Resumen Snell Neuro Resumen Neuroanatomia Clinica

 

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Pisukih-shinn-hiurc - Pisukih Hiurcfhftckëf Enëhaef

Hiurcfhftckëf (Yhavirsabfb Futõhckf bi Ufhtc Bckahoc)

UtuBceu hc istæ pftrceahfbc ha fvfnfbc pcr haho÷h ecnioac c uhavirsabfb.

Bisefrofbc pcr Bafhf Tfribis (fkfhbfefrcnahfji (fkfhbfefrcnahfjiDokfan.eck) Dokfan.eck)

 

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KÁBYNF IUTAHFN Ahtrcbueeaõh Jaourf 6

Istf jcrkfbf pcr 56 pfris bi hirvacs ispahfnis bi ncs eufnis7 = sch eirvaefnis, 60 tcræeaecs, 9 nuk`fris, 9 sfercs, 6 ecxëoic (bi frra`f mfeaf f`fgc) Nakati supiracr7Tuibih supiracr7Tuibih tckfrsi 5 rijiriheafs -  `crbi bin fougirc kfohc -  bieusfeaõh parfkabfn ( c bi nfs parækabis) -  ikiroiheaf bin prakir hirvac ispahfn. Nakati ahjiracr7 Echc kibunfr (ih nf jaourf 6 si iheuihtrf ih tchc virbi)ih virbi) ih in fbuntc si prcyietf f havin bin `crbiahjiracr bi N6 (N6-N0 ih fnouhcs tixtcs) y ih in pfeaihti pibaætraec (rieaáh hfeabc) ih N5  N5  Nfs jniemfs (←) siöfnfh nfs ahtukiseiheafs c ihorcsfkaihtcs (eirvaefn y nuk`csferc), ftra`uabfs f nf jcrkfeaõh bi ncs pnixcs eirvaefn-`rfquafn y nuk`csferc rispietavfkihti. @fgc nf nëhif puhtifbf ahjiracr y qui suroi bin echc kibunfr, si iheuihtrf in januktirkahfn , in eufn is in kibac bi jagfeaõh ahjiracr. Nftirfn fn januk tirkahfn ihechtrfkcs nf efubf iquahf, qui istf jcrkfbf pcr nf prcnchofeaõh bi ncs hirvacs ispahfnis ncs havinis nuk`fris y sfercs. Isti bi jihõkihc si bf bi`abc f qui nf ecnukhf virti`rfn eriei kuemc kfs qui nf kibunf ispahfn y „gfnf‛ f ncs hirvacs kfs

bi`fgc bi su craoih.

Bisefrofbc pcr Bafhf Tfribis (fkfhbfefrcnahfjiDokfan.eck)  

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Kibacs bi jagfeaõh

In UHE istæ rieu`airtc pcr 5 kik`rfhfs qui pfrieih uh echvihtc… ¡Ucnc mfy purfs kfbris! 

Jaourf 0

In sastikf hirvacsc eihtrfn istæ eu`airtc pcr 5 kik`rfhfsqui nc prctioih, nnfkfbfs kihahois,, y bi prcjuhbc f kihahois supirjaeafn si nnfkfh7 Tafkfbri Tafkfbri(vir (vir jaourf 0)qui istæ ëhtakfkihti fbcsfbf fn tigabc eiri`rfn< Frfehcabisy nf Frfehcabisy Burfkfbriqui Burfkfbriqui si iheuihtrfh ëhtakfkihti uhabfs (sfnvc pcr nf frfehcabis ¡istc pfriei uh echvihtc!). Uah ik`froc ihtri nf pafkfbriy pafkfbriy nf frfehcabismfy frfehcabismfy uh "fkpnac ispfeac"7 in ispfeac su`frfehcabic (nnihc su`frfehcabic  (nnihc bi nëquabc eijfncrrfquëbic c

eiri`rcispahfn ). ). Ncs „kibacs bi jagfeaõh‛ sch nfs istrueturfs ech nfs qui nf kibunf i spahfn si „fofrrf‛ pfrf hc fhbfr ecnukpaæhbcsi bi uh nfbc pfrf ctrc bihtrc bin echbuetc

viri`rfn. Q sch ncs saouaihtis7 -  Uupiracr7 echtahuabfb ech tfnnc eiri`rfn (jcrkfbc pcr pafkfbri   )  siixtaihbi  siixtaihbi bisbi in -  Ahjiracr7 januk tirkahfn (jcrkfbc echc kibunfr mfstf in sferc (vir jaourf 6) -  Nftirfn7 ncs prcpacs hirvacs ispahfnis y in naofkihtcbihtfbcõ naofkihtcbihtfbcõ bihtaeunfr qui siixtaihbi eckc uhf tinatf kuy jahf bi jcrkfbc pcr pafkfbri qui jcrkftrafhounfr, ftrfvisfhbc in ispfeac su`frfehcabic (jao. 0).

Echjaourfeaõh ixtirhf Nf ispahfn uhfy jasurf y uhf sirai bi pcr surecs bijahabcs nc nfroc bi kibunf tcbfs sus efrfstaihi (jao. 5), sch riprisihtftavcs qui`aih pcr fmë puibihf pfsfr frtirafs õ ikiroir rfëeis bi ncs hirvacs ispahfnis. Uus hck`ris y istrueturfs rinfeachfbfs sch7 -  Jasurf kibafhf fhtiracr fhtiracr  

pcr fquë pfsf nf frtiraf ispahfn fhtiracr

Bisefrofbc pcr Bafhf Tfribis (fkfhbfefrcnahfjiDokfan.eck)  

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-  Uurec fhtircnftirfn← ikiroiheaf c sfnabf bi nf rfëz fhtiracr  bin  bin

hirvac ispahfn -  Uurec kibafhc pcstiracr← is in rikfhihti bin eairri bin tu`c hiurfn -  Uurec pcstircnftirfn pcstircnftirfn  ← ihtrfbf bi nf rfëz pcstiracr  bin  bin hirvac ispahfn -  Uurec pfrfkibafhc pcstiracr (ahtirkibac)  (ahtirkibac) ← Uipfrf nfs ja`rfs bi ncs

jfseëeuncs oræean y euhiajcrki . Ncefnazfeaõh bin surec7 scnc f havin eirvaefn.   eirvaefn.

Echjaourfeaõh ahtirhf Ih in ecrti trfhsvirsfn bi kábunf (jao. 2) si abihtajaef7 OPAU7ih ¿ UYURFHEAF OPAU7ih jcrkf bi nitrf "M", "M", ncs `rfzcs sch nfsfstfsorasis pcstiracris  pcstiracris  (sch sihsatavfs), ncs pais sch nfs fstfsorasis fhtiracris (sch fhtiracris (sch kctcrfs), nf `frrf mcrazchtfn is nf eckasurf eckasurf,, kaskf qui rcbif fn echbuetc ipihbakfrac c eihtrfn.. In fstf oras nftirfn, eihtrfn nftirfn, si u`aef ih ncs siokihtcs R6 f N5bchbi ikiroih ncs hirvacs h irvacs sakpætaecs (pcr nc tfhtc istfs sch vaseirfnis). ¿ UYURFHEAF @NFHEF7 @NFHEF7 rcbif f nf nitrf "M" (sustfheaf oras)< si bavabi ih ecrbchis bi ecrbchis  bi nf saouaihti kfhirf7 -  Ecrbõh `nfhec pcstiracris pcstiracris nf sustfheaf `nfhef u`aefbf ihtri in surec pcstirckibafnyy in surec kibac pcstiracr. pcstirckibafn pcstiracr.  -  Ecrbõh `nfhec nftirfnnf nftirfnnf u`aefbf ihtri in surec pcstirckibafn pcstirckibafnyy in surec fhtircnftirfnbin fhtircnftirfn bin kaskc nfbc -  Ecrbõh `nfhec fhtiracr si fhtiracr si ncefnazf ihtri insurec insurec fhtircnftir fhtircnftirfn fnyy nf jasurf kibaf fhtiracr bin fhtiracr bin kaskc nfbc.

Nækahfs y H÷enics F nf azquairbf bi nf jaourf 9 ihechtrfræs nfs nækahfs bi Pixib , istf bavasaõh bi nf sustfheaf oras, fetufnkihti hc si fpnaef ih enëhaef, sah ik`froc, is `uihc echceirnf yf qui quazæ nf iheuihtris ih fno÷h tixtc bi echsuntf. Nf sustfheaf oras si efrfetirazf pcr prisihtfr H×ENICU, f innc si bi`i qui sif FKAINËHAEF7   H÷enics bin fstf c ecrbõh pcstiracr(ech juheaõh)7 Tcstirckfroahfn   -  Tcstirckfroahfn -  Uustfheaf oinftahcsf7 fjiriheafs tirkcfnoásaefs y tfetc  tfetc   

Bisefrofbc pcr Bafhf Tfribis (fkfhbfefrcnahfjiDokfan.eck)  

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-  Eihtrfn bin fstf pcstiracr õ H. prcpac7 fjiriheafs prcpaceiptavfs, va`rfeaõh y baserakahfeaõh ihtri 0 puhtcs  puhtcs  -  @fsfn kibafn õ H. bcrsfn7 scnc si iheuihtrf ih ncssiokihtcs E= f N2< fjiriheaf prcpaceiptavf  prcpaceiptavf  N5  -  @fsfn nftirfn õ H. fjirihti vaseirfn7 siokihtcs R6 f N5 

  H÷enic bin fstf c ecrbõh nftirfn7 ahtirkibacnftirfn7 ftirfn7 scnc si iheuihtrf ihtri ncs siokihtcs R6 f N5. -  H÷enic ahtirkibacn Ecrrispchbi f ncs euirpcs hiurchfnis bi nfs ja`rfs sakpætaefs pri ofhonachfris   ofhonachfris

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  H÷enics bin fstf c ecrbõh fhtiracr7 -  @fsfn y eihtrfn 7 prisihtis ih siokihtcs eirvaefnis y nuk`csfercs ahirvfeaõh kuseunfr ih bafjrfokf, IEK, trfpieac  trfpieac  Fhtircnftirfn 7 prisihtis ih siokihtcs eirvaefnis y -  Tcstircnftirfny Tcstircnftirfn y Fhtircnftirfn7 nuk`csfercs, ahirvfeaõh kuseunfr bi nfs ixtrikabfbis (bastfnis). ixtrikabfbis  (bastfnis). Tcstirckibafnyy Fhtirckibafn7 ijiriheafs f k÷seuncs bin trchec, -  Tcstirckibafn ahtirecstfnis, euinnc, f`bckih, ite.  ite. (prcxakfnis).

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Rrfetcs Nf sustfheaf `nfhef si efrfetirazf pcr prisihtfr RPFER RPFERCU CU õ JFUEAEYNCU, ncs eufnis pcr nf barieeaõh bi nf " ahjcrkfeaõh"(bi ahjcrkfeaõh"(bi kábunf fn iheájfnc c vaeivirsf) vaeivirsf ) si bihckahfh fjirihtis õ ijirihtis , rispietavfkihti. (Pieuirbf7 IJIrihti; kcvakaihtc õ sierieaõh). Ih nf biriemf bi nf jaourf : si u`aefh ncs trfetcs IJIetckcvakaihtc IJIetc fjirihtis y f nf azquairbf ncs ijirihtis. Hctfræs qui ih fk`cs nfbcs quibfh ispfeacs ih `nfhec, pirc fn pchir fk`fs katfbis ih ispigc, hctfræs qui ncs ispfeacs vfeëcs si ceupfh. Is biear ncs trfetcs fjirihtis y ijirihtis si iheuihtrfh f fk`cs nfbcs bi nf kábunf ispahfn. ZËFU FJIPIHRIU (azquairbf)7 6.- Oræean 0.- Euhiajcrki 5.- Ispahceiri`incsc pcstiracr 2.- Ispahceiri`incsc fhtiracr 9.- Ispahccnavfr :.- Ispahctfnækaec nftirfn ?.- Ispahctietfn =.- Ispahctfnækaec fhtiracr ZËFUF.-IJIPIHRIU (biriemf)7 Ecrtaecispahfn nftirfn @.- Pu`rcispahfn E.- Cnavcispahfn B.- Zista`uncispahfn I.- Rietcispahfn J.- Ecrtaecispahfn fhtiracr

Bisefrofbc pcr Bafhf Tfribis (fkfhbfefrcnahfjiDokfan.eck)  

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Hctf7 pfrf nfs vëfs fjirihtis "ispahc" is prijagc y ih nfs ijirihtis is sujagc.Bi sujagc. Bi miemc pfrf riecrbfrnc puibis tihirprisihti nf saouaihti fhfncoëf7  fhfncoëf7  Nc NcFFFjirihti FFFjirihti vf  vf mfeaf FFFrra`f FFFrra`f (UHE)y  (UHE)y nf IIIjiriheaf IIIjiriheaf is  is in IIIjietc IIIjietc(kctcr (kctcr c sierieaõh)  sierieaõh)  Bi miemc in hck`ri bi nf vëf bi nf pastf bi bchbi vaihi y f bchbi vf c vaeivirsf, pcr igikpnc7 -  - 

Ispahc-tfnækaec; bi nf kábunf IUTAHFN fn RFNFKC pcr tfhtc is uhf fjiriheaf Ispahc-tfnækaec; fjiriheaf   Ecrtaec ispahfn ; bi nf ECPRIWF f nf kábunf IUTAHF IUTAHFNN pcr tfhtc is uhf ijiriheaf. ispahfn; ijiriheaf.  

Tcr bijahaeaõh si baei qui tcbfs nfs vëfs FJIPIHRIU ahorisfh f nf kibunf pcr nf PFAW bi ncs hirvacs ispahfnis (nniofhbc c mfeaihbc rinivc riniv c ih in FURF OPAU TCURIPACP) TCURIPACP bi TCURIPACP) y tcbfs nfs vëfs IJIPIHRIU sfnih bi nf kibunf pcr nf PFAW  FHRIPACP  FHRIPACP bi ncs hirvacs ispahfnis (nniofhbc c mfeaihbc rinivc ih in FURF OPAU FHRIPACP). nf FHRIPACP). F tcbc istc si ni nnfkf nf NIQ BI @INN-KFOIHBAI @INN-KFOIHBAI..

ZAFU FJIPIHRIU

  JFUEËEYNCU7 IUTAHCRFNÆKAEC NFRIPFN y FHRIPACP NFRIPFN7 IUTAHCRFNÆKAEC NFRIPFN7 Rapc bi ahjcrkfeaõh7 tirkcfnoásaef (tikpirfturf (tikpirftu rf y bcncr)   Pieiptcr7 Ecrp÷seuncs bi Lrfusi, Pujjaha y tirkahfeachis hirvacsfs na`ris  na`ris  6ª hiurchf7 ofhonachfr (rfbaeunfr pcstiracr) psiubckchcp psiubckchcpcnfr cnfrmfei mfei su 6ª UAHFTUAU UAHFTUA U ih nf sustfheafoinftahcsf, bi fquë hiurchfqui qui si bieusfy bieusfy fseaihbi pfrti nf 0ª hiurchf pcr in ecrbõh `nfhec nftirfn nuiocftrfvaisf nuiocftrfvaisf fn tfnnc eiri`rfn, mfstf fnefhzfr in h÷enicvihtrcpcstircnftir fn bin tænfkc h÷enicvihtrcpcstircnftirfn (ZTN),, bchbi mfei uhf (ZTN) u hf 0ª UAHFTUAU, y fsë nf 5ir hiurchfsi ecrtizfeiri`rfn   hiurchfsi baraoi f nf ecrtizfeiri`rfn (oarc pcseihtrfn, bchbi si iheuihtrfh nfsærifs 5, 6, 0 bin kfpf bi @rcbkfhh).  @rcbkfhh).   *Jfseëeunc pcstircnftirfn bi Nassfuir7 f Nassfuir7  f havin bi nf prakirf sahfpsas, si bavabih rfkcs fseihbihtis y biseihbihtis qui fnefhzfh siokihtcs supiracris i ahjiracris IUTAHCRFNÆKAEC FHRIPACP Rapc bi ahjcrkfeaõh7 tfetc nivi y prisaõh   Is sikigfhti f nf vëf ispahctfnækaec i spahctfnækaec nftirfn ih sahfpsas y hiurchfs, nf bajiriheafrfbaef ih qui nf vëf fhtiracr fseaihbi pcr in ecrbõh `nfhec fhtiracr.  fhtiracr. 

Bisefrofbc pcr Bafhf Tfribis (fkfhbfefrcnahfjiDokfan.eck)  

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  JFUEËEYNCU OPFEAN Q EYIHAJCPKI Rapc bi ahjcrkfeaõh7 Rfetc baserakahftavc, baserakahfta vc, va`rfeaõh y prcpaceipeaõh prcpaceipea õh echseaihti echseaihti   Nf prcpaceipea prcpaceipeaõh õhis is sf`ir bchbi istæ efbf pfrti bi tu euirpc, sah nf hieisabfb bi virnc. Pieiptcris7 ecrp÷seuncs bi Kiasshir, Tfeaha, muscs hiurckuseunfris y õrofhcs tihbahcscs bi Ocnoa Ihtrf nf 6ª hiurchf hiurchfUAH  UAH fn mfeir mfeir sahfpsas y , si baraoi ecrbõh @NFHEC UAHeruzfrsi UAHeruzfrsi, pcstiracr, bisbi fquë fseaihbi f seaihbi apsanftirfn mfstf nf kábunf c`nchofbf pfrf nniofr f ncs h÷enics bi OPFEAN y EYHIAJCPKI(tfk`aáh EYHIAJCPKI (tfk`aáh nnfkfbc euhiftcs), euhiftcs ), bchbi mfei m fei su 6´ UAHFTUAU.

Bisbi fquë nf 0ª hiurchf(ja`rf frquifbf c freajcrki)UI freajcrki)UI EPYWFy EPYWFy si baraoi fn yf echceabc H. vihtrcpcstircnftirfnbin vihtrcpcstircnftirfnbin (ih uh jfseëeunc echceabc eckc tænfkc(ih tænfkc nikhasec kibafn), kibafn), bchbi mfei su 0f UAHFTUAU y bi fquë pfrti nf 5ª hiurchf hiurchfff nf eareuhvcnueaõh pcseihtrfn bi nf ecrtizf eiri`rfn. Bi ncs h÷enics oræean y euhiajcrki (K.C`nchofbf), si bisprihbi in jfseëeunc euhiceiri`incsc  qui  qui fprcviemf nf ahjcrkfeaõh fpcrtfbf pcr oræean y euhiajcrki, pfrf hctajaefrnf f nf ecrtizfeiri`infr   ecrtizfeiri`infr Oræean, is  is uh jfseëeunc qui si ncefnazf f nc nfroc bi RCBF nf kábunf ispahfn, ispahfn, kaihtrfs qui Oræean, euhiajcrki si euhiajcrki  si abihtajaef f pfrtar bin siokihtc R: f E6 y E6  y si ixtaihbi ixta ihbi ih sihtabc NFRIPFN f oræean. Pieuirbf 7 OPFEA -N -N nnivf ahjcrkfeaõh bi kaik`rcs ahjiracris ; OPFEA -csf -csf eckc uhf `fanfrahf EYH  ifrrunnfr ajcrki c EYH iftcs, iftcs, nnivf ahjcrkfeaõh bi kaik`rcs supiracris; Ncs `rfzcs mfeih uhf EYH f pfrf iajcrki

Bisefrofbc pcr Bafhf Tfribis (fkfhbfefrcnahfjiDokfan.eck)  

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  Jfseëeunc IUTAHCEIPI@INCUC FHRIPACP y TCURIPACP

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Rapc bi ahjcrkfeaõh7 Uihsa`anabfb kuseunfr y frtaeunfr ahechseaihti   Pieiptcr7 muscs kuseunfris, kuseunfris, õrofhcs tihbahcscs y rieiptcris frtaeunfris.

FHRIPACP7 Nfs hiurchfs qui pfrtih bin rieiptcr si baraoih fn h÷enicbcrsfn bchbi mfeih nf 6´ UAHFTUAU, bi bchbi si bisprihbih nfs 0´hiurchf,istfs si bavabih bi jcrkf fsakátraef, y nf kfycrëf si BIEYUF y fseaihbi pcr in ecrbõh `nfhec nftirfnmfstf fnefhzfr in pib÷heunc eiri`incsc supiracr pcr bchbi ahorisfh y huivfkihti si bavabih, uhf pfrti nniof mfstf nf ecrtizf eiri`incsf y si erii qui nf ctrf pfrti huivfkihti si eruzf pfrf nniofr f nf ecrtizf eiri`infr bin mikasjirac cpuistc. Nfs ja`rfs qui HC si eruzfrch, fseaihbih pcr in ecrbõh `nfhec nftirfn bin kaskc nfbc pfrf nniofr f nf ecrtizf bin mikasjirac eiri`infr apsanftirfn f trfvás bin nfbc pfrf nniofr f nf ecrtizf bin mikasjirac eiri`infr apsanfti apsanftirfn rfn f trfvás bin pib÷heunc eiri`incsc supiracr.

TCURIPACP Uikigfhti mfstf nf 6´ UAHFTUAU bi nf vëf privaf. Ih fbinfhti fseaihbi eckpnitfkihti ysah bieusfrsimfstf in pib÷heunc eiri`incsc pcr (nëhif virbi bchbi ahorisf mfstf fnefhzfr nf ecrtizf eiri`infrahjiracr bin isquikf).

  Jfseëeunc IUTAHCCNAZFP

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Rapc bi ahjcrkfeaõh7 Trcpaceipea Trcpaceipeaõhhc õhhc echseaihti Nf 6ª hiurchfihtrf U AHFTUAU, nf 0f hiurchfihtrf y mfei nf 6ª UAHFTUAU, hiurchf eruzf nf nëhif kibaf y kibaf y fseaihbipcr nf sustfheaf `nfhef ihtri ncs nakatis bi ncs ecrbchis ecr bchis fhtiracr y nftirfn< mfstf fnefhzfr fn H÷enic cnavfr ahjiracr bi nf kábunf c`nchofbfbchbi c`nchofbf bchbi mfei nf 0ªUAHFTUA 0ªUAHFTUAU, U, nf tireir hiurchferuzf eruzf kibaf (huivfkihti) i (huivfkihti)  i ahorisfhiurchf fn eiri`inc pcrnfnëhif in pib÷heunceiri`incsc ahjiracr, mfstf nf ecrtizf eiri`infr.

Bisefrofbc pcr Bafhf Tfribis (fkfhbfefrcnahfjiDokfan.eck)  

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  Jfseëeunc IUTAHCRIERFN

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Rapc bi ahjcrkfeaõh7 Ahjcrkfeaõh fjirihti pfrfahtiorfr pfrf ahtiorfr rijnigcs ispahcvasufnis ncs eufnis prcvcefh kcvakaihtcs bi ncs cgcs y nf ef`izfmfeaf ef`izfmfeaf in craoih bin istëkunc.  istëkunc.   Nf prakirf hiurchf ahorisf pcr in fstf oras pcstiracr, bchbi mfei nf 6´ UAHFTUAU, bi fquëpfrti nf 0´ hiurchf, nf eufn EPYWF nf nëhif kibaffseaihbi kibaffseaihbi pcr nf sustfheaf `nfhef u`aefbf ihtri ncs ecrbchis nftirfn y fhtiracr