This paper presents a pattern-based neural network (NN) control approach for a class of uncertain nonlinear systems. The approach consists of two phases of identification and another two phases of recognition and control. First, in the phase (i) of identification, adaptive NN controllers are designed to achieve closed-loop stability and tracking performance of nonlinear systems for different control situations, and the corresponding closed-loop control system dynamics are identified via deterministic learning. The identified control system dynamics are stored in constant radial basis function (RBF) NNs, and a set of constant NN controllers are constructed by using the obtained constant RBF networks. Second, in the phase (ii) of identification, when the plant is operated under different or abnormal conditions, the system dynamics under normal control are identified via deterministic learning. A bank of dynamical estimators is constructed for all the abnormal conditions and the learned knowledge is embedded in the estimators. Third, in the phase of recognition, when one identified control situation recurs, by using the constructed estimators, the recurred control situation will be rapidly recognized. Finally, in the phase of pattern-based control, based on the rapid recognition, the constant NN controller corresponding to the current control situation is selected, and both closed-loop stability and improved control performance can be achieved. The results presented show that the pattern-based control realizes a humanlike control process, and will provide a new framework for fast decision and control in dynamic environments. A simulation example is included to demonstrate the effectiveness of the approach.