To report on the experience of providing neurological care to nomadic populations in rural Northern Iran and to propose structured, culturally sensitive strategies for improving diagnosis, referral, and management of chronic neurological conditions.

Nomadic populations in Iran undertake seasonal migrations from the southern regions to the Alborz Mountains, often with limited access to healthcare services. A semi-permanent rural clinic provides primary and acute care during these months. Neurological conditions—including migraines, epilepsy, Parkinson’s disease, dementia, and post-stroke complications—are frequently encountered, yet are often undiagnosed or poorly managed due to limited healthcare infrastructure and follow-up capacity.