Neurocritical Care

Neurocritical Care

UVa's Nerancy Neuroscience Intensive Care Unit (NNICU) is staffed by physicians, nurses, respiratory therapists  and other health care providers who are trained to care for critically ill  patients with neurological injuries or damage, or are recovering from brain or spine surgery.  This 12-bed unit provides the advantage of a state-of-the-art, digitized image-viewing system and computerized health care systems.

The Unit provides care for patients:

  • with Subarachnoid hemorrhage, Stroke, intracranial hemorrhages, traumatic brain injury, spinal cord injury, status epilepticus, encephalitis and meningitis, myasthenia gravis crisis,
  • with respiratory or blood pressure problems due to neurological disorders such as Guillain-Barre syndrome
  • with pneumonia, hypotension, sepsis or other medical complications  together with a neurological, neurosurgical or orthopedic primary problem


Patients in the NNICU receive specialized care from:

  • Board certified Neuro-intensivists or Intensivist physicians who specialize in caring for critically ill patients with neurological injuries and who share direct responsibility with the primary team attending physicians. This specially trained attending staff is either in the unit or on call 24 hours per day.
  • an attending neurosurgeon or neurologist
  • nurses who are specially trained and understand the complexities of caring for patients with neurological injuries
  • therapists specializing in neurological care
  • Residents in neurosurgery, neurology and anesthesiology
  • Fellows in neurological and internal medical critical care


Patients who have been stabilized and no longer require the intense level of care provided in the NNICU can go to another bed just down the hall. This includes the NIMU (Neuroscience Intermediate Care Unit) a step-down unit, where the level of care still exceeds that provided in a traditional inpatient setting.


The Nerancy Neuroscience Intensive Care Unit at the University Hospital was funded through the. Nerancy estate. John T. Nerancy, M.D., a neurosurgeon and psychiatrist, and his wife, Louise Nerancy, a nurse, A native of Greece, Dr. Nerancy practiced medicine in Chicago and Washington, D.C., before retiring in 1950 and moving to Charlottesville. Dr. Nerancy died in 1986; Mrs. Nerancy died in 1992.

    Core Providers:


    • Javier Provencio, MD, Director
    • Barnett Nathan, MD, Assistant Director and Fellowship Director


    • Charles Durbin, MD
    • Stewart Lowson, MBBS