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Objective: To examine the pattern of neurological disorders that are encountered in the neurology outpatient clinics at tertiary care level. Materials and Methods: This is a retrospective descriptive study carried out in the neurology outpatient clinics of the King Fahd Hospital of Dammam University Al-Khobar over the period of 1-year between October 1, 2014 and September 30, 2015. The data were collected through a pre-designed questionnaire from hand-written registers maintained by neurology consultant at the neurology clinics. Results: Among all patients that visited the neurology clinic over the 1-year period, 2076 patients presented with neurological disorders whereas 51 patients presented with non-neurological symptoms. Epilepsy and seizure disorders (37.71%) were the most common neurological condition followed by headaches (15.51%), stroke (9.29%), and multiple sclerosis (7.41%). The most common age group that visited the neurology clinics was between 21 and 40 years (44%), and the least common were older than 60 years age (4.57%). Conclusion: Our results suggest that neurological disorders are common and vary in scope in neurology out-patient departments. Knowing the spectrum of neurological diseases in neurology clinic at tertiary care level will help to understand the neurological demand and supply in Saudi Arabia.

This is a report of a 34-year-old Saudi male who presented to the emergency department of a university hospital in the Kingdom of Saudi Arabia with a 2-day history of sudden left leg weakness and inability to walk. The history was insignificant except for the death of his brother 3 days prior to the onset. His general medical and neurological examinations, lab works, neuroimaging, and electrophysiological studies were all within normal limits. The possibility of a conversion reaction precipitated by grief was considered. Psychiatric evaluation confirmed the diagnosis of a dissociative (conversion) motor disorder. The patient made steady improvement with cognitive behavioral therapy. The possibility of psychogenic origin should be considered in patients presenting with sudden gross neurological symptoms.