For Referring Physicians

Streamlined referrals for cerebrovascular care

Thank you for the trust you place in us when referring your patients. Our team is committed to prompt consultation, clear communication, and returning care to you once neurosurgical needs are addressed.

How It Works

Prompt access, clear communication

For urgent or emergent cases — ruptured or symptomatic aneurysms, acute stroke, intracranial hemorrhage — Dr. Dalyai and the ECU Health neurovascular team are reachable 24/7 through the ECU Health Transfer Center, staffed by registered nurses who coordinate provider consults and transfer to the appropriate level of care.

For elective referrals, the ECU Health Neurosurgery & Spine Center schedules patients promptly. After your patient is seen, you can expect timely consultation notes with findings and recommendations, direct communication on complex cases, coordination with your office on follow-up, and return of the patient to your care when neurosurgical needs are complete.

Physician-to-physician questions about whether a referral is appropriate are always welcome — reach out via the clinic or Transfer Center and ask for Dr. Dalyai.

Referral contacts

Urgent / 24-71-800-816-7264 · 252-847-7777
ECU Health Transfer Center — ask for the neurovascular team / Dr. Dalyai
Clinic252-847-1550
ECU Health Neurosurgery & Spine Center
Address2325 Stantonsburg Rd
Greenville, NC 27834
Emailinfo@drdalyai.com
General questions only — please do not send PHI. Records and imaging are exchanged through ECU Health’s secure channels.
HospitalECU Health Medical Center
Comprehensive Stroke Center · Level I Trauma Center

When to Refer

Urgent, routine, and second-opinion referrals

Urgent

  • Symptomatic or ruptured aneurysm
  • Acute stroke symptoms — large-vessel occlusion
  • Intracranial hemorrhage
  • New or rapidly progressive neurological deficits
  • Symptomatic high-grade carotid stenosis

Routine

  • Incidental unruptured aneurysm
  • Known AVM or dural fistula for treatment planning
  • Asymptomatic carotid stenosis evaluation
  • Pediatric vascular anomalies
  • Cervical or lumbar spine conditions

Second opinions

  • Complex aneurysm treatment planning
  • Open vs. endovascular approach questions
  • Failed or recurrent prior treatment
  • Rare cerebrovascular conditions

About the second-opinion process →

Background

Dual-trained, open and endovascular

Dr. Dalyai completed his neurosurgery residency and an enfolded fellowship in endovascular & cerebrovascular neurosurgery at Thomas Jefferson University Hospital. He is board certified by the American Board of Neurological Surgery, has authored 37+ peer-reviewed publications, and serves as Director of Vascular Neurosciences and Surgical Director of Stroke for ECU Health.

Because he practices both open microsurgery and endovascular techniques, your patients receive a balanced recommendation across the full range of treatment options — clipping and coiling, flow diversion, embolization, thrombectomy, carotid stenting and endarterectomy — rather than a single-modality view.

Full biography & credentials

Dr. Dalyai with the procedural team