Cerebrovascular & Endovascular Neurosurgery
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.
Areas of Focus
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.
A weak spot on a brain blood vessel that can balloon and, in some cases, rupture. Treated with microsurgical clipping or endovascular coiling.
Learn more →Abnormal tangles of arteries and veins (AVMs) and dural fistulas that can bleed. Managed with surgery, embolization, or radiosurgery.
Learn more →Rapid, time-critical treatment of ischemic and hemorrhagic stroke, including mechanical thrombectomy to restore blood flow to the brain.
Learn more →Narrowing of the carotid arteries that supply the brain, treated with carotid stenting or endarterectomy to reduce stroke risk.
Learn more →Cervical and lumbar disc herniations, spinal stenosis, and spondylolisthesis — addressed with both conservative and surgical options.
Learn more →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
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.
Watch & Learn
Plain-English guides for patients and families, and short answers to the questions people actually ask — straight from the operating surgeon.
What happens in the hospital after a rupture, what the team is watching for, and the questions families should ask.
The First 72 Hours After a Brain Aneurysm RupturesAneurysms · 12 min
You Have a Brain Aneurysm. Do You Actually Need Surgery?Aneurysms · 10 min
What a TIA Actually Means (And Why It’s an Emergency)Stroke · 9 min
The First Hour of Stroke TreatmentStroke · 11 min
How a Stroke Clot Is Removed Without SurgeryStroke · 9 min
How to Read Your Own Brain MRI ReportImaging · 9 min
Brain Scans Explained: CT, CTA, MRI, MRA and AngiogramImaging · 7 min
Shorts
7.1 earthquake during surgery
What does a brain actually feel like?
Can you survive without part of your brain?
The headache that means call 911
POV: weekend on call
Why some brain surgery is done awake
In the News
“It was deep in his brain… that needed to be fixed emergently,” said Dr. Dalyai.
Why patients should not delay emergency care for stroke symptoms and other serious conditions.
Coverage of regional stroke readiness and access to timely neurological care.
Patient Reviews
“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.”
“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!!!”
Reviews shown verbatim from publicly posted Google reviews.
Areas Served
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.
The Dalyai Newsletter
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