Barzilai Medical Center
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Neurology- The Adir and Lydia Ben Yosef

 Department of Neurology

 

The Adir and Lydia Ben Yosef Neurology Department

 

Name of department

The Adir and Lydia Ben Yosef Neurology Department

Head of Department

Dr. Ron Milo E-mail: rmilo@bmc.gov.il

Deputy Head of Department:

Dr. Shmuel Appel

Charge Nurse

Sima Beniel

Deputy Charge Nurse

Sigal Zechariah

Telephone number of the nurses’ station

08-6663842, 08-6663843

Location

The department has moved to its new location in Compound 400, opposite Internal Department E.

Secretary

Osnat Azulay

Telephone

08-6663835

Fax

08-6663850

Senior Physicians and their roles in the department

1. Dr. Elena Dorodnikov - Director of the Stroke Service

2. Dr. Shmuel Appel – Deputy Director of the Department, Epilepsy Clinic

3. Dr. Natalya Tikhmanovich - Director of the Neuromuscular Service, EMG, Botulinum Injections

4. Dr. Zeev Nitzan - Director of the Movement Disorders Service, Memory Clinic and Multiple Sclerosis Clinic

5. Dr. Anna Gelfand – Stroke

6. Dr. Michael Osherov - Multiple Sclerosis

7. Dr. Leah Pollack – Dizziness and Balance Disorders

8. Prof. Esther Kahana - Teaching and Research

Main departmental activities:

The Neurological Department at Barzillai includes an inpatient department, a stroke service, and an ambulatory neurological institute that includes multidisciplinary clinics and services for a variety of neurological disorders, neurophysiological tests and a research unit.

Patients are admitted to the hospital for the purpose of diagnosis and treatment of disorders and diseases of the nervous system. Patients are accepted from the Department of Emergency Medicine, hospital wards, outpatient clinics and community clinics. The department works with consultants from the field of neuro-ophthalmology, psychiatry, vascular surgery, internal, neuroradiology, social services, physiotherapy and the Institute of Occupational Therapy, for functional evaluations and the beginning of inpatient rehabilitation. The Department has advanced auxiliary tests in the field of brain imaging (CT, MRI, SPECT), blood vessels (duplex, TCD) and neurophysiology (EEG, NCT+EMG, excitation potentials).

The Neurological Institute's clinics include:

- A general neurological clinic

Receives patients from the community and the IDF and after hospitalizations for the purposes of diagnosis, treatment and the monitoring of various disorders such as headaches, dizziness, loss of consciousness, walking and balance difficulties, sensory problems and more.

- The Clinic and the Service for Movement Disorders, headed by Dr. Zeev Nitzan

The clinic diagnoses and treats people with movement disorders such as Parkinson's disease, Huntington's disease, tremor with various causes, Tourette's syndrome, walking disorders and more.

- The Epilepsy Clinic and Service, headed by Dr. Shmuel Appel

Treats patients with severe, hard to manage epilepsy after hospitalization and from the community. An in-depth investigation is carried out in the clinic for the purpose of determining a precise diagnosis and the optimal treatment. Following diagnosis, the applicants are treated to manage the seizures and, when necessary, are referred for advanced interventions, including epilepsy surgeries and pacemaker transplantation. The service is also responsible for the video-EEG monitoring unit in the inpatient department.

- Memory Clinic, headed by Dr. Zeev Nitzan

Deals with the evaluation, diagnosis and treatment of common memory problems, diseases that cause dementia such as Alzheimer's disease and ADHD.

- Multiple sclerosis and neuro-immunology clinic, headed by Dr. Ron Milo

The clinic is part of a multidisciplinary center that includes leading specialist neurologists in the field, a nurse, a social worker, a neuro-ophthalmologist, a neuroradiologist, research technicians and coordinators. It deals with the comprehensive diagnosis, monitoring and research into multiple sclerosis and other demyelination diseases. The center is skilled in providing state-of-the-art treatments while admitted to hospital, as well and having advanced diagnostic methods at its disposal, including MRI and tests of excitation potentials.

The clinic conducts numerous research studies, including international research on new MS drugs. Participants in the studies receive innovative treatments, close and stringent follow-up and monitoring, including periodic MRI tests, at no cost and without the need for a commitment from the HMO.

- Stroke Clinic, headed by Dr. Elena Dorodnikov

The clinic receives patients after hospitalization due to a severe stroke, and referrals from the HMOs of patients with vascular disorders of the brain for the purpose of diagnosing the cause of those disorders, providing treatment according to the type of disorder and stroke, and balancing the risk factors that bring about disturbances in blood flow to the brain and stroke. The clinic works closely with the Stroke Unit, brain catheterization centers, the Department of Vascular Surgery, the Cervical Vascular Ultrasound Examination Institute and the Imaging Institute, and also performs Doppler examinations via the skull. Three senior physician work at the clinic, and they have undergone training both in Israel and abroad with respect to vascular diseases of the brain.

- Headache Clinic, headed by Dr. Daniel Safadi

The clinic deals with the diagnosis and treatment of common types of headaches such as migraine and stress headaches, as well as rare types of headaches and facial pain. In addition to medicinal treatments, botulinum injections and neural blocks are also provided.

- Neuromuscular Clinic, headed by Dr. Natalya Tikhmanovich

The Neuromuscular Clinic deals with diseases of the peripheral nervous system (neuropathic), the muscular system (myopathic), and the connection between nerve and muscle (Myasthenia Gravis). The clinic has state-of-the-art instrumentation for conducting neurophysiological tests to evaluate nerve and muscle function, such as EMG, nerve conductivity and single fiber EMG. The clinic has connections with the Institute for the Conduction of Nerve and Muscle Biopsies.

- Botulinum Injection Clinic, headed by Dr. Natalya Tikhmanovich

The injection clinic deals with treatment by injection of the botulinum toxin (Botox and Dysport) for the indications with health-provision coverage, of contractions and disorders of muscle tone such as blepharospasm, facial dystonia, Torticollis, upper limb spasticity following a stroke, and lower limb spasticity in children with cerebral palsy. In addition, injection treatments are also given to combat migraines.

The tests at the Neurological Institute include:

EEG (electroencephalography, brainwave recording)

EEG during sleep

EMG+NCT: Electromyography and peripheral nerve conduction speed test. The tests are performed by Dr. Natalya Tikhmanovich and Dr. Marwan Alcrinawi. The institute is the only one of its kind in the South that also performs EMG tests on a single fiber in order to diagnose connective diseases between nerve and muscle.

Excitation Potentials from the optic system (VEP), hearing (BERA) and sensory (SEP) to detect disturbances in sensory pathways in the brain and spinal cord.

TCD (Doppler via the skull) to assess blood flow in the cerebral blood vessels.

Research and teaching

The department conducts many clinical studies in all areas of neurology, in addition to clinical and basic studies in collaboration with other academic and scientific institutions. The Neurological Department has been recognized by the Scientific Council of the Medical Association as specializing in neurology and serves as the academic teaching department of the Faculty of Health Sciences at Ben-Gurion University of the Negev, devoting much of its time to teaching medical students from Ben-Gurion University and abroad, teaching interns, nursing students and more.


 

  

 

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