Neurology and Neurosurgery: Clinical Guidelines for Managing Care

Autism and Other Pervasive Developmental Disorders

Sensory Stimulation for Coma Patients

Back and Neck Pain � refer to Skeletal-Muscular chapter of this manual

Electrical Stimulation Therapy in Neuromuscular Disorders

� Facial Nerve Paralysis

� Cerebral Palsy

� Spinal Cord Injury

� Stroke and other CNS Disorders

� Cranial Electrical Stimulation

Neurology Studies � refer to Apollo's Radiology publication for additional tests and procedures

� Electroencephalogram (EEG) � std., ambulatory, sleep-deprived, surgical

� Electrocorticography (ECoG)

� Brain mapping (quantitative EEG)

� Electromyelogram (EMG)/Nerve Conduction Velocity (NCV)

� Electromyography, Anal or Urethral Sphincter

� Epiduroscopy

� Sensory Evoked Potentials

� Vision Evoked Response test (VER)

� Multiple Sclerosis (MS) � Therapy

� MS Web Sites

� Multiple Sleep Latency Test (MSLT)

� Neuropsychological Testing (NPT)

Neurofeedback training

� Selective peripheral denervation (Bertrand procedure) for spastic torticollis

� Spinal tap, diagnostic

� Stereotactic cingulotomy

� Stereotaxic Depth Electrode Implantation, Medicare NCD

� Sympathetic therapy for chronic pain management

� Sympathectomy, Thoracoscopic

� Deep brain/thalamic electrical stimulation for intractable tremors (ET or PD)

� Carpal Tunnel Syndrome (CTS) � Conservative therapy (updated 9-04)

� Low Level Laser Therapy for the Treatment of Carpal Tunnel Syndrome (CTS)

� Carpal Tunnel Release

� Cranial Electrical Stimulation

� Embolization of intracranial aneurysms

� Transcranial Doppler Ultrasonography

� Transient Ischemic Attack (TIA) � Hospitalization Indications

� Electroencephalographic Biofeedback for Intractable Seizures

� Trigeminal Neuralgia � Radiofrequency Ablation

� Vagus Nerve Stimulation for the Treatment of Refractory Seizures

� Electroencephalographic Biofeedback for Intractable Seizures

� Pallidotomy for the Treatment of Parkinson�s disease

� Fetal Tissue Transplantation for the Treatment of Parkinson�s disease

� Surgical Evaluation for Intractable Seizure Disorders � Grid Monitoring

� Peripheral neuropathy with loss of protective sensation (LOPS) � Coverage

� H-wave stimulation for diabetic peripheral neuropathy with LOPS

� Cognitive Rehabilitation Therapy

� Constraint-induced movement therapy (CIMT)

� Hippotherapy/Therapeutic Horseback Riding/Equestrian Therapy

� Hypothermia following acute brain injury

� Induced Lesions of Nerve Tracts, Medicare NCD

Intra-operative Electromyographic Monitoring of Cranial Nerves

� Invasive Intracranial Pressure Monitoring, Medicare NCD

Vagus Nerve Stimulation for the treatment of refractory seizures

Vagus Nerve Stimulation for the treatment of depression

� Videopupillography/Tropicamide Drop Test Alzheimer's Disease

� Perception Threshold/Sensory Nerve Conduction Threshold (SNCT)

� Neurology/Neurosurgery Guideline Notes

� Back and Neck Pain � Evaluation and Procedures;

� Low back pain � evaluation and management (�acute�, �slow to recover�)

� Machines to test and treat low back pain

� Neuroreflexotherapy (NRT)

� Algorithm for back pain evaluation

� Artificial Intervertebral Discs

� Chymopapain Chemonucleolysis

� Endoscopic Anterior Spinal Surgery

� Epidural injection of steroids for back pain

� Facet Joint Injections/Nerve Blocks

� Facet Denervation, Neurotomy, Rhizotomy, or Articular Rhizolysis

� Hypertonic saline for the treatment of epidural adhesions, adhesive arachnoiditis, or failed back syndrome

� Implantable Infusion Pumps for the treatment of chronic severe back pain

� Intradiscal Electrothermal Therapy (IDET)

� Laminectomy

� Magnets for the treatment of chronic low back pain

� Meniscectomy

� Microdiscectomy, Percutaneous Lumbar Discectomy

� NucleoplastyTM, Disc

� Percutaneous vertebroplasty and kyphoplasty

� Prolotherapy

� Spinal fusion/arthrodesis

� Spinal Instability � Pedicle screw fixation

� Spinal stenosis

� Trigger Point Injections

� Cervical pain, acute

� Spinal manipulation under anesthesia

� Bone stimulators: electrical stimulation, low-intensity ultrasound therapies

� Surface electrical muscle stimulation for juvenile scoliosis

Pain Rehabilitation Programs (New 4-04)

Continuous epidural Analgesia (New 1-01)

Alzheimer�s Disease � 55 page clinical guideline � contents list on page 2 of guideline

ADHD � 56 page clinical guideline � contents list on page 2 of guideline

Neurology and Neurosurgical web site resources

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