What Blood Tests Do Neurologists Order?

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When you visit a neurologist, you might expect brain scans or nerve tests — but did you know that blood tests often play a crucial role in diagnosing neurological conditions?

Blood tests help neurologists identify underlying causes of brain and nerve disorders such as vitamin deficiencies, infections, inflammation, or autoimmune diseases.

In this blog, we’ll explore the most common blood tests neurologists order, what they reveal, and when you might need them.


Why Do Neurologists Order Blood Tests?

The nervous system depends on proper nutrition, circulation, and immune balance.
Blood tests help neurologists:

  • Detect vitamin or mineral deficiencies

  • Identify infections or inflammation

  • Evaluate autoimmune or metabolic disorders

  • Rule out other medical causes before complex imaging

They are often the first step in diagnosis before ordering MRI or EEG scans.


Common Blood Tests Neurologists May Order

Here are the most frequent blood tests a neurologist might recommend, depending on your symptoms:


1. Complete Blood Count (CBC)

A CBC test measures red and white blood cells, hemoglobin, and platelets.
It helps detect:

  • Infections affecting the brain or spinal cord

  • Anemia (can cause fatigue and confusion)

  • Inflammatory disorders

Example: A patient with fatigue and dizziness may have low hemoglobin — not a neurological issue, but it mimics one.


2. Vitamin B12 and Folate Levels

Low vitamin B12 or folate can cause:

  • Nerve damage

  • Tingling in hands and feet

  • Memory problems

  • Fatigue or confusion

These deficiencies are easily reversible when diagnosed early.


3. Thyroid Function Tests (T3, T4, TSH)

The thyroid gland influences brain function, mood, and nerve health.
Abnormal thyroid levels can cause:

  • Brain fog or memory issues

  • Depression or anxiety

  • Muscle weakness or tremors


4. Blood Sugar (Glucose) and HbA1c

High or fluctuating blood sugar can damage peripheral nerves, leading to diabetic neuropathy.
Neurologists check your HbA1c to see average sugar levels over 3 months.


5. Electrolyte Panel (Sodium, Potassium, Calcium, Magnesium)

Electrolyte imbalance can cause:

  • Muscle weakness

  • Seizures

  • Confusion or disorientation

Even small changes in sodium or calcium can affect brain function.


6. Liver and Kidney Function Tests

Toxins can build up when your liver or kidneys aren’t working properly, causing:

  • Confusion (hepatic encephalopathy)

  • Tremors

  • Neuropathy

These tests are essential to rule out metabolic or systemic causes of neurological symptoms.


7. ESR and CRP (Inflammation Markers)

High ESR (Erythrocyte Sedimentation Rate) or CRP (C-Reactive Protein) may indicate:

  • Inflammation in blood vessels (vasculitis)

  • Autoimmune diseases affecting nerves

  • Infections like meningitis or encephalitis


8. Autoimmune Antibody Tests

Used when autoimmune conditions are suspected, like:

  • Multiple sclerosis (MS)

  • Myasthenia gravis

  • Lupus (SLE)

  • Guillain-Barré Syndrome

Common antibody tests:

  • ANA (Antinuclear Antibody)

  • Anti-AChR (Myasthenia gravis)

  • Anti-dsDNA or Anti-ENA (Lupus)


9. Infectious Disease Screening

Neurologists may order tests for:

  • HIV

  • Syphilis (VDRL)

  • Lyme disease

  • Hepatitis B/C

These infections can sometimes affect the brain and nerves, leading to serious complications.


10. Genetic or Enzyme Tests

In rare cases, genetic blood tests help identify inherited neurological disorders, such as:

  • Muscular dystrophy

  • Wilson’s disease

  • Mitochondrial disorders


When Will a Neurologist Recommend Blood Tests?

You may be advised to get these tests if you have:

  • Numbness, tingling, or weakness

  • Memory loss or confusion

  • Tremors or muscle spasms

  • Frequent headaches

  • Loss of coordination or balance

  • Seizures or fainting

These help pinpoint the root cause and guide treatment more accurately.


Neurology & Diagnostic Care at Aartas

At Aartas Neurology Department, we combine advanced diagnostics with personalized neurological care.

Our experts offer:

  • Neurological consultations

  • MRI, EEG, and nerve conduction studies

  • Blood and genetic testing for nerve disorders

  • Comprehensive stroke, epilepsy, and migraine management

We ensure accurate diagnosis and effective, evidence-based treatment.


Conclusion

Blood tests are an essential part of a neurological evaluation — helping identify treatable causes like vitamin deficiencies, infections, or metabolic problems before they worsen.

If you’re experiencing persistent tingling, fatigue, memory loss, or imbalance, it’s time to consult a neurologist for proper testing and care.

Book your consultation at Aartas Neurology Clinic, Delhi NCR for expert diagnosis and guidance.


FAQ :

Q1. Do blood tests detect brain diseases?
A: Not directly, but they reveal causes that affect brain health, such as vitamin deficiencies, infections, or inflammation.

Q2. Is MRI needed if blood tests are normal?
A: If symptoms persist, your neurologist may still recommend MRI or EEG to check for structural or electrical issues.

Q3. Can vitamin B12 deficiency cause nerve damage?
A: Yes. Long-term deficiency can cause neuropathy and balance issues but can be reversed with treatment.

Q4. What should I do before a neurology blood test?
A: Some tests require fasting (like glucose or lipid panels). Your doctor will guide you before testing.