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Introduction: Elders are a heterogeneous group with gender and age-based differences. The frailty concept makes the debate about the major factor that leads those patients to emergency relevant. Therefore, the high potential of morbidity and mortality of neurological occurrences established the scenario in which this study has been designed. Objective: Report the number of hospitalizations by neurological diseases to evaluate its prevalence in the context of emergency admissions and establish a connection between etiology-health promotion. Methods: It is a cross-sectional retrospective study settled in Juiz de Fora, which is part of the Consórcio Intermunicipal de Saúde da Região Sudeste (CISDESTE). Care provided by Serviço de Atendimento Móvel de Urgência (SAMU) to elderly above 61 years old for the period between April/2015 to March/2019 were included in Microsoft Excel 2010 spreadsheets. Information such as age, gender, and type of patient’s neurological occurrence was added to the script. Results: In the period of analysis, 28718 occurrences of elders attended by SAMU were notified. From this total, 7778 (27%) were related to neurological occurrences. Analyzing gender, female patients represented the majority of occurrences, despite the incidence of neurological disorders, which was lower than in male patients (23,5% to 25,6% and 28,5% to 34,5% respectively). Conclusion: It was demonstrated that male is a population at risk of disabling and acute neurological events. The importance of individual care to the elderly is noted, and new studies must be done.