflexes. These tests are gentle yet revealing, giving us clear clues about which areas of the brain may be involved.

We start by listening closely to what’s been happening — headaches that changed over time, new memory lapses, episodes of confusion, or unusual spells you can’t quite explain. Your description helps us understand the pattern, triggers, and urgency behind your symptoms.

Step 2: Cognitive & Neurological Testing

Step 4: A Clear Explanation of What’s Going On

Before you leave, we walk through everything we’ve learned — what may be causing your symptoms, what needs monitoring, and what steps we recommend next. This is often the first time patients feel like things finally make sense.

When to Seek Help — Even If Your Symptoms Seem Mild

Neurology provider offering supportive care, holding a patient’s hand during consultation.

Headaches

Increasing frequency
Waking up with pain
Vision changes
Pain that interrupts daily life

Memory Changes

Repeating questions
Losing track of conversations
Getting lost in familiar places

Seizure-Like Activity

Sudden staring spells
Unresponsiveness
Jerking movements
Confusion afterward

Post-Stroke Symptoms

Trouble speaking
Weakness
Balance issues
Fatigue or cognitive slowing

People often wait too long because symptoms feel subtle or easy to explain away. Here are signs worth checking:

If something doesn’t feel right, even if you’re unsure, it’s better to be evaluated.

How We Approach Treatment

Treatment in neurology isn’t one-size-fits-all. Your plan may include:

Migraine-prevention therapy
Infusion therapies
Anti-seizure medications
Cognitive support strategies
Stroke recovery guidance
Medication adjustments over time
Follow-up imaging or testing
Lifestyle recommendations that actually make a difference

Our goal is to reduce symptoms, restore clarity, and help you feel more in control of your health.

Patient receiving IV infusion therapy while seated in a comfortable recliner in a neurology clinic.

“If something feels off — trust your instincts.”

Early evaluation can change the outcome for headache, memory, and seizure symptoms.

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Frequently asked questions

What symptoms should prompt a neurological evaluation?

If you’re experiencing frequent headaches, worsening memory, sudden confusion, dizziness, fainting episodes, seizures, or changes in speech or vision, it’s a good idea to schedule an evaluation.

How do I know if my headaches are something serious?

Headaches that interrupt daily life, occur more often, wake you from sleep, or come with vision or speech changes should be checked by a neurologist.

What should I expect during my first visit?

Most visits include a detailed history, cognitive and neurological testing, and—if needed—same-day imaging such as MRI or EEG.

Do you offer same-day MRI or EEG?

Yes. Our office provides high-field MRI, EEG video monitoring, and EMG/NCS testing onsite for faster diagnosis.

What is the difference between a seizure and a fainting spell?

Seizures often involve sudden unresponsiveness, staring spells, or jerking movements. Fainting is typically brief and related to blood pressure. If you’re unsure, be evaluated.

Can memory loss or cognitive slowing be reversible?

In many cases, yes. Sleep issues, vitamin deficiencies, thyroid changes, medications, and stress can all cause reversible symptoms.

When should I worry about speech or language changes?

If speech becomes slurred, inconsistent, difficult, or suddenly hard to produce — seek immediate evaluation. These symptoms can signal neurological issues.

Do I need a referral to see Dr. Makar?

No. You can schedule directly without a referral.

Are you able to evaluate post-stroke symptoms?

Yes. We help patients recovering from stroke manage speech difficulty, weakness, balance issues, and cognitive changes.

What should I bring to my appointment?

Bring previous imaging, lab results, medications, and a written list of symptoms or concerns.

Laboratory technician processing diagnostic blood samples for neurological testing

Related Neurology Services

Explore additional care options that complement your Head & Brain evaluation, including Nerves & Movement, Neuro-Oncology, and full Diagnostics & Treatment.