Cutting edge care with a compassionate touch.

Neuroscience

The DHR Health Neuroscience Institute is dedicated to providing excellence in neurologic care to all of our patients, both adult and pediatric. Our multidisciplinary team is nationally recognized for providing expert care for evaluating and treating even the most complex and challenging brain and nervous system disorders – with and without surgery. As the first Joint Commission Certified Comprehensive Stroke Center in the region and Level I Comprehensive Stroke Center, we are the leading neuroscience group in the Rio Grande Valley and the premiere center for minimally invasive neurosurgery and neuroendoscopy.

We are dedicated to providing excellence in neurologic care for adults and children. Our Joint Commission Certified Comprehensive Stroke Center provides care when it is needed most.

Acute Ischemic Stroke

An acute ischemic stroke is a serious medical emergency in which blood flow to the brain is interrupted or severely reduced. When it comes to stroke management and care, the DHR Health Neuroscience Institute is the Rio Grande Valley’s premier treatment center. As the first Joint Commission Comprehensive Stroke Center in the region, we are the leading stroke care team and your choice for neurology and neuroendovascular services. With a dedicated neurological intensive care unit, we are equipped to handle the most complex cases with the highest level of care. Our team of highly specialized healthcare professionals provides the most extensive stroke treatment services in South Texas.

For more information and available resources, click here.

For more information about DHR Stroke Program quality, click here.

Alzheimer's Disease

Alzheimer's disease is a progressive, irreversible brain disorder in which the individual's memory and thinking skills are affected. Most people show symptoms of Alzheimer's in their mid-60's.

Aphasia

Aphasia is a language disorder that affects the area of the brain that controls language, expression, and comprehension.

Ataxia

Ataxia is a lack of muscle control during voluntary muscle movements. Ataxia can also impact speech, eye movement and swallowing.

Autonomic Disorders

Autonomic neuropathy occurs when the nerves that control involuntary movements are damaged. This may affect blood pressure, temperature control, bladder function, digestion, and in some cases, sexual function.

Brain and spinal arteriovenous malformations

Cerebral arteriovenous malformations (AVM) are defects in the blood vessels near the brain or spinal cord. Symptoms may include headache, pain, seizures, or stroke. Cerebral AVMs can be identified using angiography, CT scans, or magnetic resonance angiography (MRA) and treated with minimally invasive surgery.

Cancer, Chemobrain, and Other Cancer-Related Treatments

Many patients that have undergone chemotherapy report changes in their thinking abilities. Studies have shown that some cancer patients exhibit impairments in their cognitive functioning. This includes impairments with their ability to process information in a timely manner, problem-solving, multi-tasking, and memory. Several factors may increase the risk for these impairments such as route of administration or exposure to higher doses of chemotherapy. Brain tumors and their associated treatments may also cause impairments in cognitive functioning. This includes surgical treatments, radiation therapy, or concurrent chemotherapy and radiation treatment.

Carotid Angioplasty and Stenting

Carotid artery stenting (CAS) is a procedure used to widen a narrow carotid artery. Your doctor may use this procedure if you have had a stroke to reduce the risk of reoccurrence.

Carpel Tunnel Syndrome

Carpel tunnel syndrome is a condition in which the median nerve is compressed in the wrist at the carpal tunnel. The most common symptoms are pain, numbness and tingling in the thumb, index finger, middle finger, and the median side of the middle fingers.

Cerebrovascular Neurosurgery

We specialize in the treatment of complex neurovascular disorders, such as aneurysms, arterlovenous malformations, carotid artery stenosis, cavernous malformations, and moyamoya, using both open microvascular brain surgery and endovascular neurosurgery.

Dementia & Memory Loss

Dementia is not a specific disease, but rather a group of symptoms caused by disorders that affect the brain. Memory loss is a very common symptom. The most common type of dementia is Alzheimer's disease.

Double Vision/ Loss of Vision

Known as diplopia, double vision is seeing two images of a single object. There are different possible reasons for double vision. Talk to your neurologist to determine the cause of your double vision.

Dystonia

Dystonia is the involuntary movement of your muscles. These movements are often twisting, repetitive movements. Dystonia can be caused by different disorders or injuries.

Epilepsy

Epilepsy is a brain disorder in which the patient experiences recurring seizures. The nerve cells in the brain send out the wrong signals, causing a seizure. Talk to your neurologist about what treatment options are available to best manage your epilepsy.

Epilepsy Surgery

Epilepsy surgery can reduce or eliminate seizure activity by treating or removing the area of the brain the seizures originate. The surgery works best for those whose seizures always originate in the same place in the brain. Depending on the type of seizure and where they originate, treatment options include removing a portion of the brain, severing the connection between hemispheres, or removing half of the brain in a procedure called hemispherectomy.

Epilepsy and Other Seizure Disorders

Neuropsychological testing has been shown to be beneficial for patients with epilepsy and other seizure conditions. Many of these conditions may impact cognitive functioning. For example, patients with temporal lobe epilepsy tend to experience problems with memory. Neuropsychological testing is helpful in identifying specific areas of the brain that are being impacted by seizures. This information can then be used by the patient’s treatment team if surgery is being considered as a treatment option. Neuropsychological testing is also helpful in assessing both cognitive and academic abilities to determine the impact of seizures on these abilities.

Frontotemporal Dementias (FTD)

This is an umbrella term for a group of conditions that affect the frontal and temporal lobes of the brain. They are divided into three variants: behavioral, language, and motor. The behavioral variant is the most common and occurs more frequently in males. The average age of onset typically occurs between the ages of 40 and 65, with an average age of 54. The hallmark features are personality changes and behavioral problems that include reduced motivation, social isolation, poor decision-making, and disinhibition. The language variant involves language deterioration and the motor variant involves progressive deterioration of motor functions.

Intracranial Aneurysms

A, intracranial, or brain, aneurysm is a bulge of ballooning of a blood vessel in the brain. Aneurysms can leak or rupture, causing bleeding in the brain. The aneurysm can be treated through minimally invasive endovascular surgery or open surgery, depending on the location and size of the aneurysm.

Intracranial and Spine Tumor Embolization

Tumor embolization is the process in which the blood vessels around a tumor are blocked, reducing the potential of blood loss and improving the visual of the surgical site.

Lewy Body Dementia

This is the second most common cause of dementia in the United States. Common features include changes in attention and alertness throughout the day, recurrent visual hallucinations, and Parkinsonism (tremors, slowed body movements). Nighttime behaviors such as talking, yelling, punching, kicking, sitting, jumping from bed, and arm flinging while asleep may also occur. Cognitive impairments are often seen in the areas of attention and concentration, ability to process information in a timely manner, visual perception, ability to organize and construct visual information, multi-tasking, problem-solving, and memory.

Multiple Sclerosis

Multiple Sclerosis is a disease affecting the brain and spinal cord (central nervous system). Home to the only Fellowship-trained Neuroimmunologist in the Rio Grande Valley, DHR Health Neuroscience Institute is able to offer comprehensive care to those battling Multiple Sclerosis. Our highly trained team of physicians, therapists, and staff work seamlessly together with to develop treatment plans and monitor your progress. For more information and available resources, click here.

Neuro-Intensive Care

Brain injury and neurological disorders can be life-threatening or disabling without timely intervention and effective care. The DHR Health Neuroscience Institute is home to a fully-equipped and staffed neuro-intensive care unit (Neuro ICU). Our 8-bed Neuro ICU provides the highest level of care for acute stroke patients and those patients with difficult neurological cases, such as brain and spinal cord injury, life-threatening brain infections, and persistent seizures. Our Neuro ICU is equipped with the most advanced technology and imaging systems, which allows physicians to provide high-precision care. After a thorough diagnostic evaluation, careful monitoring and innovative treatment techniques help ensure the best possible outcome for each patient.

Neurocritical Care

When a serious neurological illness or injury occurs, we have the expert team to provide effective treatment and caring support. Our neurocritical care team is specially trained to diagnose and manage complex neurological conditions such as stroke, brain tumors, brain trauma, and nerve and muscle diseases. DHR Health has an 8-bed neurosurgical intensive care unit to provide around the clock care for patients with life-threatening conditions.

Neurodevelopmental Disorder

Neurodevelopmental disorders have the potential to impact cognitive, behavioral, and daily functioning. Neuropsychological testing is helpful in evaluating and diagnosing a variety of neurodevelopmental conditions such as learning disabilities, attention deficit/hyperactivity disorders (ADHD), or autism spectrum disorders.

Neuroendovascular Surgery

At the DHR Health Neuroscience Institute, high-precision neuroendovascular surgical care is provided for acute stroke intervention, angioplasty and stenting, embolization procedures, and sclerotherapy. Rather than using open surgery, neuroendovascular surgery uses tools and techniques that pass through the blood vessels to diagnose and treat problems of the brain and nervous system.

Neuroendovascular Surgery

The term endovascular means “inside a blood vessel.” Rather than using open surgery, neuroendovascular surgery uses tools and techniques that pass through the blood vessels to diagnose and treat problems of the brain and nervous system. During a neuroendovascular surgical procedure, an interventional neuroradiologist navigates a microcatheter through the vascular system using state-of-the-art equipment and radiology imaging. At the DHR Health Neuroscience Institute, high-precision neuroendovascular surgical care is provided for acute stroke intervention, angioplasty and stenting, embolization procedures, and sclerotherapy.

Neurohospitalist

The DHR Health Neuroscience Institute provides specialized neurological care for patients in the hospital through our Neurohospitalist program. Our medical team provides diagnostic evaluation and treatment for a variety of illnesses and injuries, including stroke, trauma and critical care, epilepsy, brain cancers, seizure disorders, central nervous system infections, neuromuscular diseases, and more. Neurological care is available to patients 24 hours a day, seven days a week.

Neurological Rehabilitation

Neurological rehabilitation helps improve function, reduce symptoms, and improve quality of life for people with diseases, trauma, or disorders of the nervous system. Depending on the person's unique situation, rehabilitation can be provided on an inpatient or outpatient basis. The goal of neurological rehabilitation is to help you return to the highest level of function and independence possible. We aim to meet your physical, emotional, and social needs to improve your quality of life.

Neurology

We specialize in the diagnosis and treatment of disorders of the central nervous system, including the brain, spinal cord, and nerves. With an integrated approach to evaluation and disease management, our highly trained physicians use advanced techniques and technology to treat even the most complex neurological conditions.

Neuropathy

Neuropathy occurs when the nerves that carry messages to and from your brain are affected, causing weakness, pain, or numbness. Neuropathy usually happens in your hands and feet.

Neuropsychology

Neuropsychology assessment provides unique and critical information in the diagnosis, staging, and management of patients who have had changes in their cognitive function (ability to think), personality, behavior, and/or mood. We provide neuropsychological services for patients who present with cognitive changes due to a variety of neurological, medical, psychiatric, or neurodevelopmental conditions. Neuropsychological services are provided in English and Spanish.

Neurosurgery- Adult & Pediatric

When you or a loved one is diagnosed with a disease or injury involving the brain, spinal cord, spine, skull or neurovascular system, you need care from experts you can trust. We are dedicated to providing excellence in neurosurgical care to our patients, both adult and pediatric. Taking a team-based approached to care – with the patient as the most important person on the team – our experts provide the most advanced, quality care available in the Rio Grande Valley.

Parkinson's Disease

Parkinson's Disease is a progressive disease that affects movement. The nerve cells that produce dopamine are affected, causing tremors and other symptoms.

Peripheral Nerve Stimulation

During peripheral nerve stimulation electrodes are placed along the course of peripheral nerves to control pain. This is a safe, efficient, and effective method for relieving neuropathic pain conditions.

Psychological Distress

Many psychological conditions have the potential to impact cognitive functioning. Neuropsychological testing is helpful in evaluating and diagnosing psychological conditions as well as making recommendations for potential interventions. Neuropsychological testing is also helpful in ruling out neurological etiologies for reported cognitive complaints, which may be better explained by psychological or other non-neurological factors.

Spine Program National Recognition

DHR Health is the first in the Rio Grande Valley and only facility south of Houston to receive Blue Distinction Center+ and joins 10 other hospitals across the state of Texas as an elite group of hospitals that can provide this highly-specialized care. Hospitals designated as Blue Distinction Centers+ for Spine Surgery are recognized for their expertise and cost efficiency in delivering specialty care. Additionally, the designation recognizes DHR Health’s Spine Surgery Center for demonstrating expertise in cervical and lumbar fusion, cervical laminectomy and lumbar laminectomy/discectomy procedures. Distinction Centers for Spine Surgery provide patients comprehensive inpatient spine surgery services, including discectomy, fusion and decompression procedures. These centers have lower readmission rates and fewer reoperations. Click to learn more.

Spine Surgery

Spinal cord problems can cause pain, restrict mobility, and degrade the quality of life. These problems can result from a spinal cord injury or a deformity, such as scoliosis, or degenerative changes associated with aging. Using both traditional and advanced minimally invasive spine surgery, treatment is provided for the spectrum of back problems. Our specially trained physicians treat spine conditions with care and precision.

Stereotactic Radiosurgery

Stereotactic radiosurgery uses targeted radiation to effectively kill a tumor or destroy a lesion in the brain or neck. This noninvasive procedure uses image-guided radiation beams to target affected areas with minimal impact on the surrounding healthy tissue.

Stroke Treatment

When it comes to stroke management and care, the DHR Health Neuroscience Institute is the Rio Grande Valley’s premier treatment center. As the first Joint Commission Certified Comprehensive Stroke Center in the region, we are the leading stroke care team and your choice for neurology and neuroendovascular services. With a dedicated neurological intensive care unit, we are equipped to handle the most complex cases with the highest level of care. Our team of highly specialized healthcare professionals provides the most extensive stroke treatment services in South Texas.

For more information and available resources, click here.

For more information about DHR Stroke Program quality, click here.

Syncope

Syncope is most commonly known as fainting. This occurs when there is a decrease in blood flow to the brain and the person loses consciousness.

Tics, Tremor and Abnormal Movements

A tic is a sudden movement that is difficult to control. Other abnormal movements are twitching, spasm, or tremors. Consult with your neurologist if you are experiencing symptoms of an abnormal movement.

Traumatic Brain Injury

Traumatic brain injuries occur across all ages, but at higher rates in younger and older individuals. It is common for patients to experience changes in their cognitive functioning and mood following a traumatic brain injury. Neuropsychological testing is beneficial in identifying strengths and weakness after a head injury. They are often used as part of the patient’s rehabilitation treatment program. In addition, follow-up testing is helpful to monitor progress in the patient’s cognitive functioning over time.

Vascular Dementia

Vascular dementia is characterized by significant impairments in cognitive functioning that is attributed to a vascular etiology such as a stroke or microvascular disease. Common cognitive impairments seen in vascular dementia include attention, ability to process information in a timely manner, visual perception, ability to organize and construct visual information, multi-tasking, problem-solving, and memory. Symptoms of depression and anxiety are also common in vascular dementia.

Vertigo

If you are experiencing dizzy spells and a spinning sensation, you may have vertigo. Vertigo can occur for many reasons, including era problems, brain problems, migraines, or head injury.

Find the care you need

Our Physicians

Zuka Khabbazeh, MD

Neurology
2821 Michael Angelo Drive
Suite 306
Edinburg, TX 78539

(956) 362-8500
(956) 362-2448
Get Directions
201 N. FM 3167
Suite 106
Rio Grande City, TX 78582

956-362-8500
956-362-3929
Get Directions

Leonel Estofan, MD

Neurology Epilepsy
Locations
2821 Michael Angelo Dr
Suite 200
Edinburg, TX 78539

(956) 362-8100
(956) 362-8105
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Gloria Simms, MD

Neurology Headache
Locations
5405 N. McColl Road
McAllen, TX 78504

(956) 362-8500
(956) 362-8735
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Miguel Gutierrez, MD

Neurosicence
Locations
2108 South M Street
Suite 4
McAllen, TX 78503

(956) 362-8500
(956) 362-8535
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R. Alejandro Cruz, MD

Neuroscience
Locations
2108 South M Street
Suite 4
McAllen, TX 78503

(956) 362-8500
(956) 362-8535
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Jacinto I. Mañon, MD, FAAS

Neurosurgery & Complex Spine
Locations
1200 E. Savannah
Suite 3
McAllen, TX 78503

(956) 362-8500
(956) 362-8535
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Achal P. Patel, MD

Neurosurgery & Complex Spine
Locations
2821 Michael Angelo Drive
Suite 306
Edinburg, TX 78539

(956) 362-8500
(956) 362-8505
Get Directions

Inad B. Atassi, MD

Neurosurgery
Locations
1200 E. Savannah
Suite 3
McAllen, TX 78503

(956) 362-8500
(956) 362-8535
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Eduardo Estevis, PhD

Neuropsychology
Locations
2821 Michael Angelo Drive
Suite 304
Edinburg, TX 78539

(956) 362-8500
(956) 362-8505
Get Directions

Patricia M. Fernandez, MD, MBA

Neuroscience
Locations
2821 Michael Angelo Drive
Suite 304
Edinburg, TX 78539

(956) 362-8500
(956) 362-8529
Get Directions
Find the care you need

Our Locations

Edinburg

DHR Health Neurosurgery - Brain & Spine
2821 Michael Angelo Drive
Suite 306
Edinburg, TX 78539
(956) 362-8500
(956) 362-8505
Hours:

Mon-Fri | 8am - 5pm

Please call to get the most up to date physician availability

Edinburg

DHR Health Neuroscience Institute
2821 Michael Angelo Drive
Suite 304
Edinburg, TX 78539
(956) 362-8500
Hours:

Mon - Fri | 8am - 5pm

Edinburg

DHR Health Neurology Institute Epilepsy Specialists (McAllen)
2821 Michael Angelo Dr
Suite 200
Edinburg, TX 78539
(956) 362-8100
(956) 362-8105
Hours:

Mon - Fri | 8am - 5pm

McAllen

DHR Health Neurology Institute Headache Specialty (Edinburg)
5405 N. McColl Road
McAllen, TX 78504
(956) 362-8500
(956) 362-8735
Hours:

Mon - Fri | 8am - 5pm

McAllen

DHR Health Neuroscience Institute Neurosurgery
1200 E. Savannah
Suite 3
McAllen, TX 78503
(956) 362-8500
(956) 362-8535
Hours:

Mon - Fri | 8am - 5pm

Brownsville

DHR Health Specialty Clinic (Brownsville)
4770 N. Expressway 77-83
Suite 303
Brownsville, TX 78526
(956) 362-3980
(956) 362-3979
Hours:

Mon - Fri | 8am - 5pm

McAllen

DHR Health Neurology Institute (McAllen)
2108 South M Street
Suite 4
McAllen, TX 78503
(956) 362-8500
(956) 362-8535
Hours:

Mon - Fri | 8am - 5pm

Rio Grande City

DHR Health Specialty Clinic (Rio Grande City)
201 N. FM 3167
Suite 106
Rio Grande City, TX 78582
(956) 362-3920
Hours:

Mon - Fri | 8am - 5pm

Edinburg

DHR Health Neurology Institute
2821 Michael Angelo Drive
Suite 306
Edinburg, TX 78539
(956) 362-8500
(956) 362-2448
Hours:

Mon - Fri | 8am - 5pm

Patient-Centered Care

What our patients are saying

I was pleased at getting an appointment so quickly and being treated so well by the whole staff.
DHR Health Patient Sep 18, 2020
My Appointment was with Dr. Cruz. Very thorough and he made me feel very comfortable asking questions.
DHR Health Patient Sep 18, 2020
Absolutely amazing staff and very professional. Very impressive.
DHR Health Patient Sep 18, 2020
Very nice and professional staff. Keep up the good work. Two thumbs up.
DHR Health Patient Aug 24, 2020
Great experience! I was hesitant I could find a provider that offered what we needed.
DHR Health Patient Aug 24, 2020
All the staff was very professional courteous & friendly. Dr. Miguel Gutierrez is a very knowledgeable & is one of the best Neurologists a patient can have. I wouldn't trade Dr. Gutierrez for any other Dr. I will recommend Dr. Gutierrez to everyone.
DHR Health Patient Aug 24, 2020
Dr. Gutierrez made feel comfortable. His demeanor was friendly and outgoing. I did not feel rushed. He took his time to listen and answer any concerns I had. Thank you!
DHR Health Patient Aug 24, 2020
Very well organized hospital. Will recommend all family and friends
DHR Health Patient Aug 24, 2020
Excellent service… I have nothing but great things to say about Dr. Ramos. I sent out a shout out to Dr. Ramos on Facebook for being assertive to my problem, patient, and caring. He truly sets the examples to others
DHR Health Patient Aug 24, 2020
I had back surgery by Dr. Gustavo Ramos… I’m so pleased with his care… It’s employees like this that bring us great satisfaction and continue to make it the hospital of choice.
DHR Health Patient Aug 19, 2020
Extremely kind and caring showing sincere concern for patient and knowledge of what is going on with me.
DHR Health Patient Aug 19, 2020
I was very impressed with the cleanliness of the facility & the friendliness of Dr. G & staff… We feel so at home when we go there.
DHR Health Patient Aug 19, 2020
Very friendly and efficient staff.
DHR Health Patient Aug 19, 2020

Videos

AskDHR • What Is the Latest Technology in Spine Surgery?

The field of medicine is constantly innovating to make operations safer and improve outcomes. Neurosurgeon Dr. Achal Patel discusses the latest advancements in spine surgery in our newest AskDHR video.

DHR Health Neuroscience Institute • Step-Down Unit Grand Opening with Dr. Juan Padilla

We are proud to announce the unveiling of our brand new Neuroscience Step-Down Unit! This 12-bed expansion increases access to world-class neurologic expertise at DHR Health's dedicated Neuroscience Intensive Care Unit and provides our most critical patients with state-of-the-art EEG, cardiac and epilepsy monitoring.
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