Neuro ICU

Neuromedicine Intensive Care Unit

URMC’s Neuromedicine Intensive Care Unit is the region’s only multidisciplinary, tertiary, full-service intensive care unit designed to treat patients with serious and life-threatening diseases of the central and peripheral nervous system. Please download our brochure for additional information.

Why Choose URMC Neurosurgery?

Our extensive teams of specialists work together to care for patients with a variety of neurological conditions and diseases including  stroke, hemorrhage, brain and spine tumors, traumatic brain injury, neuromuscular disorders, and prolonged or continuous seizures.

The unit is staffed by neurointensivists, anesthesiologists, neurosurgeons, nurse practitioners, critical care nurses, and respiratory therapists who are specially trained in critical neurological/neurosurgical disorders.

Our treatment team also includes social workers, physical therapists, speech-language pathologists, occupational therapists, nutritionists, and clinical pharmacologists. This multidisciplinary expertise allows us to create an integrated treatment plan for each patient.

Our Team

  • Manjunath Markandaya, MD

    Dr. Markandaya, MD is Medical Co-Director of the Neuromedicine Critical Care Program at the University of Rochester Medical Center and an Assistant Professor in the Departments of Neurology, Neurosurgery and Medicine. He specializes in caring for some of the most challenging and critically ill patients with neurological disorders.  Dr. Markandaya joined the program from R. Adams Cowley Shock Trauma Center at the University of Maryland Medical Center and, prior to that, was a staff physician in the Cleveland Clinic Neurologic Intensive Care Unit. He received his fellowship training at the Johns Hopkins University School of Medicine and at the R Adams Cowley Shock Trauma Center, in Baltimore, Maryland.

  • Amrendra Miranpuri, MD

    Dr. Miranpuri, MD is the Surgical Co-Director of the Neuromedicine Critical Care Program at the University of Rochester Medical Center and an Assistant Professor in the Departments of Neurosurgery, Neurology and Imaging. He specializes in open and interventional neurosurgical procedures for cerebrovascular disease.  Dr. Miranpuri received his training at the University of Wisconsin and the Medical University of South Carolina. 


The Neuromedicine Intensive Care Program provides patients with the region’s most current medical and surgical approaches to patients with a variety of neurological conditions and diseases.

Multi-modal neuro monitoring: Continuous electroencephalogram (EEG), intracranial pressure monitors (ICP), brain tissue oxygen and temperature monitors are used to manage complex brain injury and stroke patients.

Spinal Cord Injury (SCI): Management: Provides acute response to SCI patients who develop hemodynamic instability and airway compromise

Ventilator Management: Our highly trained respiratory therapists support patients with compromised airways secondary to neurological injury.

Hemodynamic Assessment and Monitoring: Continuous physiological monitoring and management of patients at risk for hemodynamic collapse

Renal Replacement Therapy: Providing care for neurologically injured patients also suffering from acute or chronic renal failure.

Nutritional Support: Our well-skilled  speech and swallow therapists along with nutrition/dietary staff monitor and manage patients who are at risk of malnutrition and aspiration after neurological injury.

Anticoagulation: Our highly trained pharmacists provide rapid response to stroke patients requiring anticoagulation or reversal of anticoagulants.

Southern Tier Neuromedicine

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