RDRichard Dalyai, MDVascular Neurosurgery

Second Opinion

Expert perspective when the decision matters most

A neurosurgical diagnosis is life-changing. A second opinion can confirm your diagnosis, surface options you haven’t been offered, and give you confidence in whatever path you choose.

Why a Second Opinion

Clarity, options, and peace of mind

Cerebrovascular conditions rarely have a single “right” answer. An unruptured aneurysm may be treated with clipping, coiling, flow diversion — or safely observed. Because Dr. Dalyai practices both open microsurgery and endovascular techniques, his recommendation is not tied to any one modality.

  • Confirm the diagnosis and review your imaging directly
  • Understand every available treatment option — including observation
  • Learn about newer approaches you may not have been offered
  • Make an informed decision with confidence, with no obligation to transfer care

Conditions reviewed

  • Brain aneurysms — ruptured and unruptured
  • Arteriovenous malformations (AVMs)
  • Dural arteriovenous fistulas
  • Carotid stenosis & intracranial atherosclerosis
  • Prior stroke or hemorrhage requiring further treatment
  • Pediatric cerebrovascular conditions
  • Complex or previously treated cerebrovascular cases

How It Works

A simple, secure process

1. Request a consultation

Call the ECU Health Neurosurgery & Spine Center at 252-847-1550 and ask about a second-opinion consultation with Dr. Dalyai. Your physician can also refer you directly.

2. Share your records

The clinic will guide you through securely sending your imaging (MRI, CT, angiogram) and relevant records — never send medical records by email or through this website.

3. Review together

Dr. Dalyai reviews your imaging with you, explains the findings in plain language, and walks through every reasonable option — surgical, endovascular, and observation — so you can decide with confidence.

Out-of-area patients: Dr. Dalyai is licensed in North Carolina, Virginia, and Colorado. If you live elsewhere, ask your treating physician about a physician-to-physician records review — see For Referring Physicians.

Important Information

Please read before requesting

Not for emergencies. If you are experiencing stroke symptoms (sudden weakness, facial droop, trouble speaking, the worst headache of your life) or any medical emergency, call 911 immediately. A second opinion is for non-urgent decisions only.

No doctor–patient relationship is created by this website. A relationship is established only after a formal consultation through ECU Health.

Protect your information. Please do not send medical records, imaging, or personal health details through this website or by email. All records are exchanged through ECU Health’s secure, HIPAA-compliant channels.

No obligation. A second opinion does not commit you to treatment with Dr. Dalyai or ECU Health. Use it however it best serves your care.

Request an appointment