General Medicine – Neurology in NEET PG

Introduction

Neurology is one of the most concept-driven and clinically oriented subjects in NEET PG  preparation. It often appears challenging because it demands strong anatomical localisation, sharp clinical reasoning, and clarity in differentiating similar presentations. However, once you understand how to localise lesions and correlate symptoms with neuroanatomy, neurology becomes highly scoring. NEET PG commonly tests stroke management, seizure disorders, neuropathies, and neuroimaging-based questions. The key to mastering neurology lies in structured thinking—identify the site of lesion, understand the pathology, and then approach management logically. A confident grip on neurology not only improves exam performance but also enhances bedside diagnostic skills.

Stroke

• Differentiate ischemic and hemorrhagic stroke based on clinical features and imaging findings.


• Understand the importance of the golden hour and indications for thrombolysis with alteplase.


• Recognise common vascular territories such as MCA, ACA, and PCA infarcts.


• Learn complications, including cerebraloedema, raised intracranial pressure, and hemorrhagic transformation.

Epilepsy and Seizure Disorders

• Classify seizures into focal and generalised types based on clinical presentation and EEG findings.


• Identify first-line antiepileptic drugs for different seizure types.


• Understand status epilepticus management stepwise, including benzodiazepines and antiepileptics.


• Recognise important adverse effects of commonly used antiepileptic medications.

Headache Disorders

• NEET PG: Differentiate migraine, tension-type headache, and cluster headache clinically.


• Identify red flag signs suggesting secondary causes like raised intracranial pressure.


• Learn acute and prophylactic management strategies for migraine.


• Understand indications for neuroimaging in headache patients.

Neuropathies and Neuromuscular Disorders

• Distinguish upper motor neuron and lower motor neuron lesions clinically.


• Recognise Guillain-Barré syndrome and its management with IVIG or plasmapheresis.


• Identify features of myasthenia gravis and the role of acetylcholinesterase inhibitors.


• Correlate nerve conduction study findings with demyelinating and axonal neuropathies.

CNS Infections

• Differentiate bacterial, viral, and tubercular meningitis using CSF analysis.


• Recognise clinical signs like neck rigidity, Kernig’s sign, and altered sensorium.


• Initiate empirical antibiotic therapy promptly in suspected bacterial meningitis.


• Understand complications such as hydrocephalus, seizures, and cranial nerve palsies.

Conclusion

Neurology in NEET PG  demands logical thinking rather than rote memorisation. When you practice lesion localisation and integrate neuroanatomy with clinical presentation, the subject becomes systematic and manageable. Regular revision of imaging findings and previous year clinical scenarios strengthens accuracy and speed. Ultimately, mastering neurology not only improves your rank but also sharpens your diagnostic approach, helping you become a more observant and analytical clinician in real-world practice.