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Aetna considers evoked potential studies medically necessary for the following indications: SEPs and DSEPs are considered experimental and investigational for all other indications because their effectiveness for indications other than the ones listed above has not been established. Intraoperative somatosensory evoked potentials SSEPs performed either alone, or in combination with motor evoked potentials MEPs are considered medically necessary for monitoring the integrity of the spinal cord to detect adverse changes before they become irreversible during spinal, intracranial, orthopedic, or vascular procedures, when the following criteria are met: Intra-operative SEP monitoring, with or without MEPs, may be appropriate for the following types of surgery not an all-inclusive list:
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Inferior anal nerves

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Evoked Potential Studies - Medical Clinical Policy Bulletins | Aetna

The brain, cranial nerves and meninges Nervous system The nervous system in general is described in chapter 3. The divisions of the brain are summarized here in table This chapter is limited to a brief description of the gross structure of the brain, an account of the ventricles, and some general remarks on the cranial nerves, the meninges, and the blood supply. Further details, including information about the internal structure of the brain, should be sought in books and atlases on neuroanatomy.
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Chapter 43: The brain, cranial nerves and meninges

Structure[ edit ] Cross-section of a nerve Each nerve is covered on the outside by a dense sheath of connective tissue , the epineurium. Beneath this is a layer of flat cells, the perineurium , which forms a complete sleeve around a bundle of axons. Perineurial septae extend into the nerve and subdivide it into several bundles of fibres. Surrounding each such fibre is the endoneurium.
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Testing of motor and sensory function requires a basic understanding of normal anatomy and physiology. Voluntary movement begins with an impulse generated by cell bodies located in the brain. Signals travel from these cells down their respective axons, forming the Cortiospinal a. At the level of the brain stem, this motor pathway crosses over to the opposite side of the body and continue downward on that side of the spinal cord.
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