The Netter Collection of Medical Illustrations: Nervous System, Volume 7, Part II - Spinal Cord and Peripheral Motor and Sensory Systems

The Netter Collection of Medical Illustrations: Nervous System, Volume 7, Part II - Spinal Cord and Peripheral Motor and Sensory Systems

2nd Edition - March 1, 2013

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  • Authors: H. Royden Jones, Ted Burns, Michael Aminoff, Scott Pomeroy
  • Hardcover ISBN: 9781416063865
  • eBook ISBN: 9781455733880

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Spinal Cord and Peripheral Motor and Sensory Systems, Part 2 of The Netter Collection of Medical Illustrations: Nervous System, 2nd Edition, provides a highly visual overview of the anatomy, pathology, and major clinical syndromes of the nervous system, from cranial nerves and neuro-ophthalmology to spinal cord, neuropathies, autonomic nervous system, pain physiology, and neuromuscular disorders. This spectacularly illustrated volume in the masterwork known as the (CIBA) Netter "Green Books" has been expanded and revised by Drs. H. Royden Jones, Jr., Ted M. Burns, Michael J. Aminoff, Scott L. Pomeroy to mirror the many exciting advances in neurologic medicine - offering rich insights into neuroanatomy, neurophysiology, molecular biology, pathology, and various clinical presentations. "Netter’s has always set the Rolls-Royce standard in understanding of clinical anatomy and pathophysiology of disease process, particularly of nervous system. Over 290 pages and with the use of sharp, concise text, illustrations and correlation with up to date imaging techniques, including spinal cord and cranial and peripheral nerve disorders. It is well worth a read." Reviewed by: Dr Manesh Bhojak, Consultant Neuroradiologist, Liverpool Date: July 2014

Key Features

  • Get complete, integrated visual guidance on the cranial nerves, spinal cord and peripheral motor and sensory systems with thorough, richly illustrated coverage.
  • Quickly understand complex topics thanks to a concise text-atlas format that provides a context bridge between primary and specialized medicine.
  • Clearly visualize how core concepts of anatomy, physiology, and other basic sciences correlate across disciplines.
  • Benefit from matchless Netter illustrations that offer precision, clarity, detail and realism as they provide a visual approach to the clinical presentation and care of the patient.

Table of Contents




    1-1 Distribution of Motor and Sensory

    Fibers, 2

    1-2 Nerves and Nuclei Viewed in Phantom

    from Behind, 4

    1-3 Nerves and Nuclei in Lateral Dissection, 5


    1-4 Olfactory Pathways, 6

    1-5 Olfactory Receptors, 7

    1-6 Olfactory Bulb and Nerve, 8


    1-7 Eye, 9

    1-8 Visual Pathways, 10

    1-9 Optic Nerve Appearance, 11

    1-10 Retinal Projections to Thalamus,

    Midbrain, and Brainstem, 12

    1-11 Pupillary Light Reflex and the

    Accommodation Reflex, 13



    1-12 Oculomotor (III), Trochlear (IV), and

    Abducens (VI) Nerves, 14

    1-13 Nerves of Orbit and Cavernous Sinus, 15

    1-14 Control of Eye Movements, 16

    1-15 Control of Eye

    Movements—Pathology, 17

    1-16 Control of Eye Movements—Pathology

    (Continued), 18

    1-17 Autonomic Innervation of the Eye, 19


    1-18 Trigeminal (V) Nerve, 20

    1-19 Trigeminal Nuclei: Afferent and Central

    Connections, 21

    1-20 Trigeminal Nuclei: Central and Peripheral

    Connections, 22

    1-21 Ophthalmic (V1) and Maxillary (V2)

    Nerves, 23

    1-22 Mandibular Nerve (V3), 24

    1-23 Trigeminal Nerve Disorders, 25


    1-24 Facial (VII) Nerve, 26

    1-25 Muscles of Facial Expression: Lateral

    View, 27

    1-26 Central Versus Peripheral Facial

    Paralysis, 28

    1-27 Facial Palsy, 29


    1-28 Anatomy of Taste Buds and Their

    Receptors, 30

    1-29 Tongue, 31


    1-30 Vestibulocochlear (VIII) Nerve, 32

    1-31 Pathway of Sound Reception, 33

    1-32 Pathologic Causes of Vertigo, 34

    1-33 Canalith Repositioning (Epley

    Maneuver), 35

    1-34 Afferent Auditory Pathways, 36

    1-35 Centrifugal Auditory Pathways, 37

    1-36 Vestibular Receptors, 38

    1-37 Cochlear Receptors, 39


    1-38 Glossopharyngeal (IX) Nerve, 40

    1-39 Otic Ganglion, 41


    1-40 Vagus (X) Nerve, 42

    1-41 Vagus Nerve Branches and

    Disorders, 43


    1-42 Accessory (XI) Nerve, 44

    1-43 Clinical Findings in Cranial Nerve XI

    Damage, 45


    1-44 Hypoglossal (XII) Nerve, 46

    1-45 Intramedullary Course, 47

    1-46 Disorders of Hypoglossal Nucleus and

    Nerve, 48



    2-1 Spinal Cord, 50

    2-2 Spinal Membranes and Nerve

    Roots, 51

    2-3 Arteries of Spinal Cord, 52

    2-4 Arteries of Spinal Cord: Intrinsic

    Distribution, 53

    2-5 Veins of Spinal Cord, Nerve Roots, and

    Vertebrae, 54

    2-6 Principal Fiber Tracts of Spinal

    Cord, 55

    2-7 Somesthetic System of Body, 56

    2-8 Corticospinal (Pyramidal) System: Motor

    Component, 57

    2-9 Rubrospinal Tract, 58

    2-10 Vestibulospinal Tracts, 59

    2-11 Reticulospinal and Corticoreticular

    Pathways, 60

    2-12 Spinal Origin or Termination of Major

    Descending Tracts and Ascending

    Pathways, 61

    2-13 Cytoarchitecture of Spinal Cord Gray

    Matter, 62

    2-14 Spinal Effector Mechanisms, 63

    2-15 Spinal Reflex Pathways, 64

    2-16 Motor Impairment Related to Level of

    Spinal Cord Injury, 65

    2-17 Sensory Impairment Related to Level of

    Spinal Cord Injury, 66

    2-18 Incomplete Spinal Cord Syndromes, 67

    2-19 Acute Spinal Cord Syndromes: Evolution

    of Symptoms, 68

    2-20 Acute Spinal Cord Syndromes: Pathology,

    Etiology, and Diagnosis, 69

    2-21 Spinal Tumors, 70

    2-22 Spinal Tumors (Continued), 71

    2-23 Neuroimaging (MRI) Characteristics of

    Spinal Tumors, 72

    2-24 Syringomyelia, 73

    2-25 Subacute Combined Degeneration, 74

    2-26 Spinal Dural Fistulas and Arteriovenous

    Malformations, 75

    2-27 Cervical Spondylosis, 76

    2-28 Cervical Disk Herniation Causing Cord

    Compression, 77

    2-29 Infectious and Hereditary

    Myelopathies, 78


    3-1 Spinal Column, 80

    3-2 Atlas and Axis, 81

    3-3 Cervical Vertebrae, 82

    3-4 External Craniocervical Ligaments, 83

    3-5 Internal Craniocervical Ligaments, 84

    3-6 Thoracic Vertebrae, 85

    3-7 Lumbar Vertebrae and Intervertebral

    Disk, 86

    3-8 Ligaments of Spinal Column, 87

    3-9 Sacrum and Coccyx, 88

    3-10 Ligaments of Sacrum and Coccyx, 89

    3-11 Distractive Flexion, 90

    3-12 Compressive Flexion, 91

    3-13 Distractive Extension, 92

    3-14 Cervical Spine Injury: Prehospital,

    Emergency Room, and Acute

    Management, 93

    3-15 Traction and Bracing, 94

    3-16 Anterior Cervical Spine Decompression

    and Stabilization, 95

    3-17 Posterior Cervical Stabilization and

    Fusion, 96

    3-18 Spinal Cord Injury Medical Issues, 97



    4-1 Cervical Disk Herniation, 100

    4-2 Radiographic Diagnosis of

    Radiculopathy, 101

    4-3 Examination of Patient with Low Back

    Pain, 102

    4-4 Lumbar Disk Herniation: Clinical

    Manifestations, 103

    4-5 L4-5 Disk Extrusion, 104

    4-6 Lumbosacral Spinal Stenosis, 105

    4-7 Spinal Nerves, 106

    4-8 Dermal Segmentation, 107

    4-9 Thoracic Nerves, 108

    4-10 Thoracic Spinal Nerve Root

    Disorders, 109

    4-11 Diabetic Lumbosacral Radiculoplexus

    Neuropathy, 110

    4-12 Lumbar, Sacral, and Coccygeal

    Plexuses, 111

    4-13 Brachial Plexus, 112

    4-14 Brachial Plexus and/or Cervical Nerve

    Root Injuries at Birth, 113

    4-15 Brachial Plexopathy, 114

    4-16 Lumbosacral Plexopathy, 115

    4-17 Cervical Plexus, 116


    5-1 Compression Neuropathies, 118

    5-2 Chronic Nerve Compression, 119

    5-3 Electrodiagnostic Studies in Compression

    Neuropathy, 120

    5-4 Radiologic Studies in Compression

    Neuropathy, 121

    5-5 Proximal Nerves of the Upper Extremity:

    Spinal Accessory Nerve, 122

    5-6 Proximal Nerves of the Upper Extremity:

    Suprascapular and Musculocutaneous

    Nerves, 123

    5-7 Median Nerve, 124

    5-8 Proximal Median Neuropathies, 125

    5-9 Distal Median Nerve, 126

    5-10 Distal Median Neuropathies: Carpal

    Tunnel Syndrome, 127

    5-11 Proximal Ulnar Nerve, 128

    5-12 Ulnar Mononeuropathies: Potential

    Entrapment Sites, 129

    5-13 Radial Nerve, 130

    5-14 Radial Nerve Compression/Entrapment

    Neuropathies, 131

    5-15 Femoral and Lateral Femoral Cutaneous

    Nerves, 132

    5-16 Iliohypogastric, Ilioinguinal,

    Genitofemoral, and Obturator

    Nerves, 133

    5-17 Gluteal Nerves, 134

    5-18 Sciatic and Posterior Femoral Cutaneous

    Nerves, 135

    5-19 Fibular (Peroneal) Nerve, 136

    5-20 Tibial Nerve, 137

    5-21 Cutaneous Innervation, 138

    5-22 Dermatomes, 139


    6-1 Anatomy of Peripheral Nerve, 143

    6-2 Histology of Peripheral Nerve, 144

    6-3 Cell Types of Nervous System, 145

    6-4 Resting Membrane Potential, 146

    6-5 Ion Channel Mechanics and Action

    Potential Generation, 147

    6-6 Neurophysiology and Peripheral Nerve

    Demyelination, 148

    6-7 Impulse Propagation, 149

    6-8 Conduction Velocity, 150

    6-9 Visceral Efferent Endings, 151

    6-10 Cutaneous Receptors, 152

    6-11 Pacinian Corpuscle, 153

    6-12 Muscle and Joint Receptors, 154

    6-13 Proprioceptive Reflex Control of Muscle

    Tension, 155

    6-14 Hereditary Motor and Sensory

    Neuropathies (HMSN, i.e., Charcot-Marie-

    Tooth Disease), 156

    6-15 Hereditary Motor and Sensory

    Neuropathy Types I and II, 157

    6-16 Other Hereditary Motor and Sensory

    Neuropathies (Types III, IV, and X), 158

    6-17 Hereditary Sensory and Autonomic

    Neuropathy, 159

    6-18 Guillain-Barré Syndrome, 160

    6-19 Guillain-Barré Syndrome

    (Continued), 161

    6-20 Chronic Inflammatory Demyelinating

    Polyradiculoneuropathy, 162

    6-21 Diabetic Neuropathies, 163

    6-22 Monoclonal Protein–Associated

    Neuropathies: Amyloid Neuropathy, 164

    6-23 Monoclonal Protein–Associated

    Neuropathies: Distal Acquired

    Demyelinating Symmetric (DADS)

    Neuropathy, 165

    6-24 Vasculitic Neuropathy and Other

    Connective Tissue Disorders

    Associated with Neuropathy:

    Fibrinoid Necrosis, 166

    6-25 Vasculitic Neuropathy and Other

    Connective Tissue Disorders

    Associated with Neuropathy:

    Sjögren Syndrome, 167

    6-26 Immunopathogenesis of Guillain-Barré

    Syndrome, 168

    6-27 Peripheral Neuropathy Cause by Heavy

    Metal Poisoning, 169

    6-28 Metabolic, Toxic, and Nutritional

    Peripheral Neuropathies, 170

    6-29 Leprosy and Other Infections Sometimes

    Causing Peripheral Neuropathies, 171



    7-1 General Topography of Autonomic

    Nervous System, 174

    7-2 General Topography of Autonomic

    Nervous System (Continued), 175

    7-3 Autonomic Reflex Pathways, 176

    7-4 Cholinergic and Adrenergic Nerves, 177

    7-5 Autonomic Nerves in Head, 178

    7-6 Autonomic Nerves in Neck, 179

    7-7 Autonomic Distribution to the Head and

    the Neck, 180

    7-8 Ciliary Ganglion, 181

    7-9 Thoracic Sympathetic Chain and

    Splanchnic Nerves, 182

    7-10 Innervation of Heart, 183

    7-11 Innervation of Blood Vessels, 184

    7-12 Carotid Body and Carotid Sinus, 185

    7-13 Autonomic Nerves and Ganglia in

    Abdomen, 186

    7-14 Innervation of Stomach and Proximal

    Duodenum, 187

    7-15 Innervation of Intestines, 188

    7-16 Autonomic Innervation of Small

    Intestine, 189

    7-17 Enteric Plexuses, 190

    7-18 Innervation of Liver and Biliary

    Tract, 191

    7-19 Innervation of Adrenal Glands, 192

    7-20 Autonomic Nerves and Ganglia in

    Pelvis, 193

    7-21 Autonomic Innervation of Kidneys and

    Upper Ureters, 194

    7-22 Innervation of Urinary Bladder and Lower

    Ureter, 195

    7-23 Innervation of Male Reproductive

    Organs, 196

    7-24 Innervation of Female Reproductive

    Organs, 197

    7-25 Autonomic Testing, 198

    7-26 Abnormal Pupillary Conditions, 199

    7-27 Clinical Presentation of Autonomic

    Disorders, 200


    8-1 Somatosensory System, 202

    8-2 Somatosensory Afferents and Principal

    Fiber Tracts, 203

    8-3 Pain Pathways, 204

    8-4 Endorphin System, 205

    8-5 Spinothalamic and Spinoreticular

    Nociceptive Processing in the Spinal

    Cord, 206

    8-6 Central Nervous System

    Neurotransmitters, Receptors, and Drug

    Targets, 207

    8-7 Thalamic Pain Syndrome, 208

    8-8 Clinical Manifestations Related to

    Thalamus Site in Intracerebral

    Hemorrhage, 209

    8-9 Complex Regional Pain, 210

    8-10 Herpes Zoster, 211

    8-11 Occipital Neuralgia, 212

    8-12 Myofascial Factors in Low Back

    Pain, 213

    8-13 Myofascial Factors in Low Back Pain

    (Continued): Posterior Abdominal Wall:

    Internal View, 214

    8-14 Lumbar Zygapophyseal Joint Back

    Pain, 215

    8-15 Low Back Pain and Effects of Lumbar

    Hyperlordosis and Flexion on Spinal

    Nerves, 216

    8-16 Examination of the Low Back Pain

    Patient, 217

    8-17 Osteoporosis, 218

    8-18 Diagnosis of Hip, Buttock, and Back

    Pain, 219

    8-19 Hip Joint Involvement in

    Osteoarthritis, 220

    8-20 Peripheral Nerves of Feet, Painful

    Peripheral Neuropathies, 221

    8-21 Peripheral Neuropathies: Clinical

    Manifestations, 222

    8-22 Neurologic Evaluation of the Somatoform

    Patient: Cutaneous Distribution of

    Peripheral Nerves, 223

    8-23 Neurologic Evaluation of the Somatoform

    Patient: Somatoform Conversion

    Reactions, 224


    9-1 Neonatal Hypotonia, 226

    9-2 Spinal Muscular Atrophy Type I (Werdnig-

    Hoffmann Disease), 227

    9-3 Infantile Neuromuscular Junction (NMJ)

    Disorders, 228

    9-4 Congenital Myopathies, 229

    9-5 Arthrogryposis Multiplex Congenita, 230



    10-1 Peripheral Nervous System:

    Overview, 232

    10-2 Spinal Cord and Neuronal Cell Body with

    Motor, Sensory, and Autonomic

    Components of the Peripheral

    Nerve, 233

    10-3 Motor Unit, 234

    10-4 Motor Unit Potentials, 235

    10-5 Primary Motor Neuron Disease, 236

    10-6 Clinical Manifestations of Amyotrophic

    Lateral Sclerosis, 237

    10-7 Clinical Manifestations of Amyotrophic

    Lateral Sclerosis (Continued), 238

    10-8 Mimics of Amyotrophic Lateral

    Sclerosis, 239

    10-9 Diagnosis of Amyotrophic Lateral

    Sclerosis, 240

    10-10 Treatment of Amyotrophic Lateral

    Sclerosis, 241

    10-11 Spinal Muscular Atrophy and Spinal

    Bulbar Muscular Atrophy, 242



    11-1 Structure of Neuromuscular

    Junction, 244

    11-2 Physiology of Neuromuscular

    Junction, 245

    11-3 Somatic Neuromuscular

    Transmission, 246

    11-4 Pharmacology of Neuromuscular

    Transmission, 247

    11-5 Repetitive Motor Nerve Stimulation, 248

    11-6 Myasthenia Gravis: Clinical

    Manifestations, 249

    11-7 Myasthenia Gravis: Etiologic and

    Pathophysiologic Concepts, 250

    11-8 Immunopathology of Myasthenia

    Gravis, 251

    11-9 Presynaptic Neuromuscular Junction

    Transmission Disorders: Lambert-Eaton

    Myasthenic Syndrome and Infantile

    Botulism, 252

    11-10 Congenital Myasthenic Syndromes, 253

    11-11 Foodborne Neurotoxins, 254



    12-1 Muscle Fiber Anatomy: Basic Sarcomere

    Subdivisions, 256

    12-2 Muscle Fiber Anatomy: Biochemical

    Mechanics of Contraction, 257

    12-3 Muscle Membrane, T Tubules, and

    Sarcoplasmic Reticulum, 258

    12-4 Muscle Response to Nerve

    Stimulation, 259

    12-5 Metabolism of Muscle Cell, 260

    12-6 Muscle Fiber Types, 261

    12-7 Overview of Myopathies: Clinical

    Approach, 262

    12-8 Dystrophinopathies: Duchenne

    Muscular Dystrophy—Gower’s

    Maneuver, 264

    12-9 Dystrophinopathies: Duchenne Muscular

    Dystrophy, 265

    12-10 Dystrophinopathies: Molecular Genetic

    Testing, 266

    12-11 Myotonic Dystrophy and Other Myotonic

    Disorders, 267

    12-12 Myotonic Dystrophy and Other Myotonic

    Disorders (Continued), 268

    12-13 Other Types of Muscular Dystrophy, 269

    12-14 Polymyositis and Dermatomyositis, 270

    12-15 Polymyositis and Dermatomyositis

    (Continued), 271

    12-16 Inclusion Body Myositis, 272

    12-17 Immunopathology for Inflammatory

    Myopathies, 273

    12-18 Endocrine, Toxic, and Critical Illness

    Myopathies, 274

    12-19 Myopathies: Hypokalemia/Hyperkalemia

    and the Periodic Paralyses

    Channelopathies Myopathies Associated

    with Disorders of Potassium

    Metabolism, 275

    12-20 Metabolic and Mitochondrial

    Myopathies, 276

    12-21 Myoglobinuric Syndromes Including

    Malignant Hyperthermia, 277

Product details

  • No. of pages: 312
  • Language: English
  • Copyright: © Saunders 2013
  • Published: March 1, 2013
  • Imprint: Saunders
  • Hardcover ISBN: 9781416063865
  • eBook ISBN: 9781455733880

About the Authors

H. Royden Jones

Dr. H. Royden Jones was Chair of the Department of Neurology at Lahey Hospital and Medical Center, Burlington, Massachusetts; Director of the Electromyography Laboratory at Boston Children’s Hospital; and Clinical Professor of Neurology at Harvard Medical School. Dr. Jones completed residencies in Internal Medicine and Neurology and a fellowship in neurological physiology at the Mayo Clinic. He served over 3 years in the United States Army as Chief of Neurology at 5th General Hospital, Bad Cannstatt, Germany. Dr. Jones was Board certified in neurology, clinical neurophysiology, and neuromuscular medicine. Upon completion of his training he joined the Lahey Clinic in 1972. In 1977 he also joined the neurology department at Boston Children’s Hospital, founding the electromyography laboratory in 1979. Pediatric EMG became his major clinical research interest. Dr. Jones was co-editor of three major textbooks on childhood clinical neurophysiology and neuromuscular disorders. He was a co-founder of the biennial International Paediatric EMG Conference based at Great Ormond Street Children’s Hospital, London, England. Recognized as one of the top neurologists in the U.S., Dr. Jones was an author and editor of several Netter publications including two editions of Netter’s Neurology, The Netter Collection of Medical Illustrations: Nervous System, Volume 7, Part I (Brain) and Part II (Spinal Cord and Peripheral Motor and Sensory Systems), 2nd Editions (volumes in the Netter Green Book Collection). Dr. Jones authored and edited several other Netter publications and contributed over 200 peer-reviewed papers and book chapters. Dr. Jones served 8 years as a director of the American Board of Psychiatry and Neurology, becoming Chair of its Neurology Council in 2004. In 2007 he received the Distinguished Physician Award from the American Association of Neuromuscular and Electrodiagnostic Medicine. Lahey Clinic’s Medical Staff Association recognized Dr. Jones in 2010 with its highest honor—the Frank Lahey Award for “commitment to the values of Dr. Frank Lahey: respect, teamwork, excellence, commitment to personal best.” Dr. Jones was named Outstanding Teacher in Pediatric Neurology 2012 – 2013 by the Department of Neurology, Boston Children’s Hospital, Harvard Medical School. He also received an award in recognition of his many years of dedicated teaching at Tufts University School of Medicine.

Affiliations and Expertise

Children's Hospital, Boston, MA, USA

Ted Burns

Affiliations and Expertise

Professor of Neurology,University of Virginia,Charlottesville, VA

Michael Aminoff

Michael Aminoff
Dr. Michael Aminoff was born and educated in England, graduating from University College London in 1962 and as a physician from University College Hospital Medical School in 1965. He subsequently trained in neurology and neurophysiology at The National Hospital (Queen Square) in London, and in 1974 moved to UCSF where he has been Professor of Neurology since 1982. He was Director of the Clinical Neurophysiology Laboratories at UCSF until 2004, when he became Executive Vice Chair of the department of neurology, and also directs the Parkinson’s Disease Clinic and Research Center, a National Parkinson Foundation Center of Excellence.

He is the author of more than 230 published medical or scientific articles, as well as the author or editor of some 29 books. His published scientific contributions led to the award of a Doctorate in Science, an advanced doctorate in the Faculty of Science, by the University of London in 2000. He is the one of the two editors-in-chief of the four-volume Encyclopedia of the Neurological Sciences (2nd Edition, Academic Press, 2014), and one of the series editors of the multi-volume Handbook of Clinical Neurology (Elsevier). He was Editor-in Chief of the journal Muscle & Nerve from 1998 to 2007 and serves on numerous other editorial boards. He was a director of the American Board of Psychiatry & Neurology for 8 years, and chair of the board in 2011.

Dr. Aminoff has received numerous prizes including the Lifetime Achievement Award of the American Association of Neuromuscular & Electrodiagnostic Medicine in 2006 and the A.B. Baker Award of the American Academy of Neurology for life-time achievements and contributions to medical education in 2007. In 2010, he was awarded the title of “Distinguished Professor” at the University of California, San Francisco.

He is married and has three children, one a pediatric rheumatologist, another a federal defense attorney, and the third an assistant district attorney.

Affiliations and Expertise

Distinguished Professor and Endowed Chair in Parkinson's Disease Research, Department of Neurology University of California, San Francisco

Scott Pomeroy


Affiliations and Expertise

Bronson Crothers Professor of Neurology, Neurology, Harvard Medical School,Consultant, Pediatric Oncology, Dana-Farber Cancer Institute Neurologist-in-Chief, Neurology, Boston Children's Hospital,Boston Children’s Hospital

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