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Facial Pain Treatment

Skilled in treating Trigeminal Neuralgia with long lasting relief.

Deep Brain Stimulation

Dr. Witcher uses DBS to regulate signals in the brain that cause tremors and greatly reduce symptoms.

Epilepsy Expertise

Prestigious Level 4 Epilepsy Monitoring Unit accreditation by the National Association of Epilepsy Centers (NAEC) at Carilion Roanoke Memorial Hospital.

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Facial Pain Treatment

Skilled in treating Trigeminal Neuralgia with long lasting relief.

Deep Brain Stimulation

Dr. Witcher uses DBS to regulate signals in the brain that cause tremors and greatly reduce symptoms.

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  • Atypical Facial Pain
  • Benign Tremor
  • Dystonia
  • Essential Tremor and Familial Tremor
  • Generalized Epilepsy
  • Lesional and Non-Lesional Epilepsy
  • Pain Disorders
  • Parkinson's Disease
  • Radiculopathy
  • Stroke Paralysis
  • Temporal Lobe Epilepsy
  • TGN Facial Pain
  • Trigeminal Neuralgia
Shining a light on excellence

Physician Spotlight

Mark Witcher, MD, PhDMark 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

Deep Brain Stimulation

DBS surgery implants a neurostimulator and electrodes which sends electrical impulses to targets in the brain responsible for movement control. 

Focused Ultrasound

Focused Ultrasound

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.

LITT

Laser Interstitial Thermal Therapy (LITT)

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.

Meet ROSA

Robotic Surgery

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.

Image of an x-ray

Vagus Nerve Stimulation (VNS)

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.

Facial pain

Facial Pain Treatment

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

Deep Brain Stimulation

DBS surgery implants a neurostimulator and electrodes which sends electrical impulses to targets in the brain responsible for movement control. 

Focused Ultrasound

Focused Ultrasound

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.

LITT

Laser Interstitial Thermal Therapy (LITT)

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.

Meet ROSA

Robotic Surgery

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.

Image of an x-ray

Vagus Nerve Stimulation (VNS)

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.

Facial pain

Facial Pain Treatment

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.

Team of doctors

Established

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

Brain icon

Specialized

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

State of Virginia

Experienced

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

Microscope

Innovative

Regional leader in neurosurgical research and clinical trials.

Team of doctors

Established

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

Brain icon

Specialized

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

State of Virginia

Experienced

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

Microscope

Innovative

Regional leader in neurosurgical research and clinical trials.

Learn about your diagnosis and symptoms

Patient Education

Carilion Clinic believes that education empowers patients to take an active role in their health. Patients and families can learn more about medical conditions and healthy living to better care for themselves.

Glossary of Terms

Neurological Condition Definitions

Understanding Medical Terms

This page includes definitions of commonly used medical terms related to the brain, spine and related diagnosis. Health information is provided by the American Association of Neurological Surgeons.

Essential Tremor

Learn about Incisionless Treatment for Essential Tremor

Incisionless Treatment

Essential tremor is a neurological condition that causes shaking of the hands, head and voice, but it can also cause legs and trunk to shake. Some people even have a feeling of internal tremor. Focused ultrasound is an incisionless treatment for essential tremor patients who have not responded to medication. Patients typically return home the same or next day following the procedure with immediate results.

Paired VNS Therapy

Arm and Hand Restoration After Stroke

Return to Daily Activities You Once Enjoyed

Stroke survivors can now achieve enhanced arm and hand functionality, even years after a stroke. By combining physical therapy with vagus nerve stimulation (VNS), ischemic stroke recovery patients can experience two to three times greater improvement in hand and arm function compared to therapy alone.

Parkinson's Disease

Movement Disorder

Surgical Option for Treatment

Parkinson’s Disease is a progressive neurodegenerative disorder that affects movement. It is characterized by the gradual loss of dopamine-producing neurons, a neurotransmitter that plays a crucial role in coordinating smooth and controlled muscle movements. In advanced cases, where medications alone are insufficient, surgical interventions like deep brain stimulation (DBS) may be considered.

Patient Stories

Joe Santos

To have someone say they could take away 80% of my tremor… it was like a miracle."

Joe Santos

, Focused Ultrasound, Neurosurgery

An Epilepsy Journey

[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

Meet Our Team

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.

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Your surgeon will talk to you about your diagnosis, surgical options and answer your questions.

Carilion Clinic Neurosurgery is a top destination regionally for treating degenerative spine and disc injury, spinal fracture/dislocation and brain injury.

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  • Atypical Facial Pain
  • Benign Tremor
  • Dystonia
  • Essential Tremor and Familial Tremor
  • Generalized Epilepsy
  • Lesional and Non-Lesional Epilepsy
  • Pain Disorders
  • Parkinson's Disease
  • Radiculopathy
  • Stroke Paralysis
  • Temporal Lobe Epilepsy
  • TGN Facial Pain
  • Trigeminal Neuralgia

Conditions Treated

  • Atypical Facial Pain
  • Benign Tremor
  • Dystonia
  • Essential Tremor and Familial Tremor
  • Generalized Epilepsy
  • Lesional and Non-Lesional Epilepsy
  • Pain Disorders
  • Parkinson's Disease
  • Radiculopathy
  • Stroke Paralysis
  • Temporal Lobe Epilepsy
  • TGN Facial Pain
  • Trigeminal Neuralgia

Treatment Options

  • Deep Brain Stimulation
  • Epilepsy Surgery
  • Focused Ultrasound
  • Intracranial Laser Ablation
  • Microvascular decompression
  • NeuroPace Responsive Neurostimulation for Epilepsy
  • Robot-Assisted Neurosurgery
  • Spinal Cord Stimulation
  • Stereotactic Radiosurgery/CyberKnife
  • Vagus Nerve Stimulation (VNS)
Shining a light on excellence

Physician Spotlight

Mark Witcher, MD, PhDMark 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

Deep Brain Stimulation

DBS surgery implants a neurostimulator and electrodes which sends electrical impulses to targets in the brain responsible for movement control. 

Focused Ultrasound

Focused Ultrasound

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.

LITT

Laser Interstitial Thermal Therapy (LITT)

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.

Meet ROSA

Robotic Surgery

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.

Image of an x-ray

Vagus Nerve Stimulation (VNS)

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.

Facial pain

Facial Pain Treatment

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

Deep Brain Stimulation

DBS surgery implants a neurostimulator and electrodes which sends electrical impulses to targets in the brain responsible for movement control. 

Focused Ultrasound

Focused Ultrasound

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.

LITT

Laser Interstitial Thermal Therapy (LITT)

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.

Meet ROSA

Robotic Surgery

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.

Image of an x-ray

Vagus Nerve Stimulation (VNS)

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.

Facial pain

Facial Pain Treatment

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.

Team of doctors

Established

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

Brain icon

Specialized

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

State of Virginia

Experienced

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

Microscope

Innovative

Regional leader in neurosurgical research and clinical trials.

Learn about your diagnosis and symptoms

Patient Education

Carilion Clinic believes that education empowers patients to take an active role in their health. Patients and families can learn more about medical conditions and healthy living to better care for themselves.

Glossary of Terms

Neurological Condition Definitions

Understanding Medical Terms

This page includes definitions of commonly used medical terms related to the brain, spine and related diagnosis. Health information is provided by the American Association of Neurological Surgeons.

Essential Tremor

Learn about Incisionless Treatment for Essential Tremor

Incisionless Treatment

Essential tremor is a neurological condition that causes shaking of the hands, head and voice, but it can also cause legs and trunk to shake. Some people even have a feeling of internal tremor. Focused ultrasound is an incisionless treatment for essential tremor patients who have not responded to medication. Patients typically return home the same or next day following the procedure with immediate results.

Paired VNS Therapy

Arm and Hand Restoration After Stroke

Return to Daily Activities You Once Enjoyed

Stroke survivors can now achieve enhanced arm and hand functionality, even years after a stroke. By combining physical therapy with vagus nerve stimulation (VNS), ischemic stroke recovery patients can experience two to three times greater improvement in hand and arm function compared to therapy alone.

Parkinson's Disease

Movement Disorder

Surgical Option for Treatment

Parkinson’s Disease is a progressive neurodegenerative disorder that affects movement. It is characterized by the gradual loss of dopamine-producing neurons, a neurotransmitter that plays a crucial role in coordinating smooth and controlled muscle movements. In advanced cases, where medications alone are insufficient, surgical interventions like deep brain stimulation (DBS) may be considered.

Patient Education

Carilion Clinic believes that education empowers patients to take an active role in their health. Patients and families can learn more about medical conditions and healthy living to better care for themselves.

Glossary of Terms

accordion-minusaccordion symbol minus

Neurological Condition Definitions

Understanding Medical Terms

This page includes definitions of commonly used medical terms related to the brain, spine and related diagnosis. Health information is provided by the American Association of Neurological Surgeons.

Essential Tremor

accordion-plusaccordion symbol plus

Learn about Incisionless Treatment for Essential Tremor

Incisionless Treatment

Essential tremor is a neurological condition that causes shaking of the hands, head and voice, but it can also cause legs and trunk to shake. Some people even have a feeling of internal tremor. Focused ultrasound is an incisionless treatment for essential tremor patients who have not responded to medication. Patients typically return home the same or next day following the procedure with immediate results.

Paired VNS Therapy

accordion-plusaccordion symbol plus

Arm and Hand Restoration After Stroke

Return to Daily Activities You Once Enjoyed

Stroke survivors can now achieve enhanced arm and hand functionality, even years after a stroke. By combining physical therapy with vagus nerve stimulation (VNS), ischemic stroke recovery patients can experience two to three times greater improvement in hand and arm function compared to therapy alone.

Parkinson's Disease

accordion-plusaccordion symbol plus

Movement Disorder

Surgical Option for Treatment

Parkinson’s Disease is a progressive neurodegenerative disorder that affects movement. It is characterized by the gradual loss of dopamine-producing neurons, a neurotransmitter that plays a crucial role in coordinating smooth and controlled muscle movements. In advanced cases, where medications alone are insufficient, surgical interventions like deep brain stimulation (DBS) may be considered.

Patient Stories

Joe Santos

To have someone say they could take away 80% of my tremor… it was like a miracle."

Joe Santos

, Focused Ultrasound, Neurosurgery

An Epilepsy Journey

[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

Patient Stories

Joe Santos
play-buttonplay-button in super-specialty-patient-stories

To have someone say they could take away 80% of my tremor… it was like a miracle.

Joe Santos

, Focused Ultrasound, Neurosurgery

An Epilepsy Journey
play-buttonplay-button in super-specialty-patient-stories

[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

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Meet Our Team

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.

cta-link-iconcta-section link icon Contact us
left-arrowleft-arrow section-slider

Your surgeon will talk to you about your diagnosis, surgical options and answer your questions.

Carilion Clinic Neurosurgery is a top destination regionally for treating degenerative spine and disc injury, spinal fracture/dislocation and brain injury.

right-arrowright-arrow section-slider
stock illustration of brain neurons
Physical Conditions
New Hope for Epilepsy Patients

When epilepsy doesn't respond to medications, patients look to surgical procedures for help. Carilion Clinic's Institute for Orthopaedics and Neuro...

Carilion Clinic Neurosurgery
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A Day in the Life: Neurosurgery Residents

“We have a list of our patients that we have to see, that are eitherpre-opsor post-ops or trauma patients.Just kind of a variety and we split the list...

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Research & Development
Diabetes Research Offers Immediate and Long-Term Benefits

Type 2 diabetes is a serious chronic illness that is on the rise worldwide. In the U.S., more than one in every 10 adults has diabetes—in seniors that...

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Research & Development
STARBURST Study Could Transform Cancer Care

The history of cancer research has resulted in steady improvements in diagnostics, treatments and outcomes for patients throughout the decades. Wit...

historical photo of Carilion Clinic nurse checking on an infant using an Arp respirator
Research & Development
Research at Carilion: Looking Back, Leaping Forward

If you’ve been paying attention to the news and your social media pages lately, you’ve probably noticed a lot of buzz about clinical research at Caril...

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Browse a range of Health & Wellness content: articles, videos and more developed by Carilion’s experts to inform, inspire and empower you toward better health.

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