Table Of Content�T�
Mosby
An AffiliaotfeE lsevSiceire nce
1183W0e stliInned ustDrriiavle
S1L.o uiMsi.s sour6i3 146
MERRILL'AST LASO F RADiOORAPHICPO SITIONSA ND ISBN( Set0)- 323-01604-9
RADIOLOOICP ROCEDURES.E D \0 (VolumTew o)0 -323-01607-3
Copyrighet 20 03,M osby, IAnlclri. g htresesrv ed.
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InternationSaltand ard Book Number( Set)0 -323-01604-9
(VolumeI I0)- 323-01607-3
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MediclalllustraJteoarn:n Reo bertson
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25
PAULAP ATE·&'CJllODER
OUTLINE
,
ANATOMY -'>::�f
Barin
Fodre scrpiuprtpiotvshecee es n,tn rearl Ad eeceplf cta,l tlhleeod n gitsuudlinal
voussy st(eemN Sis)d ievdii don ttwToh ber aiicsno mpoosfe odau ntp eorr ticousn(n iteermshiphefrsiiscu rsee)p,a rates
par(t)Ist :hb er aiwnh iocchc utphieeo sfg ramya tctaellreth dec ortaenaxd ni nthcee rebirtnuormg i hat ndlfte hemi
*,
cranciatavylia, n (d2 t)h sep incaodlr, nepro irotonfw h imtaet tTehrbe.r acionn spherewsh,i acrhce l osceolnyn ebcyt ed
whiicssh u spewnidtethdhi vene rtesbirosafttl sh c ee rebtrhuceme ,r ebealnldub ma,n odfns e rfvieb oercr osm,m isTshuer es.
caanl. thber aienms,wt hiicsch o ntiwniutolhura sg ecsotm miesb seutrwtehecene rebral
thsep icnoar(ldiF g2.5 -T1h)be.r ainshteesmmpi heirste hsce o rpcuasl loTshuem .
conss oifst thmeid brianp,o nsa,n dc orpcuasl lioassm uimd els itnruei cntur
*Maniyt aleidwc oirzdasr ed efinaedtt heen d tohfe
chapter. meduolbllao ngata. freiotro ltohneg itsuudlicEnuaascl.h
Thcee rebirsu lmtra hgeep sator ftt hec erehberimpashle croen taaf uilinds- filled
braini srae nfdet roar set dhf eore braicna.v itya l cataelvrelaneltd rA ittc hldeei .
Itssru faicsec onveodbl yus tulacnid e ncepoharsl eocnop,no rdt oifto hbner ain,
grootvhedasiti v dieit tn ol obaensld o bthteh alami tshtuehr dir vroeunntrdi cle.
uelsT.h ese tmleip okrttihocanot n neIcnetfrsit ootr hd eei ncepihtsah lpeio tnu itary
thcee rebtrotu hpmeo nasn cde reelblugml antdh;me a steenrd ocgrlniadn eto hfe
iste rmtehmdei dbiranT.h e ceelrleubbmo,dT yh.pe i tarugyil tarneds iidne st he hy
ponasn,md e dlaulo blonmgaakutepta h ep ophyfssoesoaaftl h selea lt urcica.
hindbrain. Thcee reelbltuhmle,a rpgaesrtt of the
hnidbriassie np,a rfartotemhcd ee rebrum
bya deetpr vaenrscslee Tfhteh. e mi
spheorfe sct ehrele lbueamrce o nnected
bya m edicaonn setdr iaccrtaelatl heed
vermTihsse.u f raoceft hcee rlelbcueomn
tainnusm ertoruasn ssvueltrcshieaa ct
coufnotr c ailflutiosw aeprp earTahnec e.
tisbseutewste hecenu rvseudla crceia lled
foliTah. e pwohnisfc,roh m tsh uep per
paorftt h heid nbraitishn ce,o mmsiusorre
bridge tbhecete wreebecrneu rmleu,lbm e,
anmde dlulTah.me e dlaul,w hiecxht ends
betwtehepeno nasn sdp icnoarlfd ro,m s
thleo weri oopnfto hrhetid nbrnaA.il tlh e
fibterrab cettsw tehebenr aainnsd p inal
cord pastsh meted hulrlao.u gh
Lateral sulcus
������-- Cerebrum
Corpcuasl losum
(
)
..,.. .....
;
Cerebellum
.../ ...
Fi2g5.- 1L atesruarlfa ancdme i dsecotfbi ronan.i
2
SpinCaoldr Menniges
The outsehremacotalshlet,td h deu ra
Thes pincaodlr i s selan deeorln,g atTehdbe r aainnsd p icnoaraldr e en ocsleidn m ate(arL ti"nh,am rodt hefrro"m)ts,h e
struecc otnusriosfat nii nennrgg, r acye,l thrceoen tinpurootutisevmc,ee m brasnterso finbgr,oc uosv eorfit nhbger aainnd
lurls uabstwahnichceaha,s n shaopne c allemde nnigeTsh.ei nnsehre actalhle,ds picnoarlTd h.ed uria s eparfarmto ed
H
transsveteciroasnnea,d no uetrw,h iftiet,h pei maa t(eaLrt i"tne,n mdoetrh) ei,rs "t haerc ahnobiytd hs eu bdusrpaalac en d
brosuusb st(aiFngc2se5. - a2n d2 5-3h)i.g hvalsyc aunlda r closeltoy f raodtmhh evere ernttep berrailo sbtyte huem
Thceo redx tefnrmdo tsh ber awihne,ir tet huen derblryaaiinnncdg o rsdt ructeupried.us rpaalcT eh.es spea dcoen soc to m
icso encntetdh mete odl uloab lonagta tTah dee alticece ntsrhaeilas t hlc etadhl em untiewc iatthhve e ntrsiycsutTlehamer.
thlee vetlh feroo afm meang nutmot, h ea archdn.oT ihimse mbriassn eep aradtuaer mda tiesrc omopseodf tlwaoy ers
appiramotxlee voeftl h sep abceet wefermno thpei a mbayat c eorm ptairvaetlhyr ouigthcsor uatnp iotariloT nh.eo uter
thfier asntsd e colmnubda vre rteTbhreaw edi.es pacceal letdh seu baacrhnoliady lneierts h cer anbioantlehs su,es r ving
spicnoarled n disna p oinetxeetdmry i tspacweh,i icwshi deinne dc earrteaaaisspn. e riotsott ehueimine rnrs ruafcTeh.e
caltlheceod n muesd ullTahrfieilsut.me rTheasree aisn ecoarfsw eidd atrhce a lliendnl earyp erro ttehcet sab nrsdapu ipno rts
minail eal c itadefie,b rosutsrt ahneadxt subarachcniositdTe rhwnesi .d aerseitas t he bvleososTdeh llesa .y erh afa uolrs o
tenfdrsot mh tee rmtiinapan lad t tacthhecessi termnaag n(act iesrcnear lebpeatrittihopanrtsio dvseu ppaonrpdtr otec
thceo rtdo utphpece orc cysgeegamle nlto.dm eurli)lTs.ah itsr iancgauvilissati ryt tifoonr vtahreip oaurostft s hb er aOinne.
Thsep icnoarildcs o nnectto3e 1dp airusa tietndh e lpoowstefersor sibaoe rt weoeftn h eep atriiotntshf,eal xc ererburin,s
ofs pinnearlv eeasca,hr i in fgr otmw ot hbea soef ctehreeel blaunmtd h deo rstahlr otuhgiehen rthemisfipshseeau rnridc
rooattt hsei detsh seop fic noarlTd h.e s rufaocfet hmee dulolbal ongatpar.o vTiuhdpeep sof rrot th cee rehbermail
neravretesr anstmhirtotueigdnh vt eetrrhsebu arhancosipdai ccseo ntiwniuttohhue ss pheTrheetse .n toirsiau enmt-t shaedp
tebarnasdla cfroaarml ina.n eSrpvivene anlt rsiycsutoleftam hrb e r aainncd o mflodo fd ura setphaatrt ahcteee rse brum
belowt etrhmeio nfta htseip oicnno areldx muincawtiheti stt h rotuhfgeroh ma iano f ancde rleulbmeC.h anigents h neo rmal
tenidne rfitohrrloyu vgehr ttcehabenr aatllh .e fvoeunrttTrhhi vece lnet.r oiftc hlepe oss iotfti hoenssste r uecsot futirenndt iec a
Thenseer vreeessm balh eo rsteaa'insld b raainntd h seu bcahrnaosipadcc oen tapiant hoTlhodegu ayrm .a teexrt ebnedlso w
arree ferretdhc eat uode aqa usiT nhae.c erepbirnofasllu( iCdS CFS)F.i tsh tei sthsep icnoar(ldt t ohl ee voeftl hs ee cond
pinal cnoerrdvw eoasrtn kod g ettoh seurfe ul iodft hber aainnsd p icnoarlid t;s acrsaelg metnoet n)c ltohsseep inal
tranasnmrdie tc esiesvnoer myo,t oarn,ds urroaunncddu ss htihosent sr uecsot fu nrervwehsi,ca rhpe r oloinnegfreido rly
refmleesxs atgoae nfsdr m o thber na.i thcee ntnrearlvs oyusst em. frmo thceo rtdot heriesrtp ieevcxeiT thse.
lowpeorr toifto hnde ua rm atiecsra l led
thdeu ral Thsaecc a.u edquai niase n
clsoebdyt hdeu rsaalc .
Pons
�.h'�'--- Meduolbllao ngata
Spicnoarld
Antenreirrovoreo t
Whistueb stance
Fi2g5.- T2r ansvseercstoeifs o pni cnoarld . Fig. S2a5g-i3t tals hsoewcsitpniigo nna l
cord.
3
VentcruilSayrs tem
Eaclha tveernatlcr oincsloiefas c tesn Thet hdi vrentriisc sllaei e tc alviikty
Thvee ntrsiycsutleamr b roafi nt htecr opanolr tcialolend botdhoyeft hcea viwtiyta.s h o mewqhuaatad treisrlhaalIp ites .
sitsso ff uori rraergfl,uu dli-ocntnnaigi Thbeo diyps r ongleoda nterpioosrtlesyri,itt euidatn h mejd sagpiltatjnauteils n ef
cavitthicaetos m miucnawtieto hn e aonrlayni,d ne frioitrnohl oylr einp kotrionrsit ootr h lee voeftl hb eo doifte hsle a teral
other ctohnrnoeuccghthai nn(ngiFe glsst. h agti vteh vee ntrainac plopexrm iatev ent.rT ihcilse ecxatveiantndyts ee roinf
254-t o2 5-T6h)te.w uop pcearv iatriee ss hapTeh.ep rolopnogtreidoa nrser iofrrlotymh pei ngelanaldw ,h ipcrho
U
ani denptaiaicnrad l s airmecp alllyet dh ek noawsnt haen tieoprr,o stearniidfon er, ducaer se cess in wailltt,sot hpeo sterior
rigahntld e lfat tevreanlt rTihcelaeyrs e.r iohro rnsE.a clha tveernatlir scio cnloep tcihci awshmi,pc rho duarc eecsie ns s
ituaotneeod ne, a cshi doeft hmei dnecttoet dht ehd iv rentbryi ccahl aen nietls antewralol.i nferior
sagiptltaainlnte h,ie ne frimoerd ipaarlct a lletdh ien tervenftorraimceounrl a rT hei nertvecnultafrroia rmniaeo,n e
oft hceo ersrponhdeimsnpigh eorfte h ef roameonfM onoret,h rowuhgihci htf rmo eaclha tveernatlro ipceinln ett,ho e
cerebrum. commiucnadtiersew citttlhhtye h d iv renanterospuopretoriftio hotnerh d iv rentri
triacnliden e dcitrwlihytt hoep polsaittcelT eh.ce a viicsto yn tipnousootuieesnr f
ervaelni tcrle. riowrilttyhh f euo rtvhe ntbryia pc alse
sagken owanst hceee rbrlaa quedourc t
aqueduScytl .vo ifu
Thfeou trhv enitcrildse i amsohnadp ed
anidls o caittne hader oefat hheid nbarin.
Bodoyf
Iitas n tetroti hoceree rbleml aunpdo ste
latevreanlt ricle
ritootr h peo nasn tdh uep ppeorr toifo n
thmeed ulolbal onTghaet adp.io sitnatle,d
Thivredn tricle enodf t hfeuo rtvhe ntirscio cnltei nuous
Antehroironr
witthhc ee ntcraanolaft l h meed ulolba
longCaetrae.b iranolfs ulpid etxhiet s
.-._-,..- Posrtiehoorr n fourvtehn tritinoct lhese u bcahrnaoid
spavciteah m ee diaapne re(t oufrramoefn
Magenadnide l)ta hteearp aelr t(uofrreas
Cerebral
aqueduct menL ushka).
Interventricular
foramen
Fig. L2a5t-e4ar sapleo cft cerveebnrtarlii nrce lleastt osi uornf oafc aebi rn.
Thivredn tricle
Antehroironr
Bodoyfl ateral
venictler
.----t,...- Infehroironr
Bodoyf
lateral Laterreacle ss
ventricle
_--7- Anterior
horn Posrtieor horn
'--�'!--I--- Inferior
horn
Fi2g5.- A5n tearsipoeroc flt a tecrearle bvreanlt riinc leFsi 2g5.- S6u pearsipoeroc fct e rebvreanlt riclest osi unr froaefcl ea tion
relattosi uornf oafbc rea in. brain.
4
PlianR adiaopghric
Afttehrce r ossl-attarebarldaeil o grRaapdhi ogorfta hspeph issn heo aullawdy s
Examniation
habse ecnh ecaknecddel arbeyad p hysbieo btabienfeomdry eeg lroapRhoyu.t ine
Neourriaodloagssiecs smledbn etg iscnhi oatunhf,elo o lwicnegr vsipcipanrljeo e cimgaeosft hvee rtceoblruamlhn ep lfaurle
witnho nnviasiimvaegg pirnocedutrieossnh.so ulodb tbaeia nnAe P,bd :it learailan s sensasrrionwdgei kdss pabceec ause
Radiogorfa pcthehsre e abnrvdasi lc erAaPlo bli(qturea tuemcah nmiaqybu ee o fd egeneorfta htdeii ospnko ,s taoitpveer
cranainudm v tehret ceoblruamlma ny bnee cesasnaadrn Ay P) ,dt eom sotnrtahtece hanigtneh sse p ineo,s taenodpo eft rosis
empyleod detmoo tnrsabtoena yn atodmeyn.As v.e rtaecrbhro,ar ll l paiiram ge, thovfee rtecbourlmanBl.e catuhsceeo n
Int rauemdap taitzienCthsa p(5ts)ee,rt e hc ee rvsipcianlep rmioadvayed dititornaaasglte u nstesid nm yoeglrampahyy ob-
radiogroabpthasti onad eredet b eocnty i nofrmataibootnuh tpe o steproirotric ounsrsoe m aen omanloine-sc,os nptirnaaslt
inrjyus,u bluxoardt ilisoocna,ot fti hoeno ft hcee rvviecratle( bsrCeaheea p8t)e.ir am gecso mpletmhmeeyn etl ogerxaphic
vertceoblraualmnt ndod etertmheiexn eA nu prilgahttec rearlvs ipciarnlaei d amniatiaonnodf tperno vaidddei tional
teanntsd t laybio itf btohneijy nu ry. ogrampahya lsboer equetsobt eetdt ienorfr mation.
Foart raumaptaitziweeidntp tho ssidbelmeo antsaetl rignomfte hnvete rtebrRaoeu tsiknueil mglae ssh oubleod b
CNSi nvolvaec mreonstsl-,at taceberlraeal n tdo a sstehsneso rmlaolr dcoutrivcta aiwnheedtn hp eos silibtoiyfa s kluflr ac
vicsaplir naed iosghroauplhod b taitnueordfet hsep ine. tureexs it.s tIrna upmaat iae cnrtoss s
be
t rtuol ef rtoauucortrem isganlmieonft Tomogrampahyby e u setdos upplteablltaee ralu proirlg tahetr kalu ll
fir
thcee rvsipciAanplepo .rx imattweol tyh miernidtms a goefts hs ep ifnoierin tsicarle ernadiomgursabtpeoh b tationde edm on
ofs iginciapfnatt hocloongdiicat ffieocnitsnp gu rpo(sseCeshe a p3t2e)Hr.o wevesrt,ra ai-trfleu liedv ientl hsse p hensoiid
intgh sep icnaen d eteocntt ehidin si ttioamlo grhaapsh ylb aeregnre elpylb ayc endu Isnm.a niysn tantcheeassri e-u fillde v
be
iamgCea.r meu stt akteodn e moantsetc romputed t(oCmTio)mng a rnaiypn hsyte ilmsa yb et hien iitnidailc oafat ion
be
theen etc ierrvsipciaandlee quiantcelltuyud,t (isoCenhesa p3t3eT)rom. o grampahyyb asislukalfrlr t aucrIena. d ditsuikloln,
intghC e7 -IT tairculImatat yi onnec.e bsee mlpoyteod demolnosnctgor,na ttiienam geasrh ee lpifnu gldn ioasriecnatgi ve
be
sartyoe mpltohyTe wi ni(nSgw iemrmsu)o uasr eoafts h sep iDnsiea.d vanotfa bgoenfsero matiaonngd e nearelartla tiino ns
meth(eo edC hap8t)te odr e motnrsattheit so mogrianupcdhley l tahocefks o tfsitu et hsek ursleull gt ifrnvoamr oiafep t ayt ho
anatroemigiorcna dipohgircaally.d etaanitdlh dei fficiunpl otsyi tai olnoigncigoc n diitinocnlgsu P,da itgne'dsi s
trauemdpa attifizoelrnta ter al tomeoagsrfeai,pb hrdioycus sp ,lh aesmiaangiomas,
radiographs. ancdh anigtneh ssel ea lt urcica.
5
Myeloapghry Mosmty eglroaamrspe e rfoomnla end C ONTRASMTE DIA
Myeloagprh(yG remeyke,l "omasr,r oowu;t patient barseicso,v eAwr initonhng w -apstaoetlriiueobnndltaiest,e e sdt (eoir
thsep icnoadr"l)i st hgee netrearalmp foarp pirmoaxt4e tlo8y h ouartfset rh ep hend[yaPlnattoep] aw)qa uisen otdruced
piletdo r adioelxoagmiicn oaftt hieop nr oucereb defobreeir negl etaors eetdu irn1n4 92. Beicta ucnsooebut ela dbs orbed
CNSs truecsst uiuatrtweidt thhivene rtheome.m anIpyna rotfts h ceo uyn,ht orwbyt hbeo dtyh,i lpsii da-sbecdo ntt ra
brcaaln Tahlie.sx aminiapste irofnor emveemdra ,g nerteisco niamnacge(i MnRgI m)ed iurmeu qierd repmoopsvrtao lc edure.
byi tnrdoucaic nogn tmreaidsutimt n ot he( eseC hap3t6eh)ra a sgr elylr eplmayceeFdr equseonmtcelo ynt rreamsatii nnteh de
subcahrnaosipda bcyes pipnuanlc tluorger,aM pyhegylr.oa pchoyn titon utbehesec anaanlcd a bnes eeonnn on-cornatrast
moscto mmonlLy2 a-otLrL 3 3t 4-hi eLn prefeerxraemdi nmaettihfooondr asdsieoasgpsrhsp aotfi wehnoht astd h mey
tersopraa ttc hece it sernmaa gbneat weienng ddieisassikepn ta iesnw tictohn atirndeiolgrapprhoyc ebdeufroterh ieetn rocdu
C aIn tdh oec cibpointea.l catitooMn Rsl s ucahsp acemaokre trisoo fnt hnee werd imulemo.p haetned yl
meatlcpl oistsepriifnouarsl ri oodns . wauss eidnm yeglroapfhoyr many years
Myeglroapihsey m plotyode edm onbuitsn ol oncgoemrm ceiraalvlayi lable.
streaxtterc i snpsiicnoarlcd o mpresTshiefo inrw satts eorl-unbolnei,o inoidci,
causbeyd h aen riteadd iks,b onfer agnatceodn targaesntt , mewtarsi zianmide,
men,to r t umoarsws e,la lss picnoarldt roduicnte hdle a te I 970s. Thereafter,
swelinlrgse ulgtf riontmr aumijanutyir.cw atoelru-csbolnett ram eqduiiac kly
be
Theseen ocarhcmenatpsp eraard icoamteha eg eonfct hso iNcoen.i ownateirc,
grhaipcaasld leaoyf r miitnth yse u rbaachsolucbolnetm readspitra o vgiodovedi su
nosipda ocre o abns trouftc htpeia osns aagilez atoifno enr rvoeo (tiFsg 2.5 -a7n)d
oft hceo luomfcn o natsmrte idmu withgiono edn hancfeomfrelo onlwt- uCpTo f
thseu rbaahcnosipda Mcey.eo lgraipsht yh sep inea.d diIttnih eoasnge,e natrse
alussoe ifniud le ntifwyiinongfgt h nera edrairalobys orbbye bdto hdeOy n.ed s iad
subcahrnaosipdabc yee valutahdteyi nvga ntoafmg eet rizwaamisit tdsee n dency
namfliocpw attoeftr hnCesS F. tobe a bsovrebredy lqyTu.hi ecrkerfaore
doigrawpehrsre eu qiedr btepo r oduced
promapntadlc yc urately.
Fi2g5.- M7y elogursaimwn agt -esrolcuobnle
tramsetd i(umme trizNaemrivrdeoeo )st.es e n
ata rorws,
6
Further rteots heietan rrdcouhc tliPeoRdnEA PRATIOONF E XAMIINNG Thes pinpauln cet aunrdc onatsrt
ofi pmrovneodn iwoantiseclor bu lceo nROOM mediuimn jeacrtpeie ornf oirtnmh ereda
traasgte nstusca hsi oheixoopldarni,o lO,n eof t hrea diogrraeopsnhpseiirt'biside liso ldoegptyam renUtn.d efrlu oroscopic
anido veirnts homeli d18 90sI.mp roviesto p reept ahreex ajmngir noobme foorbes aetrivpolcnae,m eonftt h 2e0 -to2 2-
menitnnso nicoonnitcr ashta vraeeg tehnpeta sit enatr'arsli Tv.h er adiogrgaapuhsgipeci nneaeldi lnte hs eu barachnoid
sueldit fnwe esri edfeefc tCso.ne que,n etqluyipsmheonubtle cd h eckBeedc.a usspea icse vearnitdfh cieoe nadts,mrt e dium
thehya vbee cotmhepe r efecrornetdrt ahspetr oceidnuvroeal sveeptste icch niiqsiuj nee,c tTehdes .t etrriaalnyetd h e non
medifao bro tcho nvenatnidCo Tn atlht ea balnoedv erheeqaudi pmmuesbntet s teirtielrmees q ufiortreh idin sii aptlr oce
myoeglra(piFhg2y.5 -8). cleaTnhefedo .o tbsohalorbudde a ttacdhueerd s ohulbde r eadfyoc ro nnvieent
tot htea balnetd,h p ea ddheodu lsdueprp lacement.
porstohsu lbdep alceadn rde afdoyar d
jsutmetnott hp ea tiheenitgT'hhstei . m
agien tensshiofubielle dor c skoet dh iatt
cannaoctcn itdaeclolmyie nc o ntwaictth
thsep inneaelad nldes/ tolerfier e ild.
Fi2g5.- L8a teral porflo ujmebcsatprii onne
myelogursaimwn agt erl-usbcoloen trast
mediu(mi ohexol).
7
EXAMINTAIOPNR OCDEURE Scoiumta giensuc,dl ianc gr otsasb lues etdod emotnrsatceo ntmuhesed ullaris.
Permedicoaftt hpieao tnfi oemrny toe glralatlemurbaalsr p ipnreo neo,f tarereneF otrh tihspe a tiipsel ncatei dnt hAeP p o
phiyrs a lryne ecesTshapera yt.si oheunltqd u tee Sdo.m pehy sincspi raetfoeh ra ves itwiiottnhhc e e nrtarcyae len rtetdTo1 -2
bew ehlyld rahtoewde,bv eecr,aa un soen thpea tpialecneotdn ttahbeil tneh p er onLeI A. 2X4 3 0c m( Olx 1i2n ccha)s sette
ionwiact,e lrbu-lsceoo tnramsetd iiusmp osiftoitroh nse p ipnuanlc tMuanrye,.i su seCdr.so st-abllaet erraadli ographs
useTdor. e duapcpeer neshainopdnr evehnotw e,vh earvtehp ea tiajeduntste dt hiena re obwtiatgirhn-fi erddoc nats soerat tes
alaartum n peecxtmeadn veeudrus rtihnegl atpeorasliw tiittohhns e p iflneex teod s tatriygo rnitadh;em yu sbtec lsolecyo lli
procedtuhrreea ,d iogsrhaopeuhxlepdrl awiindt ehnie tn esrpinsopuascf eoesra simeart (eiFdg 2s5.-t 9o2 51-)3.
thdeea tiolfms y eglroapthoty h pea tiienrnottd ucotfti hnoeen e dle. Thpe osiotfti hopena tiheenamtdu' sst
beftohreeex aminbaetg.iiT onhnpe a tieTnhtep hysiucsilualawnyti hdrCaSwFsb eg uradeadst hceo ntcroalsutnm ena rs
houbleid no rfmtehda ta ntghuelo aft fioolrbna o raatnoarlyay nsdi ss ilnojweltcyht cese rvaircetaaopl r evtehnmeted ium
theex amitnaibnwlgie rl elp delaatyne da popxrima9t teol1 y2m lo fc otnrafsrto pma ssiinnttghoc e e revbernatlr icles.
acultcyeh anTghepe.a i tesnhto aullsdo mbedei uAmft.e cro mpltehtieijn negc tiAocneu,e t xtenosfti hohene acdo mpresses
towlhdty h hee amdut maintiaani ntehde phryesmioctviheasesnp innealeled .t hcesi temrangaan natd h purse vfeunrts
be
fluleyx tenpdoesdiw thieotnnh t ea bleT raiovsef tl hc eo ntmreadsitcu oml uimsnt hears coefntt hm eed iuBme.c atuhsee
tiedlt tot hTeer ndeulrepgno bsiTthieoo nb.s eravncedod n trflooulrloesidcc loa.ypl csitemrangain ssai tteupdao sitoernrliey,
radiogmruaspptrh ioedvrae s surtahnacAten guloaftt hiteoa nba llleo ws gtroat vhifertorwy a nrodlr a tfleerxailot hnhe e oafd
thpea tiweinltla fweh etnh tea bilsed ierct ctohnett rota hsaetr eoafi tnerecsotm.p rtehscesie esrstn al cavity.
be
acutaenlgayln etddh eavte rnygpt ohsisiSbploietam geasrt ea ktehnr outghhpeor uot Aftecro mploeftt ihpoern o cetdhuer e
wibledl o nteoa vociadu suinenncge sscaerdyuT rheer. a daipohgoerbrt aiiamngse sp atimeunsbttem ontoirienad na ppropri
dic omfort. att hlee voefal n byl ogceok rad sitortaitroeen c oavreerMayo. sp thy sicrieacnosm
in otuhitenl oef t hceo ntcroalsutm mne.nt dh tahtpe a tiheenaatdn's dsh oulders
Convenrtaidoinoaglsr taupdhwiiiects bh,e e veal3t0e dt doe g4r5e es during recov
thcee ntrradayiel rc tveetdri coarhl olryie rBye.rd e st fohro usiresrsve ecroaml
zontmaalybl eyp ,e rfoarsrm eeqd uesmteendda endfld uidasr een caoguerTdh.e
byt hreai doloTghiceso tnpu.ros j cetiiosnp unces tiutreb eem xuasetmd ib neftohree
patiiresen lte farmso tehdre e coavreeray.
Fi2g5.- L9u mbmayre log: ArPap mrojecFi2g5.1- 0C ervimcyaell ogArPap mr:o jection
tiwoint nho n-w-aostleurbiloed incaotned showisnygm menterrirvcoe o (tasr roawnsda) x il
tramsetd iusmh.o wianxgi lploaurcyh es laproyu ch(eaos)n b oth saiswd eelaslss. p inal
andc orrespnoenrdrvioeno g(t asrw r).o cord.
8
Description:Widely recognized as the gold standard of positioning texts, this highly-regarded, comprehensive resource features more than 400 projections and excellent full-color illustrations augmented by MRI images for added detail to enhance the anatomy and positioning presentations. In three volumes, it cove
