OBT.HCHEHHE PHCVHKOB 757 



Puc. 227. — HoBopowAeHHbiii peOeiioK c noflCHimno-KpecTUOBOH spina bifida. 



Plic. 228. — HoBopowfleHHbifl peSeHOK. KpaHHopaxHCXHSHc. AHsnuecjiajiHH. a — bh,i C3a;iii 11 

 b — Biu cnepeA". 



Phc. 229. — CxeMaTimecKoe H3o6pa>KeHiie onepamm xepMOKoaryjiHumi cniiHHoro Mosra. MiiKpo- 

 Kayiep BBCjien b oTKpbiryio HepBHVio Tpyâxy. 



Phc 230. — a n b — sapoAum 6-aHeBHOH HHKySamiii Ha 3-h achs nocjie Koary.nHuiiii cniiHHoro 

 Mosra Ha ypoBHe hhwhhx KOHewHocTefi. VivienbuienHe paccTOHHHa iviesc/iy sepxHHMH h hh>khiimh KOHeMHo- 

 cTHMii (nyreM crn6aHHH, Jiopaoaa h coKpauieHHH); pnaoM — KOHipo.Tb. 



Plic. 231. — a H b — AecjiopMauHH, pasBHBaiomHecH Ha 12-ii Aenb HHKvGauHH Ha ypoBHe hh>khhx 

 KOHeMHOCTefl onepHpoeaHHbix aapoAumeft. 



Puc. 232. — o — aapoflbiui 15-aHeBHOH HHKy6auHH, KOTopoMy npon3Be;iH KayrepHsauHK) cniiHHoro 

 Moara na ypoBwe hh>khhx KOHeMHOCTeft Ha 3-h nenb HHK},'6auHH. PasBHJiocb nopoMHoe, KorreBiUHoe no.no- 

 weHHe. JlBHweHHH KOHeMHOCTeft npHcymHe stomv Boapacry OTcyicTByioT. b — sapoauui IB-anesHOH 

 iiHKy6auHH, KOTopoMV npoiiBBejiH KavTepHsaiiHK) cniiHHoro Moara Ha ypoBHe BepxHHX KOHeMHOCTefi. 

 HH>KHHe, HopMajibHO pasBHTbie KGHeMHOCTii npoHBBoasiT flBHweHiiH, npHcyiuHe 3T0My BospacTy. 



Phc. 233. — a — reMHKayrepHaauHH cnHHHoro Mosra KypHHoro aapofluuia. buc — HeftpoCjiacTbi, 

 pacnojioweHHbie no xoay HOBooSpasoBaHHoro CTBO.na. 



Phc. 234. — reMHKayTepiiaauHH cnHHHoro Moara (nocjie MH3.nocxH3Hca). 



Phc 235. — o, 6 h c — reMHKayrepHsauHH cnHHHoro Mosra (nocjie MHSJiocxiiaHca); HOBooCpaao- 



eaHHblH HepBHblH CTBOJI , MflyiHHH K MaCTH, B KOTOpOH OTCyTCTByeT CHHHHOH MOSr. 



Phc 236. — a — SKcnepHMeHTajibHbifi mh3;iocxh3hc, ocTasuiHHca neaaKpbiTbiM. SapoAbiui 20-aHeB- 

 Hofl HHKvSauHH c 3KcnepHMeHTa.nbHbiM MH3JI0CXH3HC0M, HpoHSBeaeHHbiM Ha 3-H fleHb HHKy6au,HH. rione- 

 peMHoe paspymeHHe cniînnoro Moara nyieM TepMOKayrepiiaauHH na 4-h «enb HHKyCauHii. Bh/ihm o6a KOHua 

 cnHHHoro Moara Me>Kay KOTopuMH o6pa30Ba.ncsi mocthk. b — npoflo.nbHbiH epea BMiueyKaaaHHoro Mocmna 

 y aapoAbima 7-AHeBHOH HHKySauHii. 



Phc 237. — SapoAUui 7-AHeBHOH HHKySamni, noABeprnyTWH KayrepHsauHH na 3-h aenb HHKy- 

 6auHH. OpoHxajibHbiH cpea HepBHofl xpyGKii. HepBnaa xpyfiKa paapyuiewa na npoxawenHH npH6;iH3Hxe;ibHO 

 8 cerMeHXOB. Bn^Ha BOCCxanoBJieHHaH qacxb Hepanoft xpy6KH h cnHHHOMoaroBOH aetJjeKX (na stom ypoBHe 

 nosBOHOMHbiH Kanaji nycx). OSpaaoBajicH mocxhk Mewfly o6ohmh KonuaMH cnHHHoro Moara, iiMeiomHH 

 BHA nyqKa nepBHWX Bo.noKOH. B BoccxaHOBJieHHoft mbcth oCpaaoBajiHCb MHorowHcjieHHbie sneHAHMajibHue 

 Kanajibi (xepaxoiiflHbiii bha). Boraxan cocyjiHcxasi cexb, pacnojiO/KeHHaa b BoccxaHOB.neHHofl MacxH h BOKpyr 

 3X0H qacxH cniniHoro Mosra. 



Phc 238. — a u b — aexajiii pncyHKa 237. npoAo.TbHbiii cpea coeAiiHiixejibHoro cxBOJia h hobo- 

 o6pa30BaHHbie sneHflHMajTbHbie nanajibi. 



Phc 239. — Hexajin pncyHKa 237. HeopranHaoBanHan cxpyKxypa BoccTaHOBJieHHoro cnnHHoro 

 Moara. HoaooSpasoBaHHe sneH^HMajibHbix KanajioB. OxHOCHXe-ibHO Kpynnue BHyxpiicnnHHOMosroBbie 

 cocyabi. 



Phc 240. — a — ncnHoe yaajieHHe cnnHHoro Moara (npoHSBe/ieHHoe na 3-h neub iiHKy6au.HH) 

 Ha ypoBHe hhwhhx KOHeiinocxeii. BoccxaHOBJieHHe noKpoBOB. PesKo noJioxnxejibHafl peaKuiiH na mejioqnyio 

 ({)oci})axa3y. b — anopMajibHbifi bha KopeuiKOB noaBOHOMHOH ^yrn. CnHHHoii Moar saMemeii Me3eHXHMa.nbH0H 

 puxjioH TKaHbio H HecKOJibKHMH cocy;iaMH. 



Phc 241. — CnnnHoft Moar bo BXopoM nepno^e (nocjie 12-;iHeBH0H HHKyCaunn). 



Phc 242. — a, b, c, d h e — sapojiuui c mh3.iocxh3Hcom bojihsh yqacxKa, noABeprnyxoro 3JieK 

 xpoKoaryjisiuHH; ot cnHHiioro Moara ox;ie.nHexcH nepBHbiH cxboji, npoxoAfliHHH nepes no3BOHOHHiiK na ypoBHe 

 KopeuiKa flyxH. / — aexajiH. HepBHbift cxBo.n b npocaexe nanajia, npoxoAHuiero qepes xpHmesyio xKaHb 

 xe.na noaBOHOMHiiKa. 



Phc 243. — SapoAbiui 7-,iHeBH0H HHKyâaunn c nojiHOCXbio paapyuieHHbiM cnnnnbiM MoaroM hb 

 ypoBHe HHJKHHX KOHeqHocxen na iipoxHwennH 10 cerMenxoB. FIonepeMHbiH cpea, HMnpernauHH cepeSpoM. 

 3aKpbixHe noKpoBHoro .letjieKxa h oxcyxcxBne cnwHHoro Moara. H3o.nHpoBaHHbiH chhhhoh y3e.11 co cbohm 

 cxBOJioM a(i)(})epeHXHbix bojiokch. Bmccxo cnHHHoro M03ra bh^hu b nonepeinoM paapeae HecKo.nbKo nepBHWX 

 cTBO.noB, KOTopwe, Hanpa;.aHHCb jiaxepajibHo, nono.nH5iKDx cnHHHOMoaroBoii nepB, nocbwasi eMy /isHraxejib- 

 Hbie BO.ioKHa. a — XHnmnoe pacncnoweHHe nepe/iHero KopeiiiKa. Perenepauna nepe;;HHX KopeuiKOB nyxeM 

 oSpaaoBaHHa «kchc jTO XBOcxa». b — cpaBHCHHe c paapeaoM, npoiiBBeACHHbiM Mepe3 HopMa.nbHbiii 3apo- 

 abim. c — ;iBa cn nHOM03roBbix y3.na, ocxaBUiHxca HaoJinpoBaHHbiMH. 



Phc 244. - a h b — jţeiajiHcynKa 243. riepeAHHii KopemoK b cocxorhhh pereHepauHH, 



