Dr. Varina L. Boerwinkle

I am a Neurologist with a special interest in Epilepsy. I diagnose and treat patients with epilepsy in clinic and acute neurological problems in the hospital. I take a personalized medicine approach which becomes important in difficult to control seizures. A teenager with newly diagnosed epilepsy starting college or a woman with epilepsy requiring guidance through pregnancy will have unique needs. At Duke Health, I am able to offer cutting edge diagnostic and therapeutic options to my patients ranging from medications to stereoEEG and device therapies such as deep brain stimulation, responsive neurostimulation, and vagus nerve stimulation. Unraveling the complexities of the brain is extremely fulfilling but we are yet to fully understand it’s intricacies. For me, this makes practicing as a neurologist a rewarding but also humbling experience. Knowing that the teenager I first diagnosed with epilepsy is now graduating college or seeing a healthy baby with my patient after follow up during pregnancy, is a gratifying sight. I want my patients to know that I care and to feel confident that they are being heard. At Duke Health, I work with a multidisciplinary team with the common goal of providing the best care for our patients. Dr. Agashe is rated as an Advanced provider by MediFind in the treatment of Encephalocele. Her top areas of expertise are Epilepsy, Seizures, Encephalocele, Thrombectomy, and Deep Brain Stimulation.

Ioannis Karakis is a Neurologist in Chapel Hill, North Carolina. Dr. Karakis is rated as a Distinguished provider by MediFind in the treatment of Encephalocele. His top areas of expertise are Epilepsy, Seizures, Generalized Tonic-Clonic Seizure, Absence Seizure, and Thrombectomy.

As a headache specialist, I see patients with headaches and other causes of head and face pain, along with other neurological disorders that cause pain. I have been on the faculty at Duke University for 21 years. Dr. Collins is rated as a Distinguished provider by MediFind in the treatment of Encephalocele. His top areas of expertise are Migraine, Trigeminal Neuralgia, Migraine with Brainstem Aura, and Neuralgia.