
Physical Conditions
Improving Stroke Outcomes With Technology
Know the signs and see how Carilion Clinic's stroke response team is making better outcomes possible.

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.

DBS uses a surgically implanted medical device, similar to a cardiac pacemaker, to deliver carefully controlled electrical stimulation to precisely targeted areas in the brain. The procedure can be used to treat multiple conditions. Dr. Witcher is the first surgeon in VA to offer DBS for Epilepsy.
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DBS uses a surgically implanted medical device, similar to a cardiac pacemaker, to deliver carefully controlled electrical stimulation to precisely targeted areas in the brain. The procedure can be used to treat multiple conditions. Dr. Witcher is the first surgeon in VA to offer DBS for Epilepsy.
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Spine neurosurgery focuses on the diagnosis and treatment of conditions affecting the spine and spinal cord. Surgical interventions address herniated discs, spinal deformities, tumors, trauma and other disorders which can help to alleviate pain and restore function.
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Spine neurosurgery focuses on the diagnosis and treatment of conditions affecting the spine and spinal cord. Surgical interventions address herniated discs, spinal deformities, tumors, trauma and other disorders which can help to alleviate pain and restore function.
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Neurosurgical Oncology focuses on the surgical treatment of tumors affecting the nervous system, including the brain and spinal cord. This field often involves collaboration with other medical disciplines, such as oncology and radiation therapy, to provide comprehensive care.
Meet our experts
Neurosurgical Oncology focuses on the surgical treatment of tumors affecting the nervous system, including the brain and spinal cord. This field often involves collaboration with other medical disciplines, such as oncology and radiation therapy, to provide comprehensive care.
Meet our experts
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.
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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.
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Common cerebrovascular issues such as aneurysms and arteriovenous malformations can lead to stroke or other neurological complications. Surgical techniques such as microvascular surgery, endovascular procedures, and other approaches repair or manage vascular issues in the brain and spinal cord.
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Common cerebrovascular issues such as aneurysms and arteriovenous malformations can lead to stroke or other neurological complications. Surgical techniques such as microvascular surgery, endovascular procedures, and other approaches repair or manage vascular issues in the brain and spinal cord.
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Learn about our comprehensive pediatric neurosurgical procedures. Advanced technology allows for less invasive procedures to treat conditions and malformations in the brain and spine leading to less pain and shorter recovery time.
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Learn about our comprehensive pediatric neurosurgical procedures. Advanced technology allows for less invasive procedures to treat conditions and malformations in the brain and spine leading to less pain and shorter recovery time.
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Skull-base neurosurgery involves procedures performed on the brain and nervous system to treat conditions or injuries. Surgeries range from minor procedures, such as removing a tumor to intricate operations like brain mapping for epilepsy or deep brain stimulation for Parkinson's disease.
Explore options for care
Skull-base neurosurgery involves procedures performed on the brain and nervous system to treat conditions or injuries. Surgeries range from minor procedures, such as removing a tumor to intricate operations like brain mapping for epilepsy or deep brain stimulation for Parkinson's disease.
Explore options for care
Experts collaborate seamlessly to deliver comprehensive care for patients with neurological conditions. Neurosurgeons, neurologists, neuroradiologists, anesthetists, nurses, research scientists and support staff bring unique skills and perspectives regarding complex neurological disorders.
Meet our team
Experts collaborate seamlessly to deliver comprehensive care for patients with neurological conditions. Neurosurgeons, neurologists, neuroradiologists, anesthetists, nurses, research scientists and support staff bring unique skills and perspectives regarding complex neurological disorders.
Meet our teamYour care is elevated by innovative
Our award-winning neurosurgery team integrates diverse expertise, fosters innovation and demonstrates exceptional patient outcomes through exceptional surgical interventions and comprehensive care approach.
Earning national recognition demonstrates our ongoing commitment to clinical excellence.





It never crossed my mind that it could be a brain tumor. After the initial shock wore off, I knew that I was in good hands here because I knew everybody. "
Elizabeth Lindsey
, Pituitary Tumor, Neurosurgery

To have someone say they could take away 80% of my tremor… it was like a miracle."
Joe Santos
, Focused Ultrasound, Neurosurgery
Andjenica Pierre's spina bifida was so severe she could only crawl prior to surgery. Lisa Apfel, M.D., is the neurosurgeon who has given Andjenica and her foster family hope for her future."
Care Team of Andjenica Pierre
, Pediatric Neurosurgery
Carilion Clinic has a long history of caring for the neurosurgical health of our patients and our communities across southwest Virginia.

Gary Simonds, M.D., led eight board-certified neurosurgeons, one board-eligible neurosurgeon, six resident neurosurgeons, six specialized physician assistants and five nurse practitioners.

The team launched a seven year residency training program to educate neurosurgeons of the future. One applicant is accepted each year.

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