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Cognitive changes are not limited to memory loss alone.
They may affect thinking, attention, language, orientation, behavior, and the ability to make everyday decisions.
In many cases, these changes develop gradually and remain unnoticed until they begin to interfere with daily life.

The Cognitive Neurology Clinic focuses on the evaluation and clinical management of higher brain function disorders, with an emphasis on accurate diagnosis, differentiation, and long-term clinical perspective.

For international and English-speaking patients, Israel offers a structured and experience-based approach to cognitive neurology, combining advanced diagnostics with careful clinical judgment.

When Should You Consider a Cognitive Neurology Consultation?

A consultation may be appropriate when one or more of the following appear:

  • Memory decline that feels inconsistent with normal aging
  • Difficulty finding words or understanding speech
  • Changes in personality or behavior
  • Reduced ability to plan, organize, or manage daily tasks
  • Problems with orientation, attention, or concentration
  • A combination of cognitive and motor symptoms

It is important to understand: not every cognitive change means dementia, but every persistent change deserves professional evaluation.

Conditions Commonly Evaluated in the Clinic

Alzheimer’s Disease

The most common cause of dementia worldwide.
Characterized by a gradual decline in memory, thinking, and orientation.
Evaluation includes clinical assessment, neuropsychological testing, and advanced brain imaging.

Creutzfeldt–Jakob Disease

A rare and rapidly progressive neurodegenerative condition.
Early recognition and differentiation from other causes of fast cognitive decline are critical.

Dementia with Lewy Bodies

Often combines cognitive fluctuations, visual hallucinations, and motor symptoms.
Requires careful diagnostic precision and cautious treatment planning.

Dementia (Various Forms)

Including:

  • Vascular dementia
  • Mixed dementia
  • Secondary cognitive syndromes

The goal is not only diagnosis, but understanding why the decline occurs and how it may be influenced.

Frontotemporal Dementia (Pick’s Disease)

Often presents with early behavioral or language changes rather than memory loss.
Frequently misinterpreted in early stages.

Ataxias

A group of disorders involving coordination and gait, sometimes accompanied by cognitive changes.
Evaluation focuses on identifying degenerative, vascular, inflammatory, or metabolic causes.

Metabolic and Rare Cognitive Syndromes

Certain systemic or metabolic conditions may present with cognitive and neurological symptoms and require careful clarification of the underlying cause.

Diagnostic Approach

Cognitive evaluation is always individualized and may include:

  • A detailed clinical conversation with the patient and family
  • Neuropsychological testing
  • Review of medications and medical history
  • Brain imaging (MRI and additional studies when needed)
  • Laboratory investigations

The objective is not merely to label a diagnosis, but to understand how the condition affects daily life and how it evolves over time.

Relationship with Functional Neurosurgery

In most cases, cognitive disorders do not require neurosurgical treatment.

However, in selected complex situations — for example, when cognitive changes coexist with significant motor, behavioral, or consciousness disturbances — consultation with functional neurosurgery may be considered as part of a broader multidisciplinary evaluation.

This does not imply surgical treatment of cognitive decline, but rather collaborative clinical reasoning in atypical or difficult cases.

Multidisciplinary Perspective

Cognitive neurology rarely exists in isolation.
Depending on the clinical situation, evaluation may involve:

This collaborative model, commonly practiced in Israeli medical centers, allows for balanced and responsible clinical decisions.

Key Takeaway

The Cognitive Neurology Clinic is dedicated to thoughtful evaluation and longitudinal care of patients with cognitive concerns — without rushed conclusions or universal solutions.

Early consultation helps to:

  • Clarify the cause of symptoms
  • Distinguish normal aging from disease
  • Choose the most appropriate strategy for follow-up or treatment

Consultation & Appointments

  • If changes in memory or thinking raise questions, a professional consultation can help clarify what is happening and what to do next.
  • 📞 Phone: +972-73-374-6844
    📧 Email: [email protected]
    💬 WhatsApp: +972 52-337-3108

Frequently Asked Questions

 1. Does every memory problem mean Alzheimer’s disease?
No — and this is one of the most common misconceptions.
Stress, sleep problems, depression, medications, and medical conditions can all affect memory. Alzheimer’s disease is only one possible cause, and often not the first.

 2. How can you tell when changes are more than “just age”?
It is usually not about forgetting a word or a date.
Concern arises when everyday functioning changes — getting lost, poor judgment, behavioral shifts, or difficulty managing familiar tasks.

 3. Can you always give a clear diagnosis at the first visit?
Not always — and that is perfectly normal.
Some cognitive conditions require observation over time to understand their pattern.

 4. Is there a point in evaluation if the condition is progressive?
Absolutely.
Clarity helps avoid unnecessary treatments, incorrect medications, and unrealistic expectations. Uncertainty is often more harmful than an honest explanation.

 5. Does dementia always worsen quickly?
No. Some conditions progress slowly or remain stable for long periods, especially when identified early.

 6. Why involve psychiatry in cognitive assessment?
Because mood, anxiety, and sleep strongly influence thinking and memory.
Sometimes what looks like dementia turns out to be depression or severe anxiety.

 7. What does functional neurosurgery have to do with cognition?
Usually — nothing.
But in rare, complex cases with overlapping neurological features, broader consultation can help ensure nothing important is missed.

 8. When is the best time to come — now or later?
If there is doubt, earlier is better.
Sometimes a single consultation brings clarity and reassurance.

 9. Does the visit start with tests?
No.
It starts with a conversation — understanding what has changed in real life. Tests come later, only if needed.

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    Tel Aviv Medical Clinic

    Weizman st. 14, Tel Aviv, Israel

    972-7337-46844

    972-5233-73108

    [email protected]

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