Diagnostic Laboratories and Services

Location: Hadassah Ein Kerem, Clinic Buildings, 6th Floor

Within the framework of the Neurology Clinic are up-to-date assessment services and institutes for neuropsychological tests and neurophysiological tests (EEG, EMG, VEP-BERA, TCD), and also service laboratories for diagnosing neurological diseases (the Neuroimmunology and Neurogenetics Laboratory). The tests are done with an appropraite referral from a doctor and a guarantee of payment from the sick fund insuring the patient for every medication included in the health basket. Tests not included in the health basket are with full payment.

Neurophysiological Tests
  • EMG – recording of the electrical activity of the muscle
  • NCV – nerve conduction test
  • EEG – test of electrical activity of the brain
  • VEP-BERA - recording Responses of Optic and Hearing Nerves
  • TCD – complete measurement of blood flow in brain blood vessels.

General Information
Upon arrival for the test you must bring with you:

  1. Appropriate guarantee of payment.
  2. Detailed letter from the referring doctor

The tests are performed in the Neurology Clinic on the 6th floor by a neurologist.
No special preparation is required for the test(s).
Test results are given at its conclusion.
Your full cooperation is required during the test(s) in order to obtain a precise diagnosis.

1. EMG - recording of the electrical activity of the muscle

Objective of the Test:
To diagnose muscle diseases and changes in their functioning for various reasons.

Limitations in Performing the Test:
The test is not to be performed in patients who are receiving blood-thinning drugs (anti-coagulants like Cintrum, Coumadin, aspirin, Plavix and Cartier). In these cases the treating doctor must be notified of the administration of the drugs and you must discuss with him stopping the drugs temporarily for a few days before the test is performed.

Test Procedure:
During the test you will be lying on your back. The treating doctor will instruct you to contract and relax the muscle (which will be checked at rest and at extended effort). Very fine disposable needles are inserted into the muscle. The number of tested sites (the muscles) is dependent on the reason for the referral. The test involves slight discomfort, which is generally not long-lasting. Slight pain in the test area is possible for a few hours after the test. Duration of the test is about 30 minutes.

Clinic Telephone: 02-6778437
Secretarial Office of the Department of Neurology: 02-6776941
Fax: 02-6437782
Working Days: Mon., Tues., Wed.
Working Hours: Mon., Tues. 08:30 - 11:30
Wed. 13:30 - 15:30

2. NCV - nerve conduction test

General Information
Upon arrival for the test you must bring with you:

  1. Appropriate guarantee of payment.
  2. Detailed letter from the referring doctor

The tests are performed in the Neurology Clinic on the 6th floor by a neurologist.
No special preparation is required for the test(s).
Test results are given at its conclusion.
Your full cooperation is required during the test(s) in order to obtain a precise diagnosis.

Test Objective:
To check the condition of the peripheral nerve and the presence of any defects in it.

Limitations in Performing the Test:
If you have a pacemaker you must inform the doctor performing the test. In this case the test will be carried out in a limb far away from the heart.

During the test:
During the test you will be lying on your back. The treating doctor will attach electrodes over the muscle and/or the nerve to be tested. The number of stimulations given via the electrodes is dependent on the reason for the referral. The test is accompanied by a feeling of discomfort during the electrical stimulations. In general this is not painful. There is no risk in the test. There are no other side effects during the test or afterward.
The duration of the test is about 30 minutes.

Neurology Clinic - Ein Kerem
Telephone: 02-6776940
Secretarial Office: 02-6776941
Fax: 02-6437782
Work Days: Sunday-Thursday
Work Hours: 08.00 - 14.00

3. EEG - test of electrical activity of the brain

General Information:
The test is carried out in the Neurology Clinic on the 6th floor by a technician specializing in performing the test.

Upon arrival for the test you must bring with you:

  1. Appropriate guarantee of payment.
  2. Detailed letter from the referring doctor.

What is the objective of the test?
The objective of the test is to estimate the electrical activity of the brain waves.

How is the test performed?
During the test you will be lying on your back. The technician will place (with the help of clear gel, which does not stain clothing), 20 electrodes on the surface of the patient's head. During the test you will be instructed by the technician to close your eyes and to breathe deep breaths and to close your eyes against a light that produces flashes of light. Your full cooperation is required during the test in order to obtain a precise diagnosis.

Are there limitations to carrying out the test?
In cases where there is no cooperation from the patient for different reasons, the test will be performed with the help of the sedation unit (anesthesia) with the agreement of the patient and/or the agreement of the guardian.

Is the test painful?
The test is in no way painful. The test is not invasive and there is no radiation. There are no other side effects.

Is there anything I need to do before the test?
Yes. Important! Eat before the test. It is recommended that you eat a satisfying meal before you arrive for the test. Important! Wash your hair the day before or the morning of the test. Do not apply oil, mousse and/or gel to the hair.

How long does the test take?
The duration of the test is about 30 minutes.

How will I get the answer?
The results of the test will be sent in one to two weeks to the address supplied by the patient.

4. VEP - BERA - Recording Responses of Sight and Hearing Nerves

General Information:
The test is carried out in the Neurology Clinic on the 6th floor by a technician specializing in performing the test.

Upon arrival for the test you must bring with you:

  1. Appropriate guarantee of payment.
  2. Detailed letter from the referring doctor
  3. Towel and shampoo for washing hair.
  4. If you wear reading glasses, you must bring them with you.

What is the objective of the test?
The objective of the test is to estimate normality of the sight and hearing nerve.

How is the test performed?
During the test you will be lying in bed. The technician will place (with the help of clear gel, which does not stain clothing), a number of electrodes on the surface of the patient's head. Your full cooperation is required during the test in order to obtain a precise diagnosis.

Are there limitations to carrying out the test?
In cases in which there are serious vision defects as a result of eye disease, it is recommended to carry out VEP in an eye clinic.

Is the test painful?
The test is in no way painful. The test is not invasive and there is no radiation. There are no other side effects.

Is there anything I need to do before the test?
Yes! It is recommended to wash your hair on the day of the test.

How long does the test take?
The test takes about 30 minutes.

How will I receive the answer?
The results of the test are sent within 10 days to the address provided by the patient.

5. TCD - complete measurement of blood flow in brain blood vessels.

General Information:
The test is performed in the Neurology Clinic on the 6th floor by a neuropsychologist who is a psychologist who has specialized in evaluating memory, concentration and other thinking functions.

Upon arrival for the test you must bring with you:

  1. Appropriate guarantee of payment.
  2. Detailed letter from the referring doctor

In the case that you are not a Hebrew-speaker it is very important that you come with a translator.

What is the objective of the test?
The test is designed to evaluate speech functions, memory, attention, concentration and understanding in different situations including following head trauma, stroke, depression, processes connected with age or neurological disease and others. Also, for evaluating learning disabilities and attention and concentration disturbances.

How is the test performed?
The test is carried out in total privacy between the patient and the tester. Complete secrecy will be guarded. The test is not painful and does not involve the use of any instrument. During the test you will be asked questions, to solve problems and to activate your memory. The test is mostly oral. A pencil and paper will be used for a small part.

Do I need to prepare for the test?
No! There is no need for prior preparation, but you should arrive fresh and rested. If you wear reading glasses, you must bring them.

How long does the test take?
The test takes about two hours. In most cases one appointment is enough.

How will I receive the results?
The results of the test will be available in about three weeks. Usually, the results are presented in the clinic personally by a nurse only to the patient. There is no need to make an appointment. Results may be sent by mail according to the request of the patient only. If you wish the results to be sent to a different place you must sign a form for waiving secrecy.

The Neuroimmunology Laboratory
The neuroimmunology laboratory is open Sundays-Thursdays during regular working hours of the hospital. The laboratory deals with specific tests for the diagnosis of autoimmune diseases of the nervous system. The laboratory is one of the leaders in this area and has experience from 1978. The laboratory receives samples for tests from all over the country and every test requires a guarantee of payment. Some of the tests are not found in the health basket and so you must pay for them at the clinic office.

The tests performed often look for markers for various neurological diseases and include:

  • Oligoclonal immunoglobulin in cerebrospinal fluid (CSF) for the identification of multiple sclerosis and brain inflammation
  • Tau protein in CSF
  • Transferrin beta-2 for the identification of leaking CSF
  • Alphafetoprotein for the identification of birth defects in the nervous system, hepatoma and pregnancy
  • Myelin basic protein (MBP) and antibodies to myelin in the blood and CSF for the identification of the process of myelin destruction
  • Antibodies against MAG protein in the CSF and blood and galactocebroside for the identification of peripheral neuropathy
  • Antibodies against gangliodies in the blood: GM1, GD1a, GD1b, GQ1b for the identification of diseases of the peripheral nervous system
  • Antibodies to the MUSK protein in the blood
  • Antibodies to the acetylcholine receptor in the blood for the identification of myasthenia gravis
  • Antibodies to the aquaporin NMO in the blood only
  • Antibodies to pre-neoplastic diseases Hu, Yo, Ri, Ma2 and to amphiphysin - VGCC calcium channels - for the identification of secondary phenomena of injuries to the nervous system and in a condition of malignant disease.
  • Neutralizing antibodies to interferon in blood cells (in patients taking medication only)

Laboratory Staff:
Ms. Camille Siksik
Ms. Fanny Beicher

The Neurogenetics Laboratory
The Agnes Ginges Center for Human Neurogenetics:

A laboratory for the diagnosis of rare genetic diseases which affect the central nervous system and skeletal muscles functions within the framework of the Neuroimmunology Laboratory.

The tests performed are:

  • Protein 14-3-3 in cerebrospinal fluid for the identification of Creutzfeldt-Jacob disease
  • TAU protein in cerebrospinal fluid for the identification of Alzheimer's disease
  • The faulty prion protein in urine for the identification of Creutzfeldt-Jacob disease
  • Mutation in the TAU protein (P301S) for the identification of dementia with Parkinsonism
  • Mutation in the glycogen branching enzyme (S329Y) for the identification of glycogen storage disease
  • Mutation in the aldehyde dehydrogenas enzyme (C682T) for the identification of Svegren-Larsen disease
  • Mutation in the transseritin protein (Y77S) for the identification of ameloid disease
  • Mutation in the prion protein (P102L) for the identification of Gerstman's disease
  • Mutation in the prion protein (E200K, D178N) for the identification of genetic Creutzfeldt-Jacob disease
  • Mutation in the prion protein (D178N) for the identification of genetic Creutzfeldt-Jacob disease
  • Mutation in the disperlin protein (delG1624, G5711A) for the identification of muscular atrophy disease (Limb-Girdal)
  • Mutation in the CD45 protein for the identification of familial multiple sclerosis.

Laboratory Staff:
Dr. Hanna Rosenmann
Prof. Ruth Gabizon
Fanny Beicher
Leah Rosenstein
Michelle Halimi

The Laboratory for the Molecular Diagnosis of Brain Tumors (Neurooncology)

  • Genetic testing for missing chromosomes
  • Molecular testing to diagnose brain tumors
  • Abbreviated molecular testing to diagnose brain tumors
  • Molecular testing for codeletion of 1p19q

In preparation. To be completed at a later date.

The Center for Neurogeriatrics and Memory, Hadassah Hospital, Mount Scopus
Prof. Meiner Zeev, Dr. Yehoshua Neeman

This clinic is intended for evaluation and treatment of memory disturbances and neurological disturbances in adults. Within the framework of the clinic diagnoses for the evaluation of the source of memory disturbances are performed, including neurological tests, neuropsychological tests, blood tests and similar tests. Following the evaluation process, a detailed summary is sent to the patient and to his personal doctor which summarizes the findings.

In accordance with the findings the patient receives the appropriate treatment and is in follow-up in the clinic in order to efficiently estimate the treatment and its appropriateness for the patient.

The clinic is in close contact with the family doctor, geriatric specialists, and services for dementia patients in the community ("Melabev" and "Golden Eden") in the Jerusalem area including consultations and lectures on the subjects of dementia and memory loss.

Hours of Operation in the Clinic are:
Mondays and Wednesdays 12:00-17:00
For Prof. Zeev Meiner, Neurologist
Tuesdays from 9:00-14:00
For Dr. Yehoshua Neeman, Neuropsychologist

Telephone Numbers:
To make appointments: 972-2-5844211
Inquiries: 972-2-5844582