Monaco Stroke Association

Did you know ... about 1 out of 4 people will have a stroke in their lifetime ...

...our vision is a world where people live free from the effects of stroke.
Engage with us!

ABOUT MONACO AVC

Hello from Monaco!

A stroke can change your life. Personally, I had two strokes, and I am very lucky to say am in great shape. Rehabilitation can be a long process, but it is easier if you can share your progress with other patients. ​You can find pictures of my journey ​since 2019 below. 

The Monaco Stroke Association, known as Monaco AVC (Accident Vasculaire Cérébrale), was born from my personal journey, but Monaco AVC needs also your donation, contribution, as well as any possible engagement of stroke patients, family members, and health professionals. 

Our vision is a world where people live free from the effects of stroke, and this drives our effort to improve access to prevention, rehabilitation and support for patients in Monaco.

We need your support of the association to continue the good work. Monaco AVC means a lot to me, and your contribution can make a difference!

Steven Saltzman
President Monaco AVC

October 29 is World Stroke Day - La Journee de l'AVC

Celebrate with us this years World Stroke Day on October 29th @Fairmont Monte-Carlo, Saphire Bar Lobby Lounge

  • Invitation (Francais)

  • Invitation (English)

PATIENT STORIES

Alexander Mackenzie, 61: "I would warn my younger self to change my lifestyle"

Alexander Mackenzie, 61: "I would warn my younger self to change my lifestyle"

Alexander Mackenzie, 61: "I would warn my younger self to change my lifestyle"

Read More  
Sherezad's Patient Story

Sherezad's Patient Story

Discover Sherezade's TV documentary how she recovered from her stroke, and about the support of the health services in Monaco and Nice.

Read More  
Did Senator Mitch McConnell have a stroke?

Did Senator Mitch McConnell have a stroke?

Senator Mitch McConnell was freezing midsentence July 26 during a news conference. We wish him a speedy recovery in the name of Monaco AVC!

Read More  
Our beloved Princess Grace

Our beloved Princess Grace

The Tragic Story Behind Princess Grace's Death in a Car Accident which was caused by a stroke

Read More  
See more

Events

Filter

28Nov

Members End of Year Get-Together

20Mar

Monaco AVC Charity Event

29Oct

World Stroke Day 2025

22Oct

World Stroke Congress 2025

24Sep

General Assembly 2025

11Sep

Stroke Patients & Families Get-Together

29Oct

World Stroke Day 2024 Celebration

21May

European Stroke Organisation Conference 2025

02Feb

General Assembly 2024

19Nov

Monaco AVC Formation

05Nov

Monaco AVC Association Creation

DONATE!

Partners

Swiss Patient Organization
World Stroke Organization
Monaco Daily News
Fairmont Monte Carlo

FAQ

I have a STROKE - what shall I do?

Call the Emergency Services immediately! Do not wait!
Call 112  
You can call 112 from any European Mobile Phone, and any phone in Monaco. 
You can use the emergency dial button.
The nearest Stroke Center in Monaco is the CHU in Nice
Hospital Pasteur - Hôpital Pasteur, 30 Voie Romaine, 06000 Nice (France)
Tel: +33 4 92 03 77 77

The first 3 hours are critical, as typically medicaation needs to be given within three hours of when symptoms began. In some cases the window can be extended to four. It depends on the stroke. 
The CHPU Monaco doesn't have a stroke unit, see article February 2023:
https://monaco-hebdo.com/actualites/sante/benoite-rousseau-de-sevelinges-interview-chpg-attractivite-2023/

What type of strokes exist?

  1. Ischaemic Strokes, which are caused by a blockage cutting off the blood supply to the brain. (These strokes are the most common).
  2. Haemorrhagic Strokes, which are caused by a bleeding in or around the brain.
  3. TIAs - Transient Ischaemic Attacks, also known as a mini-strokes. A TIA is the same as a stroke, except that the symptoms only last for a short amount of time. This is because the blockage that stops the blood getting to your brain is temporary. It is uttermost important to recognize those and get treatment, as there is a high risk of having a regular stroke afterwards.
https://www.stroke.org.uk/what-is-stroke/types-of-stroke

How do I recognize a stroke with the FAST test?

  • Face dropping
    • Can the person smile? 
    • Did the eye or mouth dropped or look different?
  • Arm weakness
    • Can the person raise both arms? Move the legs, hands, feet?
    • Sudden weakness or numbness of the body is a sign of a stroke
  • Speech problems
    • Can the person speak clearly? And understand what you say?
    • Difficulty speaking or "no words come out" is a sign of stroke
  • Time to call emergency 112

A Stroke is a medical emergency!
The FAST test above can help you recognise a stroke, but further signs are:
  • A sudden, severe headache, often with real pain
  • Sudden memory loss or confusion
  • Blurred vision or loss of sight in one or both eyes
  • Dizziness or a sudden fall
The nearest stroke center in Monaco is the CHU Nice
Hospital Pasteur - Hôpital Pasteur, 30 Voie Romaine, 06000 Nice Tel: +33 4 92 03 77 77. Emergency Call Nr: 112.

Can you recover from stroke?

All patients have a different history, and all strokes are different.
Some people may have relatively minor effects and those may not last long. Others may be left with more serious problems, need short or long term therapy or will even stay with disabilities that make them dependent on other people.
Unfortunately, some strokes can be very serious and some may lead to coma or sudden death. That’s why it’s so important to be able to recognise the symptoms and get medical help as quickly as possible.
The quicker you receive treatment, the better your chances for a good recovery.

​Read more: https://www.stroke.org.uk/what-is-stroke/types-of-stroke

What causes stroke?

When the blood supply to part of the brain is blocked or reduced, an ischemic stroke occurs.
When a blood vessel in the brain leaks or bursts and causes bleeding in the brain, a hemorrhagic stroke occurs.
A stroke is a medical emergency. Getting medical help quickly!

https://www.mayoclinic.org/diseases-conditions/stroke/symptoms-causes/syc-20350113

Where in the Brain does the Stroke occur?

The brain is divided into 3 main areas, depending on where the Stroke is, it may have different effects as also each patient is different. Main brain areas are:
  • Cerebrum (right and left sides or hemispheres)
  • Cerebellum (top and front of the brain)
  • Brainstem (base of the brain)
The best article for further reading:
https://www.hopkinsmedicine.org/health/conditions-and-diseases/stroke/effects-of-stroke

What are the effects of a stroke?

Effects may be:

  • Difficulty with movement or paralysis 
  • Sensory and physical impairments, or inability to localize or recognize body parts
  • Problems with coordination and balance (ataxia)
  • Chewing, swallowing, speech and language
  • Eating and swallowing, bowel and bladder control  
  • Memory and Cognitive issues (thinking, reasoning, judgment), inability to find objects, or locations
  • Headache, Dizziness, Nausea and vomiting
  • Visual problems, and spatial problems with depth perception or directions
  • Emotional and behavioral changes, such as lack of concern about situations, impulsivity, inappropriateness, depression, or denial ("neglect")   
  • Sexual ability
  • Breathing and heart functions
  • Body temperature control
https://www.hopkinsmedicine.org/health/conditions-and-diseases/stroke/effects-of-stroke

How can I prevent a stroke?

Among age, and we all get older, certain medical conditions can increase your risk of stroke. Having them checked and eventually adjusting your lifestyle can help you preventing a stroke:
  • High blood pressure is the single biggest risk factor for stroke. Check your blood pressure regularily
  • Atrial fibrillation can lead to a clot forming in your heart, causing a stroke. If you feel heart arrythmia, speak with your doctor.
  • High cholesterol and Diabetes are further risk factors.
Lifestyle factors as smoking, alcohol, being overweight and eating unhealthy foods can damage your blood vessels, increase your blood pressure and make your blood more likely to clot.
Check also your family history, if a close relative (parent, grandparent, brother or sister) has had a stroke. Speak to your General Practitioner if you have close relatives with stroke or heart attack, as some kinds of high cholesterol can run in families.

Stroke Risk Factors

Risk Factors that you can control account for 82% to 90% of all strokes:
  • High blood pressure
  • Obesity / Physical inactivity
  • Poor diet / Diabetes / High Blood Cholestorol
  • Smoking
Some risk factors are specific to one type of stroke: Blood clots can arise from coronary heart disease, atrial fibrillation, heart valve disease, and carotid artery disease. Bleeding can occur after taking blood thinners.

Further risk factors are based on lifestyle, genetic , and environment.
  • Age is a risk factor, too. A stroke can occur at any age, but the risk is higher for babies under the age of 1 and for adults as they grow older.
  • Anxiety, depression, and high stress levels, as well as working long hours and not having much contact with family, friends, or others outside the home, may raise your risk for stroke.
  • Family history and genetic play a role as well. Your risk of having a stroke is higher if a parent or other family member has had a stroke, particularly at a younger age. Certain genes affect your stroke risk, including those that determine your blood type. People with blood type AB (which is not common) have a higher risk.
  • Living or working in areas with air pollution can also contribute to stroke risk.
  • Other medical conditions, such as sleep apnea, kidney disease, and migraine headaches, are also factors.
  • Other unhealthy lifestyle habits, including drinking too much alcohol, getting too much sleep (more than 9 hours), and using illegal drugs such as cocaine, may raise stroke risk.
  • Sex can play a role in risk for stroke. At younger ages, men are more likely than women to have a stroke. But women tend to live longer, so their lifetime risk of having a stroke is higher. Women who take birth control pills or use hormone replacement therapy are at higher risk. Women are also at higher risk during pregnancy and in the weeks after giving birth. High blood pressure during pregnancy — such as from preeclampsia — raises the risk of stroke later in life.
  • Viral infections or conditions, such as lupus or rheumatoid arthritis, can cause inflammation.
https://www.nhlbi.nih.gov/health/stroke/causes

What therapies are available for post-stroke treatment?

Therapy will depend on each patient's situation, and the rehabilitation plan will change during the recovery process, depending on which part(s) of the body or abilities were affected and the type and severity of damage.

However let's have a look at certain stroke rehabilitation therapies and the variety of specialists involved:

1. Physical Therapy

2. Occupational Therapy is a more task-focused type of training, and therapists work with stroke survivors on practical, real-world, day-to-day tasks such as getting in and out of bed and dressed, eating & drinking, and general walking and climbing of stairs. Occupational therapists also help to improve sensory abilities while ensuring safety in the post-stroke period, such as for personal grooming, preparing meals, and housecleaning.

3. Speech and Swallow Therapy will support you in getting
those skills back, as they require thinking about the action while coordinating muscles of the face, mouth, tongue, and throat. Speech-language pathologists help a person relearn how to use language or develop alternative means of communication, and they also might teach problem-solving and social skills needed to cope with those aftereffects of a stroke. Speech therapy can be focused on understanding words as well as on producing words that others can clearly understand, and usually involves longer practice and repetition. Swallowing problems are usually more of an unpleasant surprise, but can be life threatening, and therapie to improve swallowing starts typically directly in the hospital, eventually by learning the "chin-tuck maneuver" : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4687995/

4. Visual Therapy and balance therapy are often scheduled in combined rehabilitation sessions for stroke survivors, because vision partially relies on good balance and balance partially relies on good vision, and the areas of the brain that control these two functions have to interact.

5. Cognitive Therapy involves interventions that are designed to improve thinking skills and problem-solving abilities, such as using computer-generated and video-game rehabilitation therapy. Stroke survivors who participate in cognitive therapy recover better than stroke survivors who do not. Stroke survivors recovering from a cortical stroke often have more cognitive issues than after recovering from a small vessel subcortical stroke, and left-sided cortical strokes cause different cognitive deficits than right-sided ones.

6. Innovative Physical & New Types of Therapy are including mirror therapy, and electrical therapy, biological therapy, and alternative medicine includes treatments such as massage, yoga, meditation, herbal therapy, acupuncture, music and oxygen therapy. New therapies include Noninvasive brain stimulation, and techniques such as transcranial magnetic stimulation which have been used with some success in a research setting to help improve a variety of motor skills. Biological therapies, such as stem cells, are being investigated, but should only be used as part of a clinical trial. , where results are being evaluated. Research studies show that the use of new and innovative rehabilitative therapies tend to test better on measures of stroke outcomes and usually do not experience negative effects.

7. Psychatrical and Psychological Therapy: Psychologists, and Psychatrists can help with the person’s mental and emotional health and assess cognitive skills, as well as support stress, e.g. with EDMR.

8. Doctors, Physicians & Nurses: Your doctors have the primary responsibility for managing and coordinating the long-term care of you as a stroke survivor, including recommending which rehabilitation programs will best address your individual needs. However, with our experience we like to encourage you to take an active part in this. Doctors supporting often include physiatrists (specialists in physical medicine and rehabilitation), neurologists, internists, geriatricians (specialists in seniors), and family practice physicians. A physician also may recommend medicines to ease pain or treat a condition. Specialized rehabilitation nurses can help a stroke victim relearn the skills needed to carry out the basic activities of daily living. They also provide information about routine health care, such as how to follow a medication schedule, how to care for the skin and manage bladder and bowel issues, how to move out of a bed and into a wheelchair, and special needs for people with diabetes.

9. Job Consultants or Vocational Therapists may support in career counsel, and in helping you in case of residual disabilities to identify vocational strengths and develop résumés that highlight those strengths. They also can help to identify potential employers, assist in specific job searches, and provide referrals to vocational rehabilitation agencies. Usually they work hand in hand with social workers, who can assist with making financial decisions and plan the return home or to a new living place. They also can help plan for care after being discharged from a rehabilitation facility.

https://www.mayoclinic.org/diseases-conditions/stroke/in-depth/stroke-rehabilitation/art-20045172

https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Post-Stroke-Rehabilitation-Fact-Sheet#whatis

https://www.youtube.com/watch?v=2lMtwbj5TTc

What is Physical Therapy (Physiotherapy)

Physical Therapy includes a variety of muscle maneuvers, activities and exercises designed to train the brain and the muscles to work together.  
It uses an approach that builds muscle strength and maintains healthy muscle tone. Nearly any 30-60 min 5-7 days/week physical therapy is effective to improve your mobility, walk at a faster pace, function more independently, and have a better balance, and is usually already initiated in the hospital, shortly after the stroke.
Your physical therapist should be specialized in treating disabilities related to motor and sensory impairments, and be able to help restore physical functioning by evaluating and treating problems with movement, balance, and coordination; and constraint-induced therapy, in which an unaffected limb is immobilized, causing the person to use the affected limb to regain movement and function, but also independence, and quality of life.
Picture: Courtesy to Steven Saltzman, the pictures shows him with his private coach.

What are the MonacoAVC Membership Fees?

Membership is open to citizens, residents, and regulars in Monaco. Regular membership fees are 100 Euro for active members. Health practitioners in Monaco, as well as Doctors are welcome as non-paying and non-voting associated members. 
Monaco AVC avocates for stroke patients, information, and rehabilitation. We are members in the World Stroke Association, and are supporting exchange beyond the borders of Monaco. Our team is working entirely as volunteers. Contact us to hear more about our this year's objectives, our roadmap, and look at our EVENTS page for further information on our meetings. 
Your donations for our cause are very welcome. 

CONTACT

  • Monte-Carlo, Monaco-Ville, Monaco
  • Villa Inzernia Escalier Inzernia

Membership in the MonacoAVC association is open to citizens, residents & regulars in Monaco, committed to supporting MonacoAVC and our vital work. Together we can educate, inspire, and mobilize the community to take action for a better world. Our membership contribution is only 100€. Come join us!


JOIN US

To become a member, please submit the below form, or contact us. The annual membership fee is 100€. Monaco doctors, therapists & health practitioners are welcome to support our organization with a free membership (no voting rights).  Please find information how to pay your membership fee on the DONATE! page.

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News & Articles

Monaco Stroke News

Stroke Prevention

Rehabilitation & Therapie

Stroke Treatments - Acute treatments

Patient Stories

SHARE YOUR PERSONAL STORY

SHARE YOUR PERSONAL STORY image
Telling your personal story can help you as we say: "shared pain is half of the pain"

Sharing your story has the potential to help someone else feel less alone. Knowing more pain-points can help the Monaco AVC association to challenge the status quo, raise awareness for prevention, and necessary rehabilitation for stroke patients.

Join one of our meetings, join our WhatsApp group, and please also don’t hesitate to contact the Monaco AVC President, Steven Saltzman personally and share your story: Tel. +33 6 78 63 98 22

THERAPY & RESOUCES

This is not an exhaustive overview. Please ask your practitioner for advise on your specific situation.

Occupational Therapy

Occupational Therapy is a more task-focused type of training, and therapists work with stroke survivors on practical, real-world, day-to-day tasks such as getting in and out of bed and dressed, eating & drinking, and general walking and climbing of stairs. It usually starts directly in the hospital on Day 2 or 3.

Learn More

Speech and Swallow Therapy

Speech and Swallow Therapy will support you in getting those skills back as swallowing is equally important for breathing, coughing, speaking as it is for drinking and eating.

Learn More

Visual and Balance Therapy

Visual Therapy and Balance Therapy are often scheduled in combined rehabilitation sessions for stroke survivors, because vision partially relies on good balance and balance partially relies on good vision, and the areas of the brain that control these two functions have to interact.

Learn More

Cognitive Therapy

Cognitive Therapy involves interventions that are designed to improve thinking skills and problem-solving abilities.

Learn More

Yoga & Meditation

Yoga and meditation can aid in stroke prevention and rehabilitation by improving physical functions like balance and strength, boosting cognitive abilities, and reducing stress. They are particularly effective as an adjunct therapy, helping to enhance neuroplasticity, which is the brain's ability to adapt and form new connections after damage. Specific benefits include improved mobility, flexibility, circulation, and a greater sense of independence for stroke survivors.

Article: 5 benefits of Yoga

DMSO Dimethyl Sulfoxide Therapie

A new alternative therapy provides promising results with machines that will reverse strokes. It may will take about one month with one-two hours per day of expensive treatment of about £300 per session: Currently offered in two UK clinics in the UK (Battersea and Optimal Health). We are not providing recommendation on that as an association. We are only informing about what is publicly available. Please consult your practitioner on the above.

Article: Information on DMSO Therapy

Further Therapy Forms in Post-Stroke Rehabilitation

New types of therapy are evolving, like Innovative Physical Therapy, EMDR, Mirror Therapy, Electrical Therapy, Therapy Dogs and Music Therapy.

Micro Osteo Digital Treatment

Digital Micro-Osteo is a non-manipulative manual therapeutic method. Initiated by Doctor Maurice Poyet in France towards the late 70s, it is a blend between Chinese energy therapy and the rules of osteopathy based on the Primary Respiratory Mechanism (PRM) or “breath of life”. https://microosteo.fr/ https://seednurture.com/en/ https://classic.clinicaltrials.gov/ct2/show/NCT04845269 Available in Menton, Cote d'Azur: Philippe Bagnol +33 6 19 76 20 59 Addresse: Espace Neona 32, Rue de la République, 06500 Menton

Fragile Suisse

FRAGILE Suisse is the Swiss patient organisation for people with strokes and their relatives, and supported us personally. They are offering a wide range of services with eleven regional associations in Switzerland: https://www.fragile.ch

Learn More

USEFUL ADRESSES

 MonacoAVC is a patient organization committed to supporting individuals through information exchange and community engagement. We do not recommend, endorse, or promote any specific medical treatments, therapies, or healthcare providers. The addresses and contacts shared through our network are based solely on the personal experiences of our members and other Monaco patients. This information is provided for general informational purposes only. We strongly advise all patients to consult their qualified physicians or healthcare professionals before starting or modifying any treatment, therapy, or healthcare program. 

MonacoAVC - IMPORTANT DISCLAIMER
 

 Osteopathy is a drug-free, noninvasive manual therapy. It aims to improve overall health across all body systems by manipulating and strengthening the musculoskeletal framework. Neona accompagnies you towards a better balance. 

Espace Neona Micro Osteo Therapy Neona
         

 A very high tech outpatient cardiology clinic, offering prevention, diagnosis, treatment & rehabilitation, in a gentle and efficient way, and in a familiar environment. 

Cardiance Clinic Outpatient Cardiology Clinic in Switzerland Cardiance Clinic