Cerebrovascular & Endovascular Neurosurgery

Expert care for the brain’s most complex vascular conditions.

Dr. Richard Dalyai is a board-certified cerebrovascular and endovascular neurosurgeon and Surgical Director of Stroke in Greenville, North Carolina — treating brain aneurysms, AVMs, stroke, and carotid disease with both minimally invasive and open techniques.

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ABNS

Board certified

37+

Peer-reviewed publications

Stroke

Surgical Director

Richard T. Dalyai, MD Vascular Neurosurgeon · Greenville, NC

Areas of Focus

Conditions Dr. Dalyai treats

Clear, patient-friendly explanations of the vascular conditions of the brain and spine — what they are, why they matter, and how they’re treated today.

Brain Aneurysms

A weak spot on a brain blood vessel that can balloon and, in some cases, rupture. Treated with microsurgical clipping or endovascular coiling.

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AVMs & Fistulas

Abnormal tangles of arteries and veins (AVMs) and dural fistulas that can bleed. Managed with surgery, embolization, or radiosurgery.

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Stroke

Rapid, time-critical treatment of ischemic and hemorrhagic stroke, including mechanical thrombectomy to restore blood flow to the brain.

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Carotid Disease

Narrowing of the carotid arteries that supply the brain, treated with carotid stenting or endarterectomy to reduce stroke risk.

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Spinal Conditions

Cervical and lumbar disc herniations, spinal stenosis, and spondylolisthesis — addressed with both conservative and surgical options.

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Patient FAQ

Answers to the questions patients and families ask most often — about surgery, recovery, imaging follow-up, driving, and more.

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About Dr. Dalyai

One of North Carolina’s leading cerebrovascular neurosurgeons

Dr. Richard Dalyai completed his neurosurgery residency and cerebrovascular fellowship at Thomas Jefferson University Hospital. He serves as Director of Vascular Neurosciences and Surgical Director of Stroke for ECU Health, bringing both open microsurgical and minimally invasive endovascular expertise to complex neurovascular care.

Board certified by the American Board of Neurological Surgery
Fellowship-trained in endovascular & cerebrovascular neurosurgery
Treats both adults and children with vascular conditions
Skilled in microsurgical and minimally invasive techniques
Committed to patient education and stroke awareness

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Watch & Learn

Educational & operative videos

Short, approachable explanations of brain and vascular conditions — straight from the operating surgeon.

Educational

Understanding Brain Aneurysms

What an aneurysm is, who’s at risk, and when treatment is recommended.

Stroke

Recognizing Stroke — Act FAST

The warning signs of stroke and why every minute matters.

Operative

How We Treat AVMs

A look at the modern, multi-modality treatment of brain AVMs.

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In the News

Stories & media coverage

Patient Story

Brain hemorrhage threatens 8-year-old boy’s recovery

“It was deep in his brain… that needed to be fixed emergently,” said Dr. Dalyai.

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Health News

Providers stress need to seek care

Why patients should not delay emergency care for stroke symptoms and other serious conditions.

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Stroke Care

Vidant North designated as primary stroke center

Coverage of regional stroke readiness and access to timely neurological care.

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Patient Reviews

What patients are saying

★★★★★

“my mom loves her some Dr. Dalyai! And me too. He coiled AND THEN clipped her aneurysm successfully. We thank God for sending us a neurosurgeon with such skill.”

SLS.L. · Google review

★★★★★

“Amazing Doctor and person!! His blessed hands definitely saved my life!! Can’t thank him enough for all that he’s done for me!! I Love Dr. Dalyai!!!”

TLT.L. · Google review

Reviews shown verbatim from publicly posted Google reviews.

Areas Served

Serving all of Eastern North Carolina

Based at ECU Health Medical Center in Greenville — the region’s academic medical center and only Level I trauma center — Dr. Dalyai cares for patients across ECU Health’s 29-county service area.

Greenville Washington New Bern Kinston Jacksonville Rocky Mount Wilson Goldsboro Tarboro Elizabeth City Ahoskie Edenton Williamston Morehead City Roanoke Rapids Outer Banks

The Dalyai Newsletter

Insights on the brain, stroke, and vascular health

Join patients, families, and colleagues who receive Dr. Dalyai’s articles and updates — clear writing on neurosurgery topics, delivered occasionally and never spammy.

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