Neurological emergencies are a frequent presentations and often times with devastatingrnshort and long term consequences. Neurological disorders are increasingly prevalent in Sub-rnSaharan Africa with the paucity of data on adult neurological emergencies in the region. Thernobjective of the study was to determine the pattern of neurologic emergencies in TASH, AddisrnAbaba, Ethiopia. Medical records of 311 adult patients presented to Tikur Anbessa SpecializedrnUniversity Hospital from February 1, 2013 to January 31, 2014 were reviewed retrospectively.rnThe mean age of the patients was 44.68ï‚±1.1 years. Males outnumbered Females giving a sexrnratio (M: F) of 1.22:1. Neurological emergencies accounted for 5.27% of the total medicalrnemergencies. The most common neurologic emergencies were cerebrovascular disorder (54%),rnneurologic complications of HIV/AIDS (9%), meningitis (8.7%) and seizure disorder (7.7%).rnHemiparesis, altered mental status and convulsion were the common presenting featuresrnaccounting 44%, 19.3% and 13.1%, respectively. The overall mortality rate of neurologicrnemergencies was 27.3% with the highest case fatality rate from Encephalopathy 53.8% followedrnby Tetanus 50%, neurologic complications of HIV/AIDS 39.3%, meningitis 37% andrncerebrovascular disorder 27.4%. It will be very useful for health care policy makers if they focusrnon planning for better management and prevention of common neurologic emergencies.rnII