Global Intraoperative Neuromonitoring Market

Global Intraoperative Neuromonitoring Market Size, Share, Growth Analysis, By Product & Services(Systems, Accessories), By Source Type(Insourced Monitoring, Outsourced Monitoring), By Application(Spinal Surgery, Neurosurgery), By End-User(Hospitals, Ambulatory Surgical Center) - Industry Forecast 2023-2030


Report ID: SQMIG35D2016 | Region: Global | Published Date: February, 2024
Pages: 165 | Tables: 117 | Figures: 77

Global Intraoperative Neuromonitoring Market Insights

Intraoperative Neuromonitoring Market size was valued at USD 3.02 billion in 2021 and is poised to grow from USD 3.16 billion in 2022 to USD 4.22 billion by 2030, growing at a CAGR of 4.9% in the forecast period (2023-2030).

The global intraoperative neuromonitoring market size is expected to enjoy a CAGR of 4.9% between 2022 and 2030. The market technically offers the real-time monitoring and assessment of nervous system during the surgical procedures. The technique assists the surgeons and anesthesiologists to evaluate the integrity and functionality of the nervous system during high-risk surgeries mainly those that may pose a risk to the brain, peripheral nerves, and spinal cord.

The intraoperative neuromonitoring involves techniques such as electromyography, electroencephalography, somatosensory evoked potentials, motor evoked potentials, and others. Clinically, the growing awareness for patient safety followed by technological advancements is expected to remain pivotal for the market growth.
The increasing emphasis on patient safety during difficult surgical procedures, as well as the rising prevalence of chronic disorders such as stroke, epilepsy, Alzheimer's disease, and Parkinson's disease, can be attributed to the market growth. According to the WHO, neurological disorders affect millions of people worldwide as statistically, every year, around 15 million people worldwide suffer from a cerebral stroke. This has contributed to the adoption of neuromonitoring devices and is expected to drive the demand in the forecast years.

US Intraoperative Neuromonitoring Market is poised to grow at a sustainable CAGR for the next forecast year.

Market snapshot - 2023-2030

Global Market Size

USD 3.02 billion

Largest Segment

Spinal Surgery

Fastest Growth

Spinal Surgery

Growth Rate

4.9% CAGR

Global Intraoperative Neuromonitoring Market ($ Bn)
Country Share for NA and AP Region (%)
Global Intraoperative Neuromonitoring Market By Application ($ Bn)
Global Intraoperative Neuromonitoring Market By Application (%)

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Global Intraoperative Neuromonitoring Market Segmental Analysis

The global intraoperative neuromonitoring market is segmented based on product & service, source ype, application, end-user, and region. Based on product & service the market segmentation comprises systems, accessories, and services. Based on source type, market is categorized into insourced monitoring and outsourced monitoring. Based on application intraoperative neuromonitoring market is categorized into spinal surgery, neurosurgery, vascular surgery, ENT surgery, and orthopaedic surgery. Based on end-user intraoperative neuromonitoring market is categorized into hospitals and ambulatory surgical centres. Based on the region it is categorized into North America, Europe, Asia Pacific, South America, and MEA.

Intraoperative Neuromonitoring Market Analysis by End-User

In 2022, the hospitals segment led the market, accounting for more than 58.19% of global revenue. This is due to an increase in procedure frequency and the requirement that vital statistics be monitored during each procedure. Hospitals are implementing IONM and training technologists to supervise procedures performed by neurologists and physiologists. There are no set criteria for using neuromodulation devices, but the practice is expected to become more common as demand and usage grow.
The ambulatory surgical centres segment is expected to grow at the fastest rate during the forecast period, with a CAGR of more than 8% in 2022. Hospitals and healthcare facilities choose to outsource their IONM needs due to factors such as cost-effectiveness and the availability of dedicated service providers. IONM devices are constantly being improved and modified. The financial burden of purchasing and maintaining this equipment is relieved by outsourcing. Furthermore, training neurophysiologists is costly and time-consuming.

Intraoperative Neuromonitoring Market Analysis by Source Type

In 2022, the outsourced IONM segment has dominated the market. Outsourced IONM monitoring is rapidly expanding due to its advantages over insourced monitoring. Nowadays, hospitals generally do not prefer insourced monitoring because of the smooth flow of the process. Outsourced monitoring is thus in high demand among hospitals and ASCs. Furthermore, IONM professionals prefer to work for an outsourcing IONM provider because they can work for more than one hospital at the same time. As a result, the outsourcing intraoperative neuromonitoring market is expected to grow rapidly over the forecast period. Furthermore, an outsourced provider can purchase a single device and work for multiple hospitals at the same time.

Global Intraoperative Neuromonitoring Market By Application, 2021 (%)

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Global Intraoperative Neuromonitoring Market Regional Insights

North America dominated the market, accounting for more than 55% of global revenue in 2022. The reimbursement scenario, and the increasing cases of neurological disorders, are a major contributor to this dominance. According to the National Institute of Health, approximately 795,000 people in the US experience stroke each year with 137,000 death cases. Furthermore, according to the Migraine Research Foundation, approximately 35 million people in the US suffer from migraine headaches in the upcoming year. Furthermore, nearly 43% of women and 18 percent of men in the country are expected to suffer from migraines. As a result, rising rates of neurological disorders like TBI, migraine, and stroke are expected to drive market growth in this country.

Asia Pacific is expected to grow at a 6.9% annual rate. Emerging economies such as China, Japan, South Korea, and India are expected to grow significantly during the forecast period. The presence of several domestic players in China and Japan may spur market growth. Furthermore, the growing geriatric population, as well as the rising incidence of traumatic brain injuries, are expected to fuel the local market in the coming years.

Global Intraoperative Neuromonitoring Market By Region, 2023-2030
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  • Fastest

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Global Intraoperative Neuromonitoring Market Dynamics

Intraoperative Neuromonitoring Market Driver

Rise in Aging Population with Chronic Illnesses and Technological Advancements to Empower Market Growth

  • The growing aging population, which is more susceptible to chronic illnesses, is likely to increase the demand for intraoperative neuromonitoring in various healthcare settings. Furthermore, adults with age 65 and older are more likely to suffer from heart disease, COPD, diabetes, cancer, neurological problems, and other chronic illnesses, according to the CDC. 

  • The advancement in advanced devices such as neurosurgery devices, surgical microscopes, ophthalmic surgical devices, and surgical robots has resulted in less direct human interference in surgical procedures, which is expected to support market growth. The NIM Vital system uses patented technology to provide precise intraoperative nerve status data, which influences surgical strategy, improves operative efficiency and precision, and assists patients in maintaining their quality of life. These factors are expected to impel the growth of the market over the forecast year.
  • The rising trend of medical tourism along with growing investments for healthcare infrastructure in developing economies are projected to create significant revenue generating opportunities in the global market.
  • A prominent rise in mental stress due to hectic work schedules and an increase in chronic disorders as well as contagious diseases has enhanced the demand for neuromonitoring equipment.

Intraoperative Neuromonitoring Market Restraint

Significant Costs of Neuromonitoring Devices and Lack of Awareness is Expected to Impede the Market Growth

  • The high cost of IONM devices and procedures are a significant growth barrier. EEG devices with 1-32 channels cost around US$ 1,000 to US$ 25,000, and EEG devices with more than 64 channels can cost more than US$ 25,000, depending on the number of channels. Portable amplifiers capable of recording EMG for more than four hours usually cost more than US$ 20,000. Because of budget constraints, many end-users prefer refurbished IONM devices, which offer significant cost savings over new devices. Several companies offer refurbished IONM devices at promotional prices that impacts the sale of new devices.
  • Shortage of trained workforce for the control and maintenance of intraoperative neuromonitoring arrangements are limiting the market size growth. Moreover, the lack of awareness on intraoperative neuromonitoring specifically in developing economies is also one of the factors restricting the market size.

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Global Intraoperative Neuromonitoring Market Competitive Landscape

The global intraoperative neuromonitoring (IONM) market is highly competitive, with both global and local players. Because of technological advancements, small and mid-sized businesses are focusing on market penetration in order to gain market share. The market is experiencing a surge in merger and acquisition activity. Medtronic and Natus Medical among all key players have a strong presence in the global Intraoperative neuromonitoring market with its leading products and services. The majority of the market's key players are concentrating their efforts on R&D, product innovation, expanding their existing product lines, and strengthening their market presence through geographical expansion.

Intraoperative Neuromonitoring Market Top Players Company Profiles

  • Medtronic
  • NuVasive
  • Nihon Kohden Corporation
  • Inomed Medizintechnik GmbH
  • Natus Medical Incorporated
  • Computational Diagnostics Inc.
  • Accurate Monitoring LLC
  • Cadwell Industries, Inc.
  • Moberg Research, Inc.
  • NeuroWave Systems Inc.
  • NeuroMonitoring Technologies, Inc.
  • Sentient Medical Systems
  • SpecialityCare
  • Technomed Europe
  • Medsurant Holdings LLC
  • Medistim ASA
  • Biotronic NeuroNetwork
  • NeuroSign Surgical
  • Axiom Neuromonitoring LLC
  • Neurophysiology Services Asia

Intraoperative Neuromonitoring Market Recent Developments

  • In April 2022, Epic Sciences, Inc. expanded its CLIA laboratory menu with the addition of DefineMBC, a novel comprehensive blood-based test for characterizing metastatic breast cancer.
  • In 2022, Assure Holdings Corporation, an intraoperative neuromonitoring services provider, acquired Sentry Neuromonitoring LLC, a key provider of intraoperative neuromonitoring services. The strategic move will help Assure Holdings reinforce its position along with improving economies of scale.
  • In February 2021, Twist Bioscience Corp. has introduced the Twist NGS Methylation Detection System for Intraoperative Neuromonitoring cancer analysis and epigenetic research.

Global Intraoperative Neuromonitoring Key Market Trends

  • Post-pandemic demand: The post-pandemic effect of Covid-19 has enabled an increase in demand for elective surgeries followed with an increased awareness for benefits of IONM. 
  • Technological Advances: The technology used in IONM equipment is making it easier to perform these procedures and obtain more accurate results. This is likely to make IONM highly affordable and accessible, thus increasing the demand.

Global Intraoperative Neuromonitoring Market SkyQuest Analysis

SkyQuest’s ABIRAW (Advanced Business Intelligence, Research & Analysis Wing) is our Business Information Services team that Collects, Collates, Co-relates, and Analyses the Data collected by means of Primary Exploratory Research backed by the robust Secondary Desk research.

According to the global intraoperative neuromonitoring market report analysis, the increase in number of medical procedures, potential hazard management, technological advancement, and an increase in the selection of intraoperative neuromonitoring by emergency clinics are the major factors contributing towards the market growth.
The market is being driven by an aging population, an increase in the prevalence of chronic disorders, the use of IONM in various surgeries, and risk management using IONM during complex surgeries. However, the market growth is limited due to a scarcity of skilled professionals and lack of awareness for IONM in developing countries. Conversely, increased medical tourism and growth opportunities in Asia Pacific and LAMEA emerging economies are expected to provide several opportunities for market growth during the forecast period.

Report Metric Details
Market size value in 2021 USD 3.02 billion
Market size value in 2030 USD 4.22 billion
Growth Rate 4.9%
Base year 2021
Forecast period 2023-2030
Forecast Unit (Value) USD Billion
Segments covered
  • Product & Services
    • Systems, Accessories, Services
  • Source Type
    • Insourced Monitoring, Outsourced Monitoring
  • Application
    • Spinal Surgery, Neurosurgery, Vascular Surgery, ENT Surgery, Orthopedic Surgery
  • End-User
    • Hospitals, Ambulatory Surgical Center
Regions covered North America (US, Canada), Europe (Germany, France, United Kingdom, Italy, Spain, Rest of Europe), Asia Pacific (China, India, Japan, Rest of Asia-Pacific), Latin America (Brazil, Rest of Latin America), Middle East & Africa (South Africa, GCC Countries, Rest of MEA)
Companies covered
  • Medtronic
  • NuVasive
  • Nihon Kohden Corporation
  • Inomed Medizintechnik GmbH
  • Natus Medical Incorporated
  • Computational Diagnostics Inc.
  • Accurate Monitoring LLC
  • Cadwell Industries, Inc.
  • Moberg Research, Inc.
  • NeuroWave Systems Inc.
  • NeuroMonitoring Technologies, Inc.
  • Sentient Medical Systems
  • SpecialityCare
  • Technomed Europe
  • Medsurant Holdings LLC
  • Medistim ASA
  • Biotronic NeuroNetwork
  • NeuroSign Surgical
  • Axiom Neuromonitoring LLC
  • Neurophysiology Services Asia
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Table Of Content

Executive Summary

Market overview

  • Exhibit: Executive Summary – Chart on Market Overview
  • Exhibit: Executive Summary – Data Table on Market Overview
  • Exhibit: Executive Summary – Chart on Global Intraoperative Neuromonitoring Market Characteristics
  • Exhibit: Executive Summary – Chart on Market by Geography
  • Exhibit: Executive Summary – Chart on Market Segmentation
  • Exhibit: Executive Summary – Chart on Incremental Growth
  • Exhibit: Executive Summary – Data Table on Incremental Growth
  • Exhibit: Executive Summary – Chart on Vendor Market Positioning

Parent Market Analysis

Market overview

Market size

  • Market Dynamics
    • Exhibit: Impact analysis of DROC, 2021
      • Drivers
      • Opportunities
      • Restraints
      • Challenges
  • SWOT Analysis

KEY MARKET INSIGHTS

  • Technology Analysis
    • (Exhibit: Data Table: Name of technology and details)
  • Pricing Analysis
    • (Exhibit: Data Table: Name of technology and pricing details)
  • Supply Chain Analysis
    • (Exhibit: Detailed Supply Chain Presentation)
  • Value Chain Analysis
    • (Exhibit: Detailed Value Chain Presentation)
  • Ecosystem Of the Market
    • Exhibit: Parent Market Ecosystem Market Analysis
    • Exhibit: Market Characteristics of Parent Market
  • IP Analysis
    • (Exhibit: Data Table: Name of product/technology, patents filed, inventor/company name, acquiring firm)
  • Trade Analysis
    • (Exhibit: Data Table: Import and Export data details)
  • Startup Analysis
    • (Exhibit: Data Table: Emerging startups details)
  • Raw Material Analysis
    • (Exhibit: Data Table: Mapping of key raw materials)
  • Innovation Matrix
    • (Exhibit: Positioning Matrix: Mapping of new and existing technologies)
  • Pipeline product Analysis
    • (Exhibit: Data Table: Name of companies and pipeline products, regional mapping)
  • Macroeconomic Indicators

COVID IMPACT

  • Introduction
  • Impact On Economy—scenario Assessment
    • Exhibit: Data on GDP - Year-over-year growth 2016-2022 (%)
  • Revised Market Size
    • Exhibit: Data Table on Global Intraoperative Neuromonitoring Market size and forecast 2021-2027 ($ million)
  • Impact Of COVID On Key Segments
    • Exhibit: Data Table on Segment Market size and forecast 2021-2027 ($ million)
  • COVID Strategies By Company
    • Exhibit: Analysis on key strategies adopted by companies

MARKET DYNAMICS & OUTLOOK

  • Market Dynamics
    • Exhibit: Impact analysis of DROC, 2021
      • Drivers
      • Opportunities
      • Restraints
      • Challenges
  • Regulatory Landscape
    • Exhibit: Data Table on regulation from different region
  • SWOT Analysis
  • Porters Analysis
    • Competitive rivalry
      • Exhibit: Competitive rivalry Impact of key factors, 2021
    • Threat of substitute products
      • Exhibit: Threat of Substitute Products Impact of key factors, 2021
    • Bargaining power of buyers
      • Exhibit: buyers bargaining power Impact of key factors, 2021
    • Threat of new entrants
      • Exhibit: Threat of new entrants Impact of key factors, 2021
    • Bargaining power of suppliers
      • Exhibit: Threat of suppliers bargaining power Impact of key factors, 2021
  • Skyquest special insights on future disruptions
    • Political Impact
    • Economic impact
    • Social Impact
    • Technical Impact
    • Environmental Impact
    • Legal Impact

Market Size by Region

  • Chart on Market share by geography 2021-2027 (%)
  • Data Table on Market share by geography 2021-2027(%)
  • North America
    • Chart on Market share by country 2021-2027 (%)
    • Data Table on Market share by country 2021-2027(%)
    • USA
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • Canada
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
  • Europe
    • Chart on Market share by country 2021-2027 (%)
    • Data Table on Market share by country 2021-2027(%)
    • Germany
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • Spain
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • France
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • UK
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • Rest of Europe
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
  • Asia Pacific
    • Chart on Market share by country 2021-2027 (%)
    • Data Table on Market share by country 2021-2027(%)
    • China
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • India
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • Japan
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • South Korea
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • Rest of Asia Pacific
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
  • Latin America
    • Chart on Market share by country 2021-2027 (%)
    • Data Table on Market share by country 2021-2027(%)
    • Brazil
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • Rest of South America
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
  • Middle East & Africa (MEA)
    • Chart on Market share by country 2021-2027 (%)
    • Data Table on Market share by country 2021-2027(%)
    • GCC Countries
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • South Africa
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)
    • Rest of MEA
      • Exhibit: Chart on Market share 2021-2027 (%)
      • Exhibit: Market size and forecast 2021-2027 ($ million)

KEY COMPANY PROFILES

  • Competitive Landscape
    • Total number of companies covered
      • Exhibit: companies covered in the report, 2021
    • Top companies market positioning
      • Exhibit: company positioning matrix, 2021
    • Top companies market Share
      • Exhibit: Pie chart analysis on company market share, 2021(%)

Methodology

For the Global Intraoperative Neuromonitoring Market, our research methodology involved a mixture of primary and secondary data sources. Key steps involved in the research process are listed below:

1. Information Procurement: This stage involved the procurement of Market data or related information via primary and secondary sources. The various secondary sources used included various company websites, annual reports, trade databases, and paid databases such as Hoover's, Bloomberg Business, Factiva, and Avention. Our team did 45 primary interactions Globally which included several stakeholders such as manufacturers, customers, key opinion leaders, etc. Overall, information procurement was one of the most extensive stages in our research process.

2. Information Analysis: This step involved triangulation of data through bottom-up and top-down approaches to estimate and validate the total size and future estimate of the Global Intraoperative Neuromonitoring Market.

3. Report Formulation: The final step entailed the placement of data points in appropriate Market spaces in an attempt to deduce viable conclusions.

4. Validation & Publishing: Validation is the most important step in the process. Validation & re-validation via an intricately designed process helped us finalize data points to be used for final calculations. The final Market estimates and forecasts were then aligned and sent to our panel of industry experts for validation of data. Once the validation was done the report was sent to our Quality Assurance team to ensure adherence to style guides, consistency & design.

Analyst Support

Customization Options

With the given market data, our dedicated team of analysts can offer you the following customization options are available for the Global Intraoperative Neuromonitoring Market:

Product Analysis: Product matrix, which offers a detailed comparison of the product portfolio of companies.

Regional Analysis: Further analysis of the Global Intraoperative Neuromonitoring Market for additional countries.

Competitive Analysis: Detailed analysis and profiling of additional Market players & comparative analysis of competitive products.

Go to Market Strategy: Find the high-growth channels to invest your marketing efforts and increase your customer base.

Innovation Mapping: Identify racial solutions and innovation, connected to deep ecosystems of innovators, start-ups, academics, and strategic partners.

Category Intelligence: Customized intelligence that is relevant to their supply Markets will enable them to make smarter sourcing decisions and improve their category management.

Public Company Transcript Analysis: To improve the investment performance by generating new alpha and making better-informed decisions.

Social Media Listening: To analyze the conversations and trends happening not just around your brand, but around your industry as a whole, and use those insights to make better Marketing decisions.

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FAQs

Intraoperative Neuromonitoring Market size was valued at USD 3.02 billion in 2021 and is poised to grow from USD 3.16 billion in 2022 to USD 4.22 billion by 2030, growing at a CAGR of 4.9% in the forecast period (2023-2030).

The global intraoperative neuromonitoring (IONM) market is highly competitive, with both global and local players. Because of technological advancements, small and mid-sized businesses are focusing on market penetration in order to gain market share. The market is experiencing a surge in merger and acquisition activity. Medtronic and Natus Medical among all key players have a strong presence in the global Intraoperative neuromonitoring market with its leading products and services. The majority of the market's key players are concentrating their efforts on R&D, product innovation, expanding their existing product lines, and strengthening their market presence through geographical expansion. 'Medtronic', 'NuVasive', 'Nihon Kohden Corporation', 'Inomed Medizintechnik GmbH', 'Natus Medical Incorporated', 'Computational Diagnostics Inc.', 'Accurate Monitoring LLC', 'Cadwell Industries, Inc.', 'Moberg Research, Inc.', 'NeuroWave Systems Inc.', 'NeuroMonitoring Technologies, Inc.', 'Sentient Medical Systems', 'SpecialityCare', 'Technomed Europe', 'Medsurant Holdings LLC', 'Medistim ASA', 'Biotronic NeuroNetwork', 'NeuroSign Surgical', 'Axiom Neuromonitoring LLC', 'Neurophysiology Services Asia'

The high cost of IONM devices and procedures are a significant growth barrier. EEG devices with 1-32 channels cost around US$ 1,000 to US$ 25,000, and EEG devices with more than 64 channels can cost more than US$ 25,000, depending on the number of channels. Portable amplifiers capable of recording EMG for more than four hours usually cost more than US$ 20,000. Because of budget constraints, many end-users prefer refurbished IONM devices, which offer significant cost savings over new devices. Several companies offer refurbished IONM devices at promotional prices that impacts the sale of new devices.

Post-pandemic demand: The post-pandemic effect of Covid-19 has enabled an increase in demand for elective surgeries followed with an increased awareness for benefits of IONM. 

North America dominated the market, accounting for more than 55% of global revenue in 2022. The reimbursement scenario, and the increasing cases of neurological disorders, are a major contributor to this dominance. According to the National Institute of Health, approximately 795,000 people in the US experience stroke each year with 137,000 death cases. Furthermore, according to the Migraine Research Foundation, approximately 35 million people in the US suffer from migraine headaches in the upcoming year. Furthermore, nearly 43% of women and 18 percent of men in the country are expected to suffer from migraines. As a result, rising rates of neurological disorders like TBI, migraine, and stroke are expected to drive market growth in this country.

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