
Physical Conditions
New Hope for Epilepsy Patients
Epilepsy doesn't always respond to medications. Carilion is one of few U.S. hospitals that offer deep brain stimulation (DBS) for epilepsy. Th...
Mark Witcher, MD, PhDCranial and Functional Neurosurgery"Patients impacted by movement disorders, chronic pain disorders and epilepsy often find their quality of life tremendously affected. By providing world-class, personalized treatments, we can help them reclaim the most important aspects of their lives."
DBS surgery implants a neurostimulator and electrodes which sends electrical impulses to targets in the brain responsible for movement control.

Carilion Clinic Neurosurgery offers focused ultrasound--an incisionless treatment for essential tremor and tremor-dominant Parkinson's disease patients who have not responded to medication. Patients typically return home the same or next day following the procedure with immediate results.

Laser interstitial thermal therapy (LITT) is a minimally invasive surgical technique that uses a small laser to destroy unhealthy brain tissue. It can be an effective treatment option for recurrent brain tumors, radiation necrosis, and tumors that form deep within the brain. It is also used to treat certain types of epilepsy.

ROSA, the Robotic Surgical Assistant, allows neurosurgeons to treat multiple conditions using the most advanced technology for minimally invasive procedures. ROSA is routinely used for functional and stereotactic neurosurgery, endoscopic surgery and open skull procedures.

Vagus Nerve Stimulation (VNS), a small device similar to a pacemaker, is implanted under the skin in the chest area. A lead wire is attached to the vagus nerve in the neck and connected to the device. The device is programmed to deliver regular electrical impulses to the vagus nerve. It is used to treat epilepsy, depression, and arm and hand function restoration after a stroke.

Microvascular decompression is an operation that can help relieve trigeminal neuralgia pain without intentionally damaging the trigeminal nerve. The procedure relieves the pressure placed on the trigeminal nerve by blood vessels that are touching the nerve or are wrapped around it. Side effects may include tingling or numbness in the face though this is usually mild and temporary.
DBS surgery implants a neurostimulator and electrodes which sends electrical impulses to targets in the brain responsible for movement control.

Carilion Clinic Neurosurgery offers focused ultrasound--an incisionless treatment for essential tremor and tremor-dominant Parkinson's disease patients who have not responded to medication. Patients typically return home the same or next day following the procedure with immediate results.

Laser interstitial thermal therapy (LITT) is a minimally invasive surgical technique that uses a small laser to destroy unhealthy brain tissue. It can be an effective treatment option for recurrent brain tumors, radiation necrosis, and tumors that form deep within the brain. It is also used to treat certain types of epilepsy.

ROSA, the Robotic Surgical Assistant, allows neurosurgeons to treat multiple conditions using the most advanced technology for minimally invasive procedures. ROSA is routinely used for functional and stereotactic neurosurgery, endoscopic surgery and open skull procedures.

Vagus Nerve Stimulation (VNS), a small device similar to a pacemaker, is implanted under the skin in the chest area. A lead wire is attached to the vagus nerve in the neck and connected to the device. The device is programmed to deliver regular electrical impulses to the vagus nerve. It is used to treat epilepsy, depression, and arm and hand function restoration after a stroke.

Microvascular decompression is an operation that can help relieve trigeminal neuralgia pain without intentionally damaging the trigeminal nerve. The procedure relieves the pressure placed on the trigeminal nerve by blood vessels that are touching the nerve or are wrapped around it. Side effects may include tingling or numbness in the face though this is usually mild and temporary.

Neurosurgeons work closely with interventional radiologists, neurologists, oncologists and staff. Specialists contribute expertise in brain anatomy, skull base pathology, imaging, neurological function and oncological considerations.


Our skilled team of neurosurgeons, neurologists and other specialists work collaboratively to diagnose and treat patients of all ages.

State-of-the-art expertise in treating brain tumors, spinal disorders, cancers, vascular issues and other complex neurological conditions.

1st in VA to offer deep brain stimulation for epilepsy, and 1st in VA to implant a Vagal Nerve Stimulator for depression treatment.

Regional leader in neurosurgical research and clinical trials.

Our skilled team of neurosurgeons, neurologists and other specialists work collaboratively to diagnose and treat patients of all ages.

State-of-the-art expertise in treating brain tumors, spinal disorders, cancers, vascular issues and other complex neurological conditions.

1st in VA to offer deep brain stimulation for epilepsy, and 1st in VA to implant a Vagal Nerve Stimulator for depression treatment.

Regional leader in neurosurgical research and clinical trials.
Learn about your diagnosis and symptoms
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Experts leading the way with

To have someone say they could take away 80% of my tremor… it was like a miracle."
Joe Santos
, Focused Ultrasound, Neurosurgery

[Following surgery] I haven't had any seizures that I had to pray about. I don't feel as worried as before."
Chelsey Mayew
, Functional Neurosurgery
Our Functional Neurosurgery team includes specialists in neurosurgery, neurology, neuroradiology and neuropsychology. Nurse practitioners and other care team members carefully coordinate related tests and appointments to ensure seamless care for our patients.
Contact usTo schedule an appointment at a Functional Neurosurgery location
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Call 540-224-5170