Texas Administrative Code
Title 25 - HEALTH SERVICES
Part 7 - TEXAS MEDICAL DISCLOSURE PANEL
Chapter 602 - PROCEDURE REQUIRING FULL DISCLOSURE OF SPECIFIC RISKS AND HAZARDS-LIST A
Section 602.13 - Nervous System Treatments and Procedures
Universal Citation: 25 TX Admin Code ยง 602.13
Current through Reg. 49, No. 38; September 20, 2024
(a) Craniotomy, craniectomy or cranioplasty.
(1)
Loss of brain function such as memory and/or ability to speak.
(2) Recurrence, continuation or worsening of
the condition that required this operation (no improvement or symptoms made
worse).
(3) Stroke (damage to brain
resulting in loss of one or more functions).
(4) Loss of senses (blindness, double vision,
deafness, smell, numbness, taste).
(5) Weakness, paralysis, loss of
coordination.
(6) Cerebrospinal
fluid leak with potential for severe headaches.
(7) Meningitis (infection of coverings of
brain and spinal cord).
(8) Brain
abscess.
(9) Persistent vegetative
state (not able to communicate or interact with others).
(10) Hydrocephalus (abnormal fluid buildup
causing pressure in the brain).
(11) Seizures (uncontrolled nerve
activity).
(12) Need for permanent
breathing tube and/or permanent feeding tube.
(b) Cranial nerve operations.
(1) Weakness, numbness, impaired muscle
function or paralysis.
(2)
Recurrence, continuation or worsening of the condition that required this
operation (no improvement or symptoms made worse).
(3) Seizures (uncontrolled nerve
activity).
(4) New or different
pain.
(5) Stroke (damage to brain
resulting in loss of one or more functions).
(6) Persistent vegetative state (not able to
communicate or interact with others).
(7) Loss of senses (blindness, double vision,
deafness, smell, numbness, taste).
(8) Cerebrospinal fluid leak with potential
for severe headaches.
(9)
Meningitis (infection of coverings of brain and spinal cord).
(10) Need for prolonged nursing
care.
(11) Need for permanent
breathing tube and/or permanent feeding tube.
(c) Spine operation, including laminectomy, decompression, fusion, internal fixation or procedures for nerve root or spinal cord compression; diagnosis; pain; deformity; mechanical instability; injury; removal of tumor, abscess or hematoma (excluding coccygeal operations).
(1) Weakness, pain, numbness or
clumsiness.
(2) Impaired muscle
function or paralysis.
(3)
Incontinence, impotence or impaired bowel function (loss of bowel/bladder
control and/or sexual function).
(4) Migration of implants (movement of
implanted devices).
(5) Failure of
implants (breaking of implanted devices).
(6) Adjacent level degeneration (breakdown of
spine above and/or below the level treated).
(7) Cerebrospinal fluid leak with potential
for severe headaches.
(8)
Meningitis (infection of coverings of brain and spinal cord).
(9) Recurrence, continuation or worsening of
the condition that required this operation (no improvement or symptoms made
worse).
(10) Unstable spine
(abnormal movement between bones and/or soft tissues of the spine).
(d) Peripheral nerve operation; nerve grafts, decompression, transposition or tumor removal; neurorrhaphy, neurectomy or neurolysis.
(1)
Numbness.
(2) Impaired muscle
function.
(3) Recurrence,
continuation or worsening of the condition that required this operation (no
improvement or symptoms made worse).
(4) Continued, increased or different
pain.
(5) Weakness.
(e) Transphenoidal hypophysectomy or other pituitary gland operation.
(1)
Cerebrospinal fluid leak with potential for severe headaches.
(2) Necessity for hormone
replacement.
(3) Recurrence or
continuation of the condition that required this operation.
(4) Deformity or perforation of nasal septum
(hole in wall between the right and left halves of the nose).
(5) Facial nerve injury resulting in
disfigurement (loss of nerve function controlling muscles in face).
(6) Loss of senses (blindness, double vision,
deafness, smell, numbness, taste).
(7) Stroke (damage to brain resulting in loss
of one or more functions).
(8)
Persistent vegetative state (not able to communicate or interact with
others).
(9) Headaches.
(f) Cerebrospinal fluid shunting procedure or revision.
(1) Shunt obstruction
(blockage of shunt/tubing causing it to stop draining adequately).
(2) Malposition or migration of shunt/tubing
(improper positioning or later movement of shunt/tubing causing it to stop
draining adequately).
(3) Seizures
(uncontrolled nerve activity).
(4)
Recurrence or continuation of brain dysfunction.
(5) Injury to internal organs of the chest or
abdomen.
(6) Brain
injury.
(7) Stroke (damage to brain
resulting in loss of one or more functions).
(8) Persistent vegetative state (not able to
communicate or interact with others).
(9) Loss of senses (blindness, double vision,
deafness, smell, numbness, taste).
(10) Cerebrospinal fluid leak with potential
for severe headaches.
(11)
Meningitis (infection of coverings of brain and spinal cord).
(12) Need for prolonged nursing
care.
(13) Need for permanent
breathing tube and/or permanent feeding tube.
(g) Elevation of depressed skull fracture.
(1) Loss of brain function such as memory
and/or ability to speak.
(2)
Recurrence, continuation or worsening of the condition that required this
operation (no improvement or symptoms made worse).
(3) Loss of senses (blindness, double vision,
deafness, smell, numbness, taste).
(4) Weakness, paralysis, loss of
coordination.
(5) Cerebrospinal
fluid leak with potential for severe headaches.
(6) Meningitis (infection of coverings of
brain and spinal cord).
(7) Brain
abscess.
(8) Persistent vegetative
state (not able to communicate or interact with others).
(9) Seizures (uncontrolled nerve
activity).
(10) Need for permanent
breathing tube and/or permanent feeding tube.
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