
Lifestyle & Prevention
A Day in the Life: Neurosurgery Residents
The sun is still asleep when neurosurgery residents arrive at Carilion Roanoke Memorial Hospital. “I usually get in around 5:30 - 6 in the morning,” s...
Lisa Apfel, M.D.Neurosurgery"In pediatric neurosurgery, our commitment is to provide compassionate and precise care, ensuring each child's unique needs are met with expertise, empathy, and unwavering dedication to their well-being."

Ventriculostomy, or shunt, is a neurosurgical procedure that involves creating a hole within a cerebral ventricle for drainage. It is most commonly performed on those with hydrocephalus. It is done by surgically penetrating the skull, dura mater, and brain such that the ventricular system ventricle of the brain is accessed.

This alternative surgical procedure creates a bypass for the cerebrospinal fluid in the head that eliminates the need for a shunt. It is helpful only to people with hydrocephalus caused by a blockage of the flow of cerebrospinal fluid.

Ventriculostomy, or shunt, is a neurosurgical procedure that involves creating a hole within a cerebral ventricle for drainage. It is most commonly performed on those with hydrocephalus. It is done by surgically penetrating the skull, dura mater, and brain such that the ventricular system ventricle of the brain is accessed.

This alternative surgical procedure creates a bypass for the cerebrospinal fluid in the head that eliminates the need for a shunt. It is helpful only to people with hydrocephalus caused by a blockage of the flow of cerebrospinal fluid.

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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Our Hydrocephalus team includes specialists in skull-base neurosurgery, spine neurosurgery and pediatric neurosurgery. 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 Hydrocephalus location
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Call 540-224-5170