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Charles H. Tegeler IV, M.D.

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Charles H. Tegeler IV, M.D.

Professor, Neurology

Clinical Specialties

Cerebrovascular Disease (Stroke), Neurology (general), Neurosonology, Prevention and Treatment of Stroke and other Cerebrovascular Disease

Contact Information

New Patient Appointments: 336-716-WAKE
Returning Patient Appointments: 336-716-4101
Department: 336-716-7651

Education & Training

  • B.A., University of Missouri-Kansas City, 1979
  • M.D., University of Missouri School of Medicine-Kansas, 1979
  • Residency, Internal Medicine, University of Missouri School, 1982
  • Residency, Neurology, University of Texas Health Sci, 1985

Board Certifications

  • American Board of Internal Medicine, Internal Medicine
  • American Board of Psychiatry and Neurology, Neurology

NPI Number

  • 1720064819
Charles H. Tegeler IV, M.D.

Request An Appointment

Charles H. Tegeler IV, M.D.

Professor, Neurology

Research Interests

Carotid Stenosis, Therapeutic Touch, Stroke, Faculty, Nursing, Burnout, Professional

Contact Information

Department: 336-716-7651

Recent Publications



Tegeler C, Tegeler C, Cook J, Howard L, Lee S, Shaltout H. Durability of symptom reductions associated with use of HIRREM by military personnel with traumatic stress [abstract]. Neurology. 2016;86(16 Suppl):A18.007.

Tegeler C, Shaltout H, Lee S, Tegeler C. Military personnel with traumatic stress demonstrate improved autonomic cardiovascular regulation after use of a closed loop neurotechnology [abstract]. Neurology. 2016;86(16 Suppl):P5.122.

Tegeler C, Tegeler C, Cook J, Lee S, Shaltout H, Laurienti P. Military personnel with traumatic stress show changes in large-scale brain networks after use of a closed-loop neurotechnology [abstract]. Neurology. 2016;86(16 Suppl):A17.009.

Brown SC, Wang K, Dong C, Farrell MB, Heller GV, Gornik HL, Hutchisson M, Needleman L, Benenati JF, Jaff MR, Meier GH, Perese S, Bendick P, Hamburg NM, Lohr JM, LaPerna L, Leers SA, Lilly MP, Tegeler C, Katanick SL, Alexandrov AV, Siddiqui AH, Rundek T. Intersocietal Accreditation Commission accreditation status of outpatient cerebrovascular testing facilities among Medicare beneficiaries: the VALUE Study. J Ultrasound Med. 2016;35(9):1957-1965.

Tegeler CH, Tegeler CL, Cook JF, Lee SW, Gerdes L, Shaltout HA, Miles CM, Simpson SL. A preliminary study of the effectiveness of an allostatic, closed-loop, acoustic stimulation neurotechnology in the treatment of athletes with persisting post-concussion symptoms. Sports Med Open. 2016;2(1):39.

Strowd RE, Wise SM, Umesi UN, Bishop L, Craig J, Lefkowitz D, Reynolds PS, Tegeler C, Arnan M, Duncan PW, Bushnell CD. Predictors of 30-day hospital readmission following ischemic and hemorrhagic stroke. Am J Med Qual. 2015;30(5):441-446.

Suwatcharangkoon S, Meads DB, Tegeler CH, Reynolds PS. Transcranial doppler sonography: atypical dicrotic pulse waveforms in a man with HIV infection and severe cardiomyopathy. J Neuroimaging. 2015;25(4):680-682.



Gerdes L, Tegeler CH, Lee SW. A groundwork for allostatic neuro-education. Front Psychol. 2015;6():1224.

Houle T, Turner DP, Golding AG, Tegeler CH, Porter JAH, Martin VT, Penzien DB. Forecasting individual headache attacks: longitudinal study [abstract]. Cephalalgia. 2015;35(13):1228.

Tegeler CH, Laurienti PJ, Tegeler CL, Cook JF, Wistermayer PR, Lee SW, Shaltout HA. Military personnel with traumatic stress demonstrate changes in the default mode network after use of a closed-loop neurotechnology [abstract]. Ann Neurol. 2015;78(Suppl 19):S22.

Tegeler CH, Lee SW, Shaltout HA. Significance of right anterior insula activity for mental health intervention [letter]. JAMA Psychiatry. 2014;71(3):336.

Strowd RE, Wabnitz A, Balakrishnan N, Craig J, Tegeler CH. Clinical reasoning: acute-onset homonymous hemianopia with hyperglycemia: seeing is believing. Neurology. 2014;82(15):e129-e133.

Tegeler C, Tegeler C, Cook J, Lee S, Franco M, Gerdes L, Shaltout H. Use of HIRREM, a noninvasive neurotechnology, is associated with symptom reduction and increased heart rate variability among individuals with traumatic brain injury [abstract]. Brain Inj. 2014;28(5-6):818-819.

Tegeler CH, Tegeler CL, Cook JF, Lee SW, Franco ME, Gerdes L, Shaltout HA. Use of a non-invasive neurotechnology, HIRREM, is associated with improved sleep, mood, and baroreflex sensitivity in athletes with persisting post-concussion symptoms [abstract]. Neurology. 2014;82(10 Suppl):P5.313.

Tegeler CL, Fortunato JE, Cook JF, Lee SW, Franco ME, Tegeler CH. A noninvasive neurotechnology, HIRREM, is associated with symptom reduction and improved cardiovacular autonomic measures in adolescents with POTS. Neurology. 2014;82(10):P7.320.

Cook JF, Tegeler CL, Lee SW, Shaltout HA, Franco ME, Tegeler CH. Use of a non-invasive neurotechnology, HIRREM, is associated with improved sleep and mood in a heterogeneous cohort [abstract]. Neurology. 2014;82(10 Suppl):P5.287.

Tegeler CH, Cook JF, Tegeler CL, Lee SW, Nicholas JN, Shaltout HA. Use of HIRREM, a non-invasive neurotechnology, is associated with improved autonomic function and decreased temporal hemispheric asymmetry in a 67 year old male with a recent stroke [abstract]. Neurology. 2014;82(10 Suppl):P1.138.

Tegeler CH, Tegeler CL, Cook JF, Lee SW, Franco ME, Nicholas JN, Ray CE, Howard LJ, Shaltout HA. A noninvasive approach to improve insomnia in a military cohort [abstract]. Sleep. 2014;37(Abstract Suppl):A192.0551.

Lee SW, Gerdes L, Tegeler CL, Shaltout HA, Tegeler CH. A bihemispheric autonomic model for traumatic stress effects on health and behavior. Front Psychol. 2014;5():843.

Rundek T, Brown SC, Wang K, Dong C, Farrell MB, Heller GV, Gornik HL, Hutchisson M, Needleman L, Benenati JF, Jaff MR, Meier GH, Perese S, Bendick P, Hamburg NM, Lohr JM, LaPerna L, Leers SA, Lilly MP, Tegeler C, Alexandrov AV, Katanick SL. Accreditation status and geographic location of outpatient vascular testing facilities among Medicare beneficiaries: the VALUE (Vascular Accreditation, Location & Utilization Evaluation) Study. Vasc Med. 2014;19(5):376-384.

Kanaya A, Ewing S, Vittinghoff E, Herrington D, Tegeler C, Mills C, Kandula N. Acculturation and subclinical atherosclerosis among U.S. South Asians: findings from the MASALA study. J Clin Exp Res Cardiol. 2014;1(1):.

Tegeler CH, Tegeler CL, Cook JF, Lee SW, Shaltout HA. Use of a closed-loop neurotechnology, HIR-REM, is associated with symptom reduction and improved autonomic regulation in migraineurs [abstract]. Ann Neurol. 2014;76(Suppl 18):S104.

Yang JP, Wu TC, Tegeler C, Xian Y, Olson DM, Kolls BJ. Targeting telestroke: benchmarking time performance in telestroke consultations. J Stroke Cerebrovasc Dis. 2013;22(4):470-475.

Ratanakorn D, Kongsakorn N, Keandoungchun J, Tegeler CH. Prevalence and predictors of carotid stenosis in Thai patients with ocular disorders. J Clin Neurosci. 2013;20(6):862-866.

Tegeler CH, Crutchfield K, Katsnelson M, Kim J, Tang R, Passmore Griffin L, Rundek T, Evans G. Transcranial Doppler velocities in a large, healthy population. J Neuroimaging. 2013;23(3):466-472.

Tegeler, CH, Tegeler CL, Kumar SR, Turner DP, Gerdes L, Lee SW, Houle TT. Randomized, placebo-controlled pilot trial of a novel, noninvasive EEG-based intervention, HIRREM, for alleviation of episodic migraine [abstract]. Cephalalgia. 2013;33(8 Suppl):99-100.

Tegeler CL, Cook JF, Lee SW, Pajewski NM, Nicholas JN, Tegeler CH. Pilot study of menopause-related symptom reduction through a noninvasive EEG-based technology for auto-calibration of neural oscillations (HIRREM) [abstract]. Menopause. 2013;20(12):1356.

Tegeler C, Lee SW, Tegeler CL, Shaltout HA. Correlation between temporal lobe EEG asymmetry and heart rate variability [abstract]. Neurology. 2013;80(Suppl):P03031.

Tegeler CH, Tegeler CL, Lee SW, Shaltout HA, Pejewski NM. Neural-oscillatory intervention for auto-calibration improves EEG asymmetry and HRV [abstract]. Ann Neurol. 2013;74(Suppl 17):S77.

Tegeler CH, Tegeler CL, Lee SW, Cook JF, Shaltout HA. High-resolution, relational, resonance-based electroencephalic mirroring (HIRREM) reduces symptoms and EEG asymmetry in an individual with PTSD [abstract]. Ann Neurol. 2013;74(Suppl 17):S77.

Fortunato JE, Tegeler CL, Lee SW, Pajewski NM, Franco M, Cook JF, Tegeler CH. Case series using high-resolution, relational, resonance-based, electroencephalic mirroring (HIRREM) for POTS [abstract]. Clin Auton Res. 2013;23(5):269-270.

Ratanakorn D, Keandoungchun J, Sittichanbuncha Y, Laothamatas J, Tegeler CH. Stroke fast track reduces time delay to neuroimaging and increases use of thrombolysis in an academic medical center in Thailand. J Neuroimaging. 2012;22(1):53-57.

Tegeler CH, Kumar S, Conklin D, Turner D, Tegeler C, McCall V, Houle T. A new method of dynamic, relational, electroencephalic auditory feedback for primary insomnia [abstract]. Sleep. 2012;35(Abstract Suppl):A220.

Alexandrov AV, Sloan MA, Tegeler CH, Newell DN, Lumsden A, Garami Z, Levy CR, Wong LK, Douville C, Kaps M, Tsivgoulis G. Practice standards for transcranial doppler (TCD) ultrasound. Part II. Clinical indications and expected outcomes. J Neuroimaging. 2012;22(3):215-224.

Bots ML, Taylor AJ, Kastelein JJ, Peters SAE, den Ruijter HM, Tegeler CH, Baldassarre D, Stein JH, O'Leary DH, Revkin JH, Grobbee DE. Rate of change in carotid intima-media thickness and vascular events: meta-analyses can not solve all the issues. A point of view [editorial]. J Hypertens. 2012;30(9):1690-1696.

Ratanakorn D, Keandoungchun J, Tegeler CH. Prevalence and association between risk factors, stroke subtypes, and abnormal ankle brachial index in acute ischemic stroke. J Stroke Cerebrovasc Dis. 2012;21(6):498-503.

Tegeler CH, Kumar SR, Conklin D, Lee SW, Gerdes L, Turner DP, Tegeler CL, C Fidali B, Houle TT. Open label, randomized, crossover pilot trial of high-resolution, relational, resonance-based, electroencephalic mirroring to relieve insomnia. Brain Behav. 2012;2(6):814-824.

Ratanakorn D, Keandoungchun J, Tegeler CH. Coexistent extra- and intracranial stenosis, cervical atherosclerosis, and abnormal ankle brachial index in acute ischemic stroke. J Stroke Cerebrovasc Dis. 2012;21(8):782-789.

Tegeler CH, Suwatcharangkoon S, Bradbury E. Telestroke to improve acute stroke care in North Carolina [invited commentary]. N C Med J. 2012;73(6):481-484.

Curtis AR, Tegeler C, Burdette J, Yosipovitch G. Holistic approach to treatment of intractable central neuropathic itch. J Am Acad Dermatol. 2011;64(5):955-959.

Turner DP, Tegeler CH, Kumar S, Penzien DB, Rains JC, Smitherman TA, Houle TT. Rounding MIDAS scores is reduced with a decreased recall interval [abstract]. Headache. 2011;51(Suppl 1):26.

Anderson RT, Camacho F, Iaconi AI, Tegeler CH, Balkrishnan R. Enhancing the effectiveness of community stroke risk screening: a randomized controlled trial. J Stroke Cerebrovasc Dis. 2011;20(4):330-335.

Asimos AW, Johnson AM, Rosamond WD, Price MF, Rose KM, Catellier D, Murphy CV, Singh S, Tegeler CH, Felix A. A multicenter evaluation of the ABCD2 score's accuracy for predicting early ischemic stroke in admitted patients with transient ischemic attack. Ann Emerg Med. 2010;55(2):201-210.

Tang R, Tegeler C, Larrimore D, Cowgill S, Kemper KJ. Improving the well-being of nursing leaders through healing touch training. J Altern Complement Med. 2010;16(8):837-841.

Anderson R, Tegeler C, Camacho F, Parks ME, Toole J. A trial to enhance the effectiveness of community stroke risk screening in North Carolina [abstract]. Stroke. 2009;40(4):e265.

Rudisill M, Parks ME, Tegeler C, Bushnell C. Education for stroke survivors: extending quality improvement 'Beyond the Hospital' [abstract]. Stroke. 2009;40(4):e138.

All Publications

For a listing of recent publications, refer to PubMed, a service provided by the National Library of Medicine.

For a list of earlier publications, visit the Carpenter Library Publication Search.

Professor, Neurology

Clinical Specialties

Cerebrovascular Disease (Stroke), Neurology (general), Neurosonology, Prevention and Treatment of Stroke and other Cerebrovascular Disease