Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Call emergency services for:
A first seizure, a seizure lasting more than five minutes, or repeated seizures
Sudden facial droop, arm weakness, speech difficulty, or loss of coordination
Sudden loss of vision
Rapidly worsening weakness or inability to walk
Loss of consciousness or severe confusion
A severe headache with repeated vomiting, marked drowsiness, or neck stiffness
These symptoms can have several causes, including stroke or infection.
Emergency assessment is needed rather than waiting to see whether they improve.
And for anyone, someone who:
has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Arrange a prompt medical assessment if you develop a new or worsening neurological symptom, especially if you have sarcoidosis.
Examples include persistent headache, facial weakness, numbness, progressive limb weakness, balance problems, hearing changes, or unusual thirst and urination.
New vision changes should be assessed urgently because inflammation of the optic nerve can threaten sight.
New bladder or bowel control problems with leg weakness or numbness also require urgent assessment.
And for anyone, someone who:
has a new severe headache unlike any they have had before
3
Does any of this apply?
Book an appointment
During routine follow-up, report possible treatment side effects such as fever, repeated infections, unusual bruising, severe mood changes, or symptoms of high blood sugar.
Do not stop immune-suppressing treatment suddenly without medical advice.
Every sign above is quoted from the sofidex article on Neurosarcoidosis. If you are not sure, err upward — it is always reasonable to be checked.