Stroke is the third leading cause of death after cancer and cardiovascular diseases. Only in Israel, about 15,000 people a year suffer from this disease, with 85-90% of all strokes are ischemic falls on, called "obstruction" of the blood vessels that feed the brain. According to the World Health Organization, around the world every year, 15 million people a stroke, and of these, five million die and another 5 million are disabled

Advantages of stroke treatment in Israel

  • In the neurological departments of clinics Israel focuses on the treatment of stroke patients. The professionalism and experience of doctors allow patients to receive the best treatment of this dangerous disease. As it is known, in the case of a stroke - the faster diagnosis and treatment is started, the more the effects can be avoided.
  • Stroke treatment in Israel is engaged in a multidisciplinary team of specialists, including therapists, physiotherapists, social service employees.
  • Separation of stroke and cerebrovascular diseases are also involved in the treatment of patients with conditions that may later result in a stroke. For example, the feeling of the weakness of the arms and legs for a few minutes; transient speech disorder; sudden blurred vision in one eye, and so on. d. require immediate medical advice. There also advise and treat patients at high risk for stroke, such as hypertension, diabetes, heart disease.
  • Rehabilitation after stroke in Israel is no less important than treatment. Therefore, after the end of the treatment course, patients undergoing rehabilitation in specialized institutions.
  • People who have had a stroke, even back home, can receive consultation Israeli clinic doctor about preventive adjustment of drugs aimed at reducing the likelihood of secondary complications of the heart, blood vessels and recurrent stroke.

Diagnosis of stroke in Israel

The patient first undergoes a medical examination by a neurologist.

Classic, clear symptoms of a stroke include:

  • Unbound speech (people with stroke can not say logically completed offer, for example: "Today the weather is good").
  • Deformation of the face (the patient does not get a symmetric smile).
  • sensory disturbances, and movement from one side of the body (the patient will not be able to raise both hands forward).

In addition to the classic symptoms, other symptoms of stroke include weakness, distortion of vision, dizziness, difficulty swallowing, headache, and loss of consciousness.

In most cases (especially when it comes to a stroke caused by emboli), typical symptoms appear suddenly, sharply and quickly, but sometimes (in the case of a stroke caused by a blood clot) symptoms may occur gradually.

In addition, to confirm the diagnosis, neurologists use assistive study: blood tests, ECG, CT scan or MRI. At the stage of diagnosis it is important to understand whether or hemorrhagic stroke, ischemic.

types of stroke

Ischemic stroke (85% of all strokes) - cerebrovascular accident, which results in the death of brain area. Prognosis of the disease varies from complete recovery to death, depending on the localization of the lesion and timeliness of care.

Hemorrhagic stroke  (15% of all strokes), it occurs as a result of sudden rupture of the blood vessel, which causes bleeding in the brain tissue and increased intracranial pressure. Cells that are at the center of the damaged area of the brain are killed almost immediately, but the rest of the cell may still be saved if quick help is provided and renewed blood flow to the affected area.

The rate of provision of skilled care is crucial, because the window of opportunity to save brain cells and tissues is limited to only a few hours. There are methods for the treatment of stroke in Israel, which are effective only within 4-5 hours after stroke.

The consequences of a stroke range from almost complete recovery to the patient's death. However, the most common consequences: paralysis (temporary or permanent) of one side of the body; cognitive impairment (memory, language, orientation).

Long-term results of stroke depend on many factors, including genetic predisposition, history, size and location of the affected area and, of course, the speed and quality of care.

According to clinical reports, approximately 25% of stroke patients return to normal function; 55% suffer from the consequences; 15% will die. The average age of stroke patients is 69 years.

Stroke Treatment in Israel

When it comes to the treatment of ischemic stroke, the focus is on the return of blood flow in the brain and prevent the formation of additional blood clots.

Treatment dissolving clots. A blood clot may be dissolved, and brain blood flow resumed through drug called TPA (Altaflas). The drug is administered only under strict control in the ICU. Treatment is effective in the first three hours after stroke. With the introduction of TPA there is a risk of bleeding, which can worsen the condition of patients with hemorrhagic stroke. Therefore, before starting the treatment of stroke in Israel, it is important to eliminate this kind of stroke by CT.

Anticoagulants. There are two groups of drugs that prevent the formation of blood clots and further reduce the risk of future ischemic stroke. One group works by decreasing the "stickiness" of platelets, which are small blood cells which adhere to each other, forming a clot. This group includes drugs aspirin and clopidogrel. The second group, known as the 'anti-coagulants' works differently and is more effective in preventing the formation of blood clots, but its use is associated with a higher risk of bleeding in the long run. Commonly used anticoagulant - a varafarin. The action of the drug is only five or six days after its reception. In 2012, as a means of prevention of stroke in people with a diagnosis of heart failure, the use of the drug has been approved Casraletto. This is a new anticoagulant, which blocks the blood clotting mechanism. Unlike warfarin and Coumadin use Casraletto does not require blood tests for control of coagulation functions. The drug is taken in pill form once a day orally.

Anesthesia aneurysm. An estimated 20% of all cases of ischemic stroke caused by sclerosis of the arteries located in the neck, which reduces the supply of blood and oxygen to the brain. Atherosclerosis - a chronic disease in which lipids, cholesterol and calcium build up and settle on the walls of the arteries, slowly narrowing their lumen. The inner walls of blocked arteries cleared surgically, the surgeon opens the artery through an incision in the neck and eliminates the "obstacle". The operation lasts about one to two hours, is carried out in a hospital under general or local anesthesia. The patient is usually discharged home within 48 hours. If the vessel is blocked for 50-69%, the risk of stroke after surgery in the future is reduced by one third. If 70% or more, the risk of stroke after operation is reduced by half.

Hemorrhagic Stroke Treatment in Israel

When it comes to hemorrhagic stroke, treatment is aimed at stopping bleeding and reducing intracranial pressure by a neurosurgical operation.

In addition to the specific treatment for this type of drugs are used as stroke medications, fighting diseases such as hypertension, diabetes, elevated cholesterol, etc., which may cause another stroke.

Risk factors for stroke

  • Hypertension.
  • Diabetes.
  • Family history (cardiovascular disease in parents or relatives of the 1st degree relatives aged 55 years and younger).
  • Elevated blood cholesterol levels.
  • Smoking.
  • The presence of aneurysms (congenital or acquired).
  • In patients with cardiac arrhythmia - atrial fibrillation.

Oxygen therapy in the treatment of stroke consequences

Doktror Shai Haephrati of Tel Aviv University put forward the theory that high oxygen levels is capable revive brain tissue damaged by stroke, even years later. Oxygen therapy, the aim of which was developed on the basis of this theory - help patients whose condition has not improved after the traditional stroke treatment in Israel. During therapy, the patient is placed in a pressure chamber, which is supported by a higher-than-normal pressure, and oxygen levels in the body is increased tenfold. All 59 patients who participated in a study of this type of therapy, the state of improvement was observed, and a 61-year-old woman, who before this therapy was completely paralyzed after suffering a stroke, was able to return to normal life. By the way, the improvement that patients felt after undergoing hyperbaric oxygen therapy, has stood the test of time - two years of regression followed.

Dr. Hyun Halevi - neurologist with more than 30 years of experience, who specializes in the treatment of strokes in Israel and their consequences. He developed his own method, which has proved so successful that it took to "adopt" many experts from around the world.  

Dr. Guy Rafaeli - known in Israel and outside neurologist who specializes in minimally invasive vascular surgery. He spends catheterization of cerebral vessels in ischemic stroke, atherosclerosis, etc.