Last Updated on December 3, 2025 by Bilal Hasdemir

Neuro ICU: The 5 Critical Patient Types
Neuro ICU: The 5 Critical Patient Types 4

neuro icu

Being in an intensive care unit can be scary, especially in a neurological ICU. Many patients and their families wonder about the care they’ll get. A neuro ICU focuses on patients with serious brain problems.

Patients in a neuro ICU face conditions that need constant watch and special care. These can be severe head injuries, stroke, or brain infections. Our team, including neurointensivists and neuro ICU nurses, works together to give top-notch care.

Key Takeaways

  • Neuro ICU is a specialized unit for patients with life-threatening neurological conditions.
  • Patients receive care from a team of experts, including neurointensivists and neuro ICU nurses.
  • Conditions treated in a neuro ICU include severe head injuries, stroke, and brain infections.
  • Close monitoring and specialized care are crucial for patient recovery.
  • Our team works together to provide comprehensive care for patients and support for their families.

The Critical Role of Neuro ICU in Modern Healthcare

Neuro ICU: The 5 Critical Patient Types
Neuro ICU: The 5 Critical Patient Types 5

A well-equipped neuro ICU ward, bathed in the warm glow of recessed lighting. In the foreground, a team of attentive medical professionals huddle around a patient’s bedside, monitors and equipment surrounding them. The middle ground reveals rows of state-of-the-art beds, each with its own advanced life-support systems. In the background, a panoramic window offers a serene view of a tranquil garden, promoting a calming atmosphere. The scene conveys the critical importance of neuro ICU care, blending cutting-edge technology with a soothing, patient-centric environment.

In today’s healthcare, the Neuro ICU is key. It gives top-notch care to those with serious brain issues. We help many smaller hospitals because we offer full care for brain and nervous system problems.

Definition and Scope of Neurointensive Care

Neurointensive care, or neurocritical care, focuses on serious brain conditions. It covers a wide range of services. This includes watching patients closely, using advanced treatments, and helping families too.

Our neuro ICU follows Society of Critical Care Medicine guidelines. This means we use the newest and best care methods for our patients.

  • Close monitoring of patients with severe neurological illnesses
  • Advanced life-support therapies, including mechanical ventilation and vasopressor support
  • Comprehensive support for patients and their families, including counseling and education

Evolution of Specialized Neurological Critical Care

Neurointensive care has grown a lot over time. This is thanks to new medical tech, understanding brain conditions better, and new treatment plans.

Now, we have experts ready for tough brain cases. Our team includes neurointensivists, ICU nurses, and more. They all work together to care for our patients fully.

“The development of neurointensive care as a distinct specialty has been a major advance in the care of critically ill neurological patients.” –

Source: A leading medical journal on neurocritical care

Thanks to neurointensive care’s growth, patients with serious brain issues are doing better. We offer special care and treatments. This helps lower death rates and improves life quality for our patients.

Stroke Patients: Primary Population in the Neuro ICU
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A dimly lit neuro ICU, patients lying in high-tech beds, monitors beeping, medical staff tending to them. The foreground shows a stroke victim, face etched with concentration as they undergo therapy. The middle ground reveals other patients in various states of recovery, tubes and wires snaking around them. The background is hazy, with the faint glow of medical equipment casting an eerie, yet comforting, atmosphere. Soft, muted lighting illuminates the scene, creating a sense of seriousness and care. The image conveys the gravity of the situation, but also the dedication of the medical team working tirelessly to help these vulnerable patients.

Our neuro ICU is ready to handle stroke care, including ischemic and hemorrhagic strokes. Stroke patients make up a big part of our admissions. We aim to give them the best care to help them recover fully.

Ischemic Stroke Management

Ischemic stroke happens when a brain blood vessel gets blocked. It’s a serious emergency needing quick action. In our ICU, we use proven methods to treat ischemic stroke, like giving thrombolytic therapy and mechanical thrombectomy when needed.

We watch patients closely for any signs of getting worse and change their treatment if needed. Keeping blood pressure right, making sure they get enough oxygen, and stopping pneumonia are key. We also stress the need for early rehab to help them get better.

Hemorrhagic Stroke Intensive Care

Hemorrhagic stroke, where blood bleeds into or around the brain, is another serious condition we manage. We give these patients intensive care to keep them stable and prevent more brain damage. This includes controlling blood pressure and monitoring ICP.

Our care for hemorrhagic stroke is detailed, with close neurological monitoring and support to handle any issues. We team up with neurosurgery to give patients the best care for their needs.

Subarachnoid Hemorrhage Monitoring

Subarachnoid hemorrhage (SAH), often from an aneurysm rupture, is very dangerous and needs quick help. In our ICU, we focus on preventing more bleeding, managing blood vessel spasms, and watching for hydrocephalus in SAH patients.

We keep a close eye on SAH patients, checking their brain function often and using advanced scans to decide on treatments. We also work to prevent and treat SAH complications, like blood vessel spasms.

Traumatic Brain Injury Patients Requiring Neuro ICU Care

A close-up view of a human brain with visible contusions, hemorrhaging, and swelling, indicating a traumatic brain injury. The brain is set against a stark, dark background, illuminated by a soft, directional light source casting dramatic shadows. The image has a somber, clinical atmosphere, conveying the severity and fragility of the condition. Subtle details, such as damaged neural tissue and disrupted blood vessels, are visible, highlighting the complex nature of traumatic brain injuries. The composition emphasizes the affected brain, drawing the viewer’s attention to the critical medical situation.

Managing traumatic brain injuries (TBI) in the neuro ICU is key for better patient results. TBIs are complex because of their different levels of severity and how they affect patients. We offer detailed care for TBI patients, using the latest monitoring tools and proven methods.

Severe TBI Management Protocols

For severe TBI, our neuro ICU team uses a detailed plan. We manage brain pressure, ensure blood flow, and prevent further brain damage. This includes advanced neuromonitoring and specific treatments for each patient.

Our plans aim to avoid complications and help patients recover well. We use multimodality monitoring to watch the patient closely and adjust treatments as needed.

Moderate TBI Observation and Treatment

Patients with moderate TBI need careful watching and a specific treatment plan. Our team does detailed checks to spot any issues and take the right steps. This might include serial neurological examinations and advanced imaging techniques to track the injury and treatment success.

We also work hard to prevent further brain damage by managing blood pressure, oxygen, and temperature carefully. Our aim is to create the best recovery environment, reducing the chance of lasting brain problems.

By using the latest technology and focusing on each patient, we aim for the best results for TBI patients. Our neuro ICU team is committed to providing specialized care for TBI patients, helping them on their path to recovery.

Neurosurgical Patients in Post-Operative Recovery

A dimly lit neuro ICU ward, with sleek medical equipment and monitors displaying vital signs. In the foreground, a patient lying motionless on a hospital bed, connected to a ventilator and IVs. Nearby, a team of attentive neurosurgeons and nurses, their faces obscured by surgical masks, carefully monitoring the patient’s condition. The atmosphere is one of quiet urgency, the soft beeping of machines and the gentle hum of ventilators creating a sense of controlled chaos. Natural lighting filters in through large windows, casting a warm glow on the scene. The overall mood is one of professional care and concern, as the medical team works tirelessly to ensure the patient’s recovery.

Neurosurgical patients need careful care after surgery. Our team is ready to help. We have a special Neuro ICU for these patients.

The time after surgery is very important. Our team, including neurologists and neurosurgeons, works together. We make sure patients get the best care.

Brain Tumor Resection Monitoring

Patients with brain tumors need close watch. We check for swelling, bleeding, or infection. Our team uses the latest tech to keep an eye on them.

We do regular checks and imaging as needed. We also handle complications like seizures or blood vessel problems.

Craniotomy and Craniectomy Recovery

Craniotomy and craniectomy surgeries need special care. Our team knows how to help patients recover. We focus on avoiding problems and helping them get better.

We watch for any signs of trouble and manage pain. We also keep the patient’s family involved in their care.

Our goal in the Neuro ICU is to help patients recover well. We want them to get back to their lives as soon as possible.

Spinal Cord Injury Patients in the Neuro ICU

A sterile, well-lit neuro ICU room with advanced medical equipment and monitors. In the foreground, a patient lying on a hospital bed, with a nurse carefully attending to the patient’s spinal cord injury, adjusting IV lines and monitoring vital signs. In the middle ground, a team of doctors and nurses reviewing charts and discussing the patient’s treatment plan. The background features specialized medical equipment, including ventilators, infusion pumps, and diagnostic imaging devices, all working in harmony to support the patient’s recovery. The overall atmosphere conveys a sense of focused care, with a calm and professional demeanor among the medical staff.

Spinal cord injuries need quick and special care in a neuro ICU. These injuries can happen from accidents or other reasons. Each case needs a unique treatment plan.

Acute Traumatic SCI Management

Acute traumatic spinal cord injuries need fast and careful treatment. Our neuro ICU team is ready to handle these complex cases. We use the latest monitoring to watch the patient’s brain health closely.

We follow proven methods to reduce further damage and help the patient recover. This team effort includes neurosurgeons, doctors, nurses, and rehab experts. We create a detailed care plan for the patient’s immediate needs and future goals.

Non-Traumatic Spinal Cord Emergencies

Non-traumatic spinal cord emergencies, like infections or inflammation, also need urgent care. Our team is skilled in diagnosing and treating these issues. We use top-notch imaging and tests to find the cause and plan treatment.

For non-traumatic SCI, we focus on treating the root cause and supporting the patient. This might include medicine, surgery, or both, based on the diagnosis and patient’s needs.

Our goal in the neuro ICU is to improve outcomes for spinal cord injury patients. We aim to help them recover as much as possible, reduce long-term disability, and improve their life quality.

Seizure Disorders and Status Epilepticus Cases

A sterile hospital room, the bed at the center, with a patient lying unconscious, their body convulsing with a seizure. Wires and tubes connect the patient to a network of monitoring equipment, casting an eerie glow. The room is dimly lit, with a sense of urgency and concern palpable in the air. Shadows cast by the medical devices create an unsettling atmosphere, emphasizing the gravity of the situation. The image captures the intensity and complexity of treating seizure disorders and status epilepticus cases in the neuro ICU, a critical moment in the patient’s care.

Seizure disorders and status epilepticus are big challenges in the neuro ICU. We need a team effort to care for these complex cases. We use the latest monitoring and treatment methods to help our patients.

Refractory Status Epilepticus Management

Refractory status epilepticus is very serious and needs quick action. We use special medicines and watch brain activity closely. This helps avoid lasting brain damage.

Key strategies in managing refractory status epilepticus include:

  • Early recognition and diagnosis
  • Aggressive pharmacological intervention
  • Continuous EEG monitoring
  • Multidisciplinary team collaboration

Continuous EEG Monitoring Protocols

EEG monitoring is key in the neuro ICU. It lets us watch brain activity as it happens. This is crucial for patients with seizures and status epilepticus. It helps us catch and act on any changes fast.

Monitoring Parameter

Clinical Significance

Intervention

Seizure activity

Indicates ongoing seizure or status epilepticus

Adjust antiepileptic medication

Background EEG rhythm

Reflects overall brain activity and recovery

Optimize sedation and manage ICP

Periodic discharges

May indicate potential for seizures or toxicity

Review medication and adjust as needed

By using the latest monitoring and a team effort, we give top care to patients with seizures and status epilepticus in the neuro ICU.

Neuroinfectious Disease Patients

A gently lit, close-up view of a human brain, with intricate neurological networks rendered in vivid detail. The tissue has a slightly inflamed, swollen appearance, hinting at the presence of an infectious agent. The background is a muted, textured medical environment, conveying a sense of clinical investigation and diagnosis. Subtle highlights and shadows accentuate the complexity of the brain’s structure, while a limited color palette of grays, blues, and purples evokes a sense of the seriousness and gravity of the condition. The overall mood is one of scientific curiosity and medical concern, reflecting the need to understand and treat this neuroinfectious disease.

Neuroinfectious diseases like encephalitis and meningitis need a Neuro ICU team’s special care. These diseases can cause serious problems, like seizures and brain damage. If not treated right, they can even be fatal.

Encephalitis and Meningitis Critical Care

Encephalitis and meningitis are serious infections. They inflame the brain and the protective membranes around it. In the Neuro ICU, we give these conditions critical care. This includes giving medicines, managing symptoms, and preventing more problems.

We watch the patient’s brain and body closely. We check their brain activity and vital signs often. We also use advanced tests to catch any brain issues early.

Key aspects of care include:

  • Antiviral or antibiotic therapy tailored to the specific cause of the infection
  • Supportive care, such as hydration and nutrition management
  • Monitoring for and management of complications, such as increased intracranial pressure

Brain Abscess Management

A brain abscess is a serious condition. It’s when pus forms in the brain, usually from an infection. In the Neuro ICU, we manage it with a team effort. This includes neurosurgeons, neurologists, and infectious disease specialists.

Treatment Aspect

Description

Antibiotic Therapy

Administering broad-spectrum antibiotics initially, then tailoring them based on culture results

Surgical Intervention

Draining the abscess surgically or through stereotactic aspiration

Monitoring

Close neurological monitoring and serial imaging to assess response to treatment

We stress the need for early diagnosis and treatment for brain abscesses. The Neuro ICU team works with other experts for full care.

Neuromuscular Crisis Requiring Intensive Care

Neuromuscular emergencies like Guillain-Barré Syndrome and myasthenic crisis need quick and expert care in the neuro ICU. Our team is ready to handle these tough cases. We use the latest monitoring tools and proven care plans to help our patients.

Guillain-Barré Syndrome and Respiratory Failure

Guillain-Barré Syndrome is an autoimmune disease that can cause severe muscle weakness. It can even lead to life-threatening respiratory failure. In the neuro ICU, we watch over patients with Guillain-Barré Syndrome closely.

We provide respiratory support and other treatments to manage symptoms and avoid complications. Our methods include plasmapheresis and IVIG therapy to lessen the illness’s impact. We also use advanced respiratory care, like mechanical ventilation, to help patients through tough times.

Myasthenic Crisis Management

Myasthenic crisis is a serious problem linked to myasthenia gravis. It causes severe muscle weakness that can stop breathing. In the neuro ICU, we tackle myasthenic crisis with a team effort.

We focus on keeping the patient’s breathing stable and adjusting their treatment as needed. Our strategies include close monitoring of breathing, giving acetylcholinesterase inhibitors, and other support. We also teach patients and their families about the condition and involve them in care decisions.

Understanding Neuro ICU Admission Criteria

Knowing the rules for getting into the neuro ICU is key for top-notch care. Our team has set clear guidelines. These help make sure patients get the right care for their brain issues.

Triage and Patient Selection Guidelines

Getting into the neuro ICU is a careful process. We check each patient’s brain injury or illness and how well they might recover. Our team uses both experience and research to decide who needs ICU care the most.

We look at patients’ brain health, medical history, and other important details. This helps us give them the right care fast. It’s vital for better outcomes in brain emergencies.

Transfer Protocols from Emergency Departments

Moving patients from emergency rooms to the neuro ICU needs good planning. We have special plans for this. We talk to the emergency team, make sure the patient is stable, and get the ICU ready.

Our plans help avoid delays and keep care quality high. We watch the patient closely during transport. We’re ready to handle any issues that come up.

By sticking to these rules and plans, we give our best care to patients with brain emergencies.

The Specialized Neuro ICU Team and Their Expertise

At the heart of our Neuro ICU is a team dedicated to exceptional care for patients with critical neurological conditions. This team is the backbone of the Neuro ICU. They work together to ensure every patient gets the best care.

Neurointensivists: Leaders in Neurological Critical Care

Our Neuro ICU is led by neurointensivists, who are experts in both neurology and critical care. These specialists handle the most complex neurological cases. They make life-saving decisions and provide the latest care.

They work with other healthcare professionals to create treatment plans for each patient.

Neuro ICU Nurses and Their Advanced Training

The nurses in our Neuro ICU are highly skilled and specially trained. They have advanced knowledge of neurological conditions and their management. This allows them to provide expert care to our patients.

These nurses are key in monitoring patients, giving medications, and talking with families.

Multidisciplinary Support Specialists

Our Neuro ICU team includes many support specialists who help with patient care. This team has neurologists, neurosurgeons, critical care physicians, and more. They all work together to cover every aspect of care.

From medical treatment to rehabilitation and emotional support, they ensure patients get everything they need. By working together, our Neuro ICU team provides world-class care. This care improves outcomes for patients with critical neurological conditions.

Our team’s collaborative approach helps patients and their families during tough times.

Advanced Monitoring Technologies in the Neuro ICU

The neuro ICU now uses advanced monitoring technologies to better manage patients. These tools help us keep a close eye on our patients’ health. This way, we can make better decisions about their care.

Multimodality Monitoring Systems

Multimodality monitoring systems are key in the neuro ICU. They let us watch many health signs at once. This gives us a full picture of a patient’s brain health, like pressure, blood flow, and oxygen levels.

With multimodality monitoring, we can spot changes fast and act quickly. This is crucial for patients with serious brain injuries. Quick action can greatly improve their chances of recovery.

Neuroimaging in Critical Care Decision-Making

Neuroimaging is very important in the neuro ICU. It shows us what’s happening inside the brain. We use CT scans and MRI to see how bad the injury is and if treatments are working.

Neuroimaging helps us make the right treatment plans for each patient. This personalized care is key to improving patient outcomes in the neuro ICU.

By using advanced monitoring and neuroimaging together, we offer top-notch care. This integrated method is central to our neuro ICU practice. It ensures we give the best care to those who need it most.

Treatment Protocols and Neuro ICU Management Guidelines

In the Neuro ICU, we follow evidence-based protocols for treating neurological emergencies. These protocols help ensure our patients get the best care. They are based on the latest research and clinical guidelines.

Evidence-Based Protocols for Common Neurological Emergencies

We have detailed protocols for managing common neurological emergencies. This includes stroke, traumatic brain injury, and status epilepticus. Our protocols are updated regularly to keep up with new advancements in neurological care.

For example, our stroke protocol focuses on quick assessment and treatment. It includes giving thrombolytic therapy to eligible patients quickly. We also have protocols for managing intracranial pressure and cerebral edema in traumatic brain injury patients.

Medication Management and Neuroprotective Strategies

Medication management is key in Neuro ICU care. We aim to use medications that work well and have fewer side effects. We use various drugs to manage neurological conditions, like antiepileptic drugs, sedatives, and vasoactive agents.

We also use neuroprotective strategies to prevent secondary brain injury. These strategies include keeping blood pressure optimal, ensuring enough oxygen, and controlling intracranial pressure.

Condition

Medication Management

Neuroprotective Strategies

Ischemic Stroke

Thrombolytic therapy

Maintaining optimal blood pressure

Traumatic Brain Injury

Antiepileptic drugs, sedatives

Controlling intracranial pressure

Status Epilepticus

Antiepileptic drugs, benzodiazepines

Ensuring adequate oxygenation

By using evidence-based protocols, careful medication management, and neuroprotective strategies, we provide top-notch care in the Neuro ICU.

Patient Outcomes and Prognostic Factors in Neuro ICU Cases

In the neuro ICU, we watch patient outcomes closely to give the best care. Knowing what affects these outcomes is key for top-notch, patient-focused care.

Predictors of Recovery in Various Neurological Conditions

Figuring out recovery in neurological cases means looking at several things. These include how bad the injury was, the patient’s age, and their health. For example, in brain injuries, the Glasgow Coma Scale score at first is a big clue. For strokes, the NIHSS score helps guess how well someone will do.

We use high-tech tools and proven methods to spot who will recover well. This includes systems that watch things like brain pressure and blood flow. By looking at this data, we can make treatment plans that help patients the most.

Condition

Predictor

Outcome

Traumatic Brain Injury

Glasgow Coma Scale

Recovery Likelihood

Stroke

NIHSS Score

Functional Outcome

Subarachnoid Hemorrhage

Hunt and Hess Scale

Mortality and Morbidity

Long-Term Outcomes and Quality of Life Considerations

Long-term results for neuro ICU patients can really differ. It depends a lot on the condition and how bad the injury was. For many, the main goal is to get back to living independently. We team up with rehab experts to make sure patients get care that meets all their needs.

Quality of life is a big deal in the neuro ICU. We aim to treat aggressively but also think about long-term life quality. This means checking in with patients and their families to know what matters most to them.

By focusing on both short-term results and long-term quality of life, we aim to offer care that’s not just effective but also caring and focused on the patient.

Family Support and Communication in Neurological Crises

Neurological crises can be very tough for families. That’s why support and clear talk are key. In the neuro ICU, we know how important it is to help families during these hard times.

Explaining Complex Neurological Conditions to Families

Telling families about complex neurological conditions is a big part of our job. Our team works hard to talk clearly and with kindness. We want families to know about their loved one’s health and treatment choices.

Clear communication means more than just talking about the medical stuff. It’s also about offering emotional support. We aim to make a space where families feel safe to ask questions and share their worries.

“The way we communicate with families can significantly impact their ability to cope with the crisis. Empathy, clarity, and compassion are key elements in our communication strategy.” – Neuro ICU Specialist

Decision-Making Support and Resources

Deciding what to do in the neuro ICU can be scary for families. We offer decision-making support and resources to guide them. Our team talks with families to understand their values and what they want, making sure care plans match their needs.

We have many resources, like counseling, support groups, and educational materials. Our aim is to give families the knowledge and support they need during these tough times.

  • Personalized counseling services
  • Access to support groups
  • Educational materials on neurological conditions and treatment options

Emerging Trends and Advancements in Neuro ICU Technology

The world of neuro ICU technology is changing fast. This is thanks to new ideas in artificial intelligence and telemedicine. These changes are making a big difference in how we treat patients with serious brain problems.

Artificial Intelligence in Neurological Monitoring

Artificial intelligence (AI) is becoming more important in watching over patients in the neuro ICU. AI can look at lots of data from different sources. It finds patterns that doctors might miss.

This helps us catch problems early and act fast. It could lead to better results for patients.

AI can also predict when a patient might get worse. This lets us start taking steps to help them sooner. Using AI in monitoring makes our care more precise and effective.

Telemedicine Applications in Neurointensive Care

Telemedicine is also making big strides in neuro ICU care. It lets us check in and monitor patients from afar. This is great for places that don’t have access to top neuro care.

Neurointensivists can look at patient data and talk to the team at the bedside. They can make decisions about care without being there. This improves care quality and saves resources.

Telemedicine also helps keep the team up-to-date with the latest in neuro ICU care. This is key for keeping care at the highest level.

As we look ahead, AI and telemedicine will keep growing in neuro ICU tech. This will open up new ways to improve patient care and results. Our goal is to keep leading in neurointensive care.

Conclusion: The Vital Importance of Specialized Neuro ICU Care

We understand how crucial neuro ICU care is in today’s healthcare. It offers specialized care to those with severe neurological issues. Our team works hard to give top-notch care that meets each patient’s unique needs.

The neuro ICU care we offer is designed to handle critical neurological conditions. We use the latest monitoring tools and proven treatment plans. Our goal is to help our patients recover from severe neurological injuries and illnesses.

We keep pushing forward in neurointensive care, always focusing on specialized care. We believe everyone should get the best neuro ICU care. We aim to make this a reality for all.

FAQ

What is a Neuro ICU?

A Neuro ICU, or Neuroscience Intensive Care Unit, is a special part of a hospital. It cares for patients with serious brain or nervous system problems.

What kind of patients are treated in a Neuro ICU?

A Neuro ICU treats patients with severe brain injuries, strokes, and other serious conditions. This includes those with spinal cord injuries and seizure disorders.

What is the role of a neurointensivist in the Neuro ICU?

A neurointensivist is a doctor who specializes in caring for very sick patients with brain problems. They lead the team and make important decisions about patient care.

What kind of monitoring is used in the Neuro ICU?

The Neuro ICU uses advanced monitoring. This includes systems that watch brain activity and imaging to check on patients.

How are patients with traumatic brain injury managed in the Neuro ICU?

Patients with brain injuries get careful monitoring and advanced treatments in the Neuro ICU. They follow proven care plans to help them recover.

What is the importance of family support in the Neuro ICU?

Family support is key in the Neuro ICU. Families help make decisions about care and need to understand their loved one’s condition. Our team helps with this, explaining things clearly and supporting them.

What are the admission criteria for the Neuro ICU?

Patients with severe brain or nervous system problems can be admitted to the Neuro ICU. They need close monitoring and advanced treatments.

How do Neuro ICU teams make decisions about patient care?

Neuro ICU teams use a team approach to decide on care. They follow the latest research and guidelines to make the best decisions.

What is the role of telemedicine in Neuro ICU care?

Telemedicine is becoming more common in Neuro ICU care. It allows for remote consultations and monitoring, making specialized care more accessible.

How do Neuro ICUs use artificial intelligence in patient care?

Neuro ICUs are starting to use artificial intelligence. This includes tools for predicting patient outcomes and tailoring treatments to individual needs.


References

JAMA Network. Evidence-Based Medical Insight. Retrieved from https://jamanetwork.com/journals/jamaneurology/fullarticle/2795869

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