Documento descargado de http://www.revistaneurocirugia.com el 17/11/2016. Copia para uso personal, se prohíbe la transmisión de este documento por cualquier medio o formato. &RPSUHVLyQGHOQHUYLRFLiWLFRFRPRFRPSOLFDFLyQGHODSRVLFLyQVHQWDGR 2$(O5XEDLGL$+RUFDMDGDV$OPDQVD'5RGUtJXH]5XELR\-0*DOLFLD%XOQHV 6HUYLFLRGH1HXURFLUXJtD&RPSOHMR+RVSLWDODULRGH-DpQ6HUYLFLRGH1HXURFLUXJtD+RVSLWDO8QLYHUVLWDULR&DUORV+D\D0iODJD 5HVXPHQ 6RQ YDULDV ODV FRPSOLFDFLRQHV \ ORV LQFRQYHQLHQWHV GHULYDGRVGHODSRVLFLyQVHQWDGRHQWUHODVPiVIUHFXHQ WHVVHHQFXHQWUDQHOHPEROLVPRDpUHRHOQHXPRHQFpIDOR OD WHPLEOH WHWUDSOHMLD HQ ORV SDFLHQWH DIHFWRV GH PLHORSDWtD FHUYLFDO HO VDQJUDGR SRVWTXLU~UJLFR R OD LQFRPRGLGDG GHO 1HXURFLUXMDQR /D SRVLFLyQ GH ORV SDFLHQWHV\HODFFHVRDODIRVDSRVWHULRUVLJXHVLHQGRXQ WHPDGHDFWXDOLGDGHQHOTXHDEXQGDQORVGHIHQVRUHVGH XQRXRWURDERUGDMH/DDSDULFLyQGHODQXHYDJHQHUD FLyQGHPLFURVFRSLRVPHVDVTXLU~UJLFDV\QDYHJDGRUHV KDQ LQÀXLGR GH DOJXQD PDQHUD SHUR OD HOHFFLyQ GH OD SRVLFLyQ VLJXH VLHQGR DOHDWRULD GHSHQGLHQGR GH ODV FRVWXPEUHV \ GH OD H[SHULHQFLD GH FDGD FLUXMDQR (O REMHWLYR GHO SUHVHQWH WUDEDMR HV SUHVHQWDU XQD FRP SOLFDFLyQSRFRGHVFULWDUHODFLRQDGDFRQODSRVLFLyQVHQ WDGR6HWUDWDGHXQSDFLHQWHGHDxRVLQWHUYHQLGRGH QHXULQRPDGHODF~VWLFRPHGLDQWHDERUGDMHVXERFFLSLWDO SDUDPHGLDOSUHVHQWDQGRFRPRFRPSOLFDFLyQSDUiOLVLV GHOQHUYLRFLiWLFRVHFXQGDULDDODFRPSUHVLyQPXVFXODU SLULIRUPHFRQRFLGRFRPRHO³VtQGURPHSLULIRUPH´RFX UULGDHQODSRVLFLyQVHQWDGR 3$/$%5$6 &/$9(6 3RVLFLyQ VHQWDGR &RPSOLFDFLyQ TXLU~UJLFD1HXULQRPDGHODF~VWLFR1HUYLRFLiWLFR 6FLDWLFQHUYHFRPSUHVVLRQDVDFRPSOLFDWLRQRIWKHVLW WLQJSRVLWLRQ WKH VXUJHRQ SUHIHUHQFH RU H[SHULHQFH :H UHSRUW DQ XQXVXDO FRPSOLFDWLRQ RI VFLDWLF QHXURSDWK\ GXH WR WKH S\ULIRUPLVV\QGURPHDIWHUDQRSHUDWLRQSHUIRUPHGLQD \HDUROGSDWLHQWZKRXQGHUZHQWUHPRYDORIDQDFRXV WLFQHXULQRPDLQVLWWLQJSRVLWLRQ .(< :25'6 6LWWLQJ SRVLWLRQ 6XUJLFDO FRPSOLFDWLRQ $FRXVWLFQHXULQRPD6FLDWLFQHUYH ,QWURGXFFLyQ &RPRHVELHQVDELGRH[LVWHQGLYHUVDVWpFQLFDVOLJDGDVD ODVGLVWLQWDVSRVLFLRQHVSDUDHODERUGDMHGHODIRVDSRVWHULRU VLHQGRODVPiVIUHFXHQWHVODSRVLFLyQVHQWDGDODWHUDOREOL FXDVHPLVHQWDGDGHF~ELWRSURQR\FRQFRUGH/DSRVLFLyQ GH ORV SDFLHQWHV \ HO DERUGDMH D OD IRVD SRVWHULRU HV XQ WHPD DPSOLDPHQWH GHEDWLGR HQ ORV WUDWDGRV FOiVLFRV GH QHXURFLUXJtD\HVGHYLJHQWHFRQWURYHUVLD(QDOJXQRV VHUYLFLRVODSRVLFLyQVHQWDGRHVWiHQGHVXVR\SDUDRWURVVH FRQVLGHUDREVROHWD$SHVDUGHVXVLQFRQYHQLHQWHVQRVR WURVVHJXLPRVXWLOL]DQGRHVWDSRVLFLyQFRPRODGHHOHFFLyQ HQHODERUGDMHDODIRVDSRVWHULRUHQODODPLQHFWRPtDFHU YLFDO \ RFDVLRQDOPHQWH HQ ODV KHUQLDV GLVFDOHV FHUYLFDOHV SRU YtD SRVWHULRU (QWUH ODV GLVWLQWDV FRPSOLFDFLRQHV GH HVWHDERUGDMHVHHQFXHQWUDHOVtQGURPHSLULIRUPHFRPR FRPSOLFDFLyQPX\UDUDREMHWLYRGHOSUHVHQWHWUDEDMR 6H SUHVHQWD XQ FDVR FOtQLFR GH SDUiOLVLV GHO 1 &LiWLFR HQ SDFLHQWH LQWHUYHQLGR GH 1HXULQRPD GHO DF~VWLFR \ VH UHYLVDODELEOLRJUDItDSDUDLQWHQWDUH[SOLFDUHOPHFDQLVPR ¿VLRSDWROyJLFRGHGLFKRVtQGURPH 6XPPDU\ &DVRFOtQLFR 7KHUH DUH VHYHUDO FRPSOLFDWLRQV DQG GLVDGYDQWDJHV UHODWHGWRVLWWLQJSRVLWLRQ$PRQJWKHPRVWIUHTXHQWDUH DLUHPEROLVPSQHXPRFHIDOXVTXDGULSOHJLDSUHVXPDEO\ GXH WR ÀH[LRQ P\HORSDWK\ WKH ULVN RI KDHPDWRPDV DW WKHRSHUDWLYHVLWHDQGWKHIDWLJXHRIWKHVXUJHRQ 'HVSLWH WKH DGYHQW RI WHFKQLFDO LQQRYDWLRQV WKH FKRLFH RI SDWLHQW SRVLWLRQ LV VWLOO GRQH GHSHQGLQJ RQ 1HXURFLUXJtD5HFLELGR$FHSWDGR 6HWUDWDGHXQSDFLHQWHYDUyQGHDxRVGHHGDG.J GHUSHVR\VLQDQWHFHGHQWHVSHUVRQDOHVGHLQWHUpVLQJUHVDGR SRUSUHVHQWDUVRUGHUDGHUHFKDVtQGURPHYHUWLJLQRVRLQHV WDELOLGDGGHODPDUFKD\GHVYLDFLyQGHFRPLVXUDEXFDOGHUH FKD(QODH[SORUDFLyQQHXUROyJLFDVHFRQVWDWyODSUHVHQFLD GHSDUHVLDIDFLDODHQODHVFDODGH+RXVH\%UDFNPDQQ \ SpUGLGD WRWDO GH DXGLFLyQ GHUHFKD VLQ RWUD IRFDOLGDG QHXUROyJLFD(QODUHVRQDQFLDPDJQpWLFD50VHREVHUYy Documento descargado de http://www.revistaneurocirugia.com el 17/11/2016. Copia para uso personal, se prohíbe la transmisión de este documento por cualquier medio o formato. 1HXURFLUXJtD &RPSUHVLyQGHOQHUYLRFLiWLFRFRPRFRPSOLFDFLyQGHODSRVLFLyQVHQWDGR )LJXUD,PDJHQGH50HQ7FRQFRQWUDVWHPRVWUDQGROD SUHVHQFLDGHQHXULQRPDGHODF~VWLFRGHUHFKR )LJXUD&RQWUROSRVWTXLU~UJLFR XQD WXPRUDFLyQ GH [ FP ORFDOL]DGD HQ HO $QJXOR SRQWRFHUHEHORVR GHUHFKR FRPSDWLEOH FRQ 1HXULQRPD GHO DF~VWLFR)LJXUD ,QWHUYHQFLyQ 7UDV LQIRUPDU DO SDFLHQWH \ IDPLOLDUHV GHO SURFHVR VH RSWySRUODLQWHUYHQFLyQTXLU~UJLFD(OULHVJRDQHVWpVLFRHUD ,HQODFODVL¿FDFLyQ$6$6HPRQLWRUL]yHOQHUYLRIDFLDOFRQ HOVLVWHPDQHXURHVWLPXODGRUPRQRSRODU1,06HHIHFWXy YHQGDMH FRPSUHVLYR GH DPERV PLHPEURV LQIHULRUHV FRQ ÀH[LyQGHDPEDVURGLOODV\SURWHFFLyQGHORVWRELOORV&RQ HO SDFLHQWH HQ SRVLFLyQ VHQWDGR OLJHUD ÀH[LyQ FHUYLFDO \ URWDFLyQFUDQHDOKDFtDODGHUHFKDVHSUDFWLFyFUDQLHFWRPtD VXERFFLSLWDO PHGLDQWH DERUGDMH UHWURVLJPRLGHR DO iQJXOR SRQWRFHUHEHORVRGHUHFKR7UDVODH[pUHVLVUDGLFDOGHOWXPRU )LJXUDVHVDOYyODLQWHJULGDGDQDWyPLFDGHOIDFLDOVLQ WHQHUQLQJXQDFRPSOLFDFLyQLQWUDRSHUDWRULD/DGXUDFLyQGH ODLQWHUYHQFLyQIXHGHKRUDVDSUR[LPDGDPHQWH $ ODV KRUDV GH OD LQWHUYHQFLyQ OD SDUHVLD GHO IDFLDO VH KD HPSHRUDGR D HQ OD HVFDOD GH +RXVH \ %UDFN PDQQHVGHFLUGHPRGHUDGDDJUDYHGLVIXQFLyQGHOQHUYLR SHUR HO SDFLHQWH VH TXHMDED PiV GH GRORU LQWHQVR FLiWLFR L]TXLHUGRTXHSUHFLVyGHDQDOJpVLFRVPD\RUHVVLQREWHQHU JUDQPHMRUtD/DH[SORUDFLyQQHXUROyJLFDPRVWUDEDODSUH VHQFLDGHOVLJQRGH/DVqJXHDOLQLFLRGHODPDQLREUD\OD SDUiOLVLVFRPSOHWDDHQODÀH[RH[WHQVLyQSODQWDUGHO SLH L]TXLHUGR /D7$& FUDQHDO GH XUJHQFLD \ 50 OXPEDU HUDQ QRUPDOHV$O LQVSHFFLRQDU HO SDFLHQWH VH GHWHFWy OD SUHVHQFLDGHHURVLyQFXWiQHDURML]DUHGRQGHDGDGHFPGH GLiPHWURORFDOL]DGDHQODPDVDPXVFXODUJO~WHD)LJXUDV $\%6HUHDOL]y50OXPERVDFUDVHOHFWLYDDQLYHOGH OD HVFRWDGXUD FLiWLFD FRQ \ VLQ FRQWUDVWH FRQ¿UPDQGR OD H[LVWHQFLDGHXQIRFRFRQWXVLYRKHPRUUiJLFRORFDOL]DGRHQ ODPDVDJO~WHDGHUHFKD)LJXUDV$\%\RWURHQWUHHO P~VFXORSLULIRUPH\HOJO~WHRPD\RUL]TXLHUGRFRPSURPH WLHQGRHOWURQFRFLiWLFRDVXVDOLGDGHHVWHQLYHO)LJXUD$ \%7UDVWUDWDPLHQWRGHFKRTXHFRQFRUWLFRLGHV\UHKDEL OLWDFLyQSUHFR]\FRQWLQXDGDFRPHQ]yDSUHVHQWDUVHQVLEOH \SURJUHVLYDPHMRUtDUHFXSHUiQGRVHFRPSOHWDPHQWHDORV PHVHVGHOWUDWDPLHQWRFRQVHUYDGRU 'LVFXVLyQ /DV FRPSOLFDFLRQHV SUHYLVLEOHV GHO DERUGDMH D ORV WXPRUHV GHO iQJXOR SRQWRFHUHEHORVR UHODFLRQDGDV FRQ OD SRVLFLyQ VHQWDGR HVWiQ GHVFULWDV HQ OD PD\RUtD GH ORV OLEURV \ SXEOLFDFLRQHV TXH WUDWDQ HO WHPD /DV PiV IUHFXHQWHV VRQ HPEROLVPR DpUHR HO QHXPRHQFpIDOR ORV SUREOHPDV DQHVWpVLFRV GHULYDGRV GH ODV YtDV \ VLVWHPD GH PRQLWRUL]DFLyQHOVDQJUDGRSRVWTXLU~UJLFRHOGp¿FLWPRWRU VHFXQGDULR D OD KLSHUÀH[LyQ FHUYLFDO R HO HGHPD GH IRVD SRVWHULRU DGHPiV GH OD LQFRPRGLGDG SRVWXUDO GHO FLUX MDQR $OJXQDV GH HVWDV FRPSOLFDFLRQHV HVWiQ SXEOL FDGDV HQ OD UHYLVWD HVSDxROD GH QHXURFLUXJtD 4XHUHPRV SDUWLFLSDUPHGLDQWHHVWHWUDEDMRTXHODSRVLFLyQGHVHQWDGR VLJXHVLHQGRODPiVXWLOL]DGDHQQXHVWUDXQLGDGSULQFLSDO PHQWHSRUFRVWXPEUH\H[SHULHQFLDHVWDPRVPiVIDPLOLD UL]DGRV FRQ HVWH DERUGDMH TXH QRV RIUHFH ODV YHQWDMDV GH Documento descargado de http://www.revistaneurocirugia.com el 17/11/2016. Copia para uso personal, se prohíbe la transmisión de este documento por cualquier medio o formato. (O5XEDLGL\FRO 1HXURFLUXJtD $% )LJXUD$HURVLyQFXWiQHDJO~WHD,]TXLHUGD )LJXUD%50GHODHURVLyQPXVFXORFXWiQHD )LJXUD $ 50 VLQ FRQWUDVWH GHO IRFR FRQWXVLYR JO~WHR GHUHFKR )LJXUD % 50 FRQ FRQWUDVWH GHO IRFR FRQWXVLYR JO~WHR GHUHFKR )LJXUD $ 50 VLQ FRQWUDVWH GH OD HVFRWDGXUD FLiWLFD L]TXLHUGD VH DSUHFLD OD FRQWXVLyQ GHO QHUYLR FLiWLFD L]TXLHUGRHQWUHHOP~VFXORSHULIRUPH\HOJO~WHRPD\RUDVX VDOLGDSRUHODJXMHURSHULIRUPH )LJXUD%50FRQFRQWUDVWHODWHQXHFDSWDFLyQGHJDGR OLQLR HV GHPRVWUDWLYD GHO FRPSRQHQWH LQÀDPDWRULD GHO QHUYLRFLiWLFRHQVXIDVHDJXGD Documento descargado de http://www.revistaneurocirugia.com el 17/11/2016. Copia para uso personal, se prohíbe la transmisión de este documento por cualquier medio o formato. 1HXURFLUXJtD &RPSUHVLyQGHOQHUYLRFLiWLFRFRPRFRPSOLFDFLyQGHODSRVLFLyQVHQWDGR UHVXOWDGR GHO WUDXPD H LQÀDPDFLyQ SXHGH GDU OXJDU D OD FRPSUHVLyQ GHO QHUYLR FRQWUD OD PXHVFD FLiWLFD PD\RU /D FDSWDFLyQ GH FRQWUDVWH VH H[SOLFD SRU HO FRPSRQHQWH LQÀDPDWRULRDJXGRGHOSDTXHWHYDVFXORQHUYLRVRMXQWRFRQ OD FRPSUHVLyQ PXVFXODU DG\DFHQWH /RV VtQWRPDV GH HVWH FDVRSUREDEOHPHQWHVHUtDQHOUHVXOWDGRGHXQDQHXURSDWtD GHHVWLUDPLHQWRFLiWLFRVHFXQGDULRDODÀH[LyQH[WUHPDGH ODFDGHUDMXQWRFRQODIDOWDGHÀH[LyQDGHFXDGDGHODSLHUQD DQLYHOGHODURGLOODORTXHOOHYDUtDDOHVWLUDPLHQWRIRU]DGR GHO QHUYLR 3RU FRQVLJXLHQWH OD H[WUHPD SUHFDXFLyQ HQ OD FRORFDFLyQ GHO SDFLHQWH PHGLDQWH OD GLVPLQXFLyQ GHO iQJXORGHÀH[LyQGHODFDGHUD\ODÀH[LyQVLQDEGXFFLyQ GHDPEDVURGLOODVHQSRVLFLyQQRPiVGHJUDGRVSRGUtD D\XGDUDSUHYHQLUHVWDUDUDFRPSOLFDFLyQ )LJXUD OD UHODFLyQ DQDWyPLFD GHO QHUYLR FLiWLFR FRQ HO P~VFXORSHULIRUPHDVXVDOLGDGHOKHQGLGXUDSLULIRUPH PHMRUDERUGDMHDQDWyPLFRSRUHOUDIHGHOtQHDPHGLDPHMRU GUHQDMHVDQJXtQHRPHQRUVDQJUDGRLQWUDRSHUDWRULRPHMRU GUHQDMH GH /&5 \ IiFLO YHQWLODFLyQ (Q QXHVWUD H[SHULHQ FLD KHPRV WHQLGR YDULDV FRPSOLFDFLRQHV LQWUDRSHUDWRULDV FRQVLGHUDGDVFRPROHYHVDOQRUHSHUFXWLUHQHOSURQyVWLFR ¿QDOGHORVSDFLHQWHVWDOHVFRPRHOQHXPRHQFpIDORGHWHF WDGR HQ ORV HVWXGLRV UDGLROyJLFRV GH FRQWURO R SHTXHxRV HPEROLVPRVDpUHRVVROXFLRQDGRVHQHODFWRLQWUDRSHUDWRULR /D FRPSOLFDFLyQ SUHVHQWDGD SRU QRVRWURV VH FRQVLGHUD H[WUHPDGDPHQWHUDUD\FRQOLPLWDGDVFLWDVELEOLRJUi¿FDV VRORDSDUHFHXQDUHIHUHQFLDGHVGHHODxR/DH[SOL FDFLyQGH HVWD EDMDLQFLGHQFLDTXL]iV VHD GHELGR SRU XQ ODGRDODUDUH]DHQVtGHODFRPSOLFDFLyQ\HQVHJXQGROXJDU SRUHODEDQGRQRFDGDYH]PiVIUHFXHQWHGHODSRVLFLyQGH VHQWDGR(VWDFRPSOLFDFLyQSUREDEOHPHQWHVHDGHELGD DOSURORQJDGRWLHPSRHQSRVLFLyQGHVHQWDGRHQXQSDFLHQWH PRGHUDGDPHQWH REHVR MXQWR FRQ DOJXQD DVLPHWUtD HQ OD FRORFDFLyQGHOSDFLHQWHDOÀH[LRQDUODFDGHUDSDUDVHQWDUOR 1XHVWUDH[SOLFDFLyQSRGUtDFRUUHVSRQGHUDODKLSyWHVLVGH %URZQ\FROV (OQHUYLRFLiWLFRHVHOWURQFRQHUYLRVRPDVYROXPLQRVR GHOFXHUSR\HVWiIRUPDGRSRUODVUDtFHV/D6HQUHD OLGDG HV OD XQLyQ GH GRV QHUYLRV HQYXHOWRV HQ XQD YDLQD FRP~QORVQHUYLRVSHURQHRFRP~Q\WLELDOFLiWLFRSRSOtWHRV H[WHUQRHLQWHUQR\DEDQGRQDODSHOYLVSRUODSDUWHLQIHULRU GH OD HVFRWDGXUD FLiWLFD PD\RU IRUDPHQ LQWUDSLULIRUPLV HQ HVWUHFKD UHODFLyQ FRQ HO P~VFXOR SLULIRUPH \ JO~WHR PD\RU)LJXUD$HVWHQLYHOUHFLEHVXYDVFXODUL]DFLyQ GHODDUWHULDJO~WHDPD\RU/DVYDULDFLRQHVDQDWyPLFDVHQWUH HOQHUYLR\HOP~VFXORSLULIRUPHQRVRQLQIUHFXHQWHV2FD VLRQDOPHQWHHOP~VFXORSDVDSRUODVGRVUDPDVGHOQHUYLR \ RWUDV YHFHV WRGR HO QHUYLR SDVD SRU HQFLPD FXELHUWR VRODPHQWH SRU HO JO~WHR PD\RU /D SUHVLyQ SURORQJDGD GH SHVR OOHYDUtD D OD LUULWDFLyQ LQÀDPDFLyQ \ HVSDVPR GHO P~VFXOR SLULIRUPH &XDQGR KD\ HVSDVPR VLHQGR HO %LEOLRJUDItD %URZQ -$ %UDXQ 0$ 1LDPH\ 7& 3\ULIRUPLV VLQGURPHLQD\HDUROGER\DVDFRPSOLFDWLRQRIRSHUDWLRQ ZLWKWKHSDWLHQWLQWKHVLWWLQJSRVLWLRQ1HXURVXJHU\ %UXFH-1)HWHOO056WHLQ%06XUJLFDODSSUR DFKHVWRSLQHDOWXPRUV(Q:LONLQV5+HG&RPSOLFDWLRQVRI 6XUJHU\1RUWK&DUROLQD0F*UDZ+LOOSS *LHEOHU5.ROOHQEHUJ%2UOHQ*3HWHUV-(IIHFW RISRVLWLYHHQGH[SLUDWRU\SUHVVXUHRQWKHLQFLGHQFHRIYHQRXV DLUHPEROLVPDQGRQWKHFDUGLRYDVFXODUUHVSRQVHWRWKHVLWWLQJ SRVLWLRQGXULQJQHXURVXUJHU\%U-$QDHVWK *yPH]--/DSRVLFLyQVHQWDGRHQQHXURFLUXJtD5HY (VS$QHVWHVLRO5HDQLP *UHHQEHUJ 06 3RVWHULRU IRVVD FUDQLHFWRP\ *UHHQ EHUJ*UDSKLFV,QF)ORULGDSS .LGD+1LVKLNDZD10DWVXQDPL..DZDKLWR0 2WD00L\DVR66LWWLQJSRVLWLRQLQWKHQHXURVXUJHU\WKH UHVXOWV RI D TXHVWLRQQDLUH VHQW WR QHXURVXUJHRQV RI PHGLFDO FROOHJHV0DVXL /HLYHUV'6SLOVEXU\5$<RXQJ-9$LUHPEROLVP GXULQJQHXURVXUJHU\LQWKHVLWWLQJSRVLWLRQ7ZRFDVHUHSRUWV %U-$QDHVWK 0HKGL 0 5RVHQEHUJ + %LODWHUDO IRRWGURS DIWHU FUDQLRWRP\ LQ WKH VLWWLQJ SRVLWLRQ$QHVWKHVLRORJ\ 0HUDW6/HYHFTXH-3/H*XOOXFKH<HWDO3DUD SOHJLD DIWHU VLWWLQJ SRVLWLRQ$QHVWK$QDOJ 3RUWHU-03LGJHRQ&&XQQLQJKDP$-7KHVLW WLQJSRVLWLRQLQQHXURVXUJHU\DFULWLFDODSSUDLVDO%U-$QDHVWK 6RFLHGDG (VSDxROD GH 1HXURFLUXJtD *XtDV SDUD OD HODERUDFLyQ GHO FRQVHQWLPLHQWR LQIRUPDGR &RPSOLFDFLRQHV JHQHUDOHVHQ1HXURFLUXJtD1HXURFLUXJtD 6WDQGHIHU0%D\-:7UXVVR57KHVLWWLQJSRVL WLRQ LQ QHXURVXUJHU\ UHWRURVSHFWLYH DQDO\VH RI FDVHV Documento descargado de http://www.revistaneurocirugia.com el 17/11/2016. Copia para uso personal, se prohíbe la transmisión de este documento por cualquier medio o formato. (O5XEDLGL\FRO 1HXURVXUJHU\ 6WHZDUW '+ .UDZFKHQNR -- 6LWWLQJ SRVLWLRQ (Q :LONLQV 5+ HG 3DWLHQW SRVLWLRQLQJ 1RUWK &DUROLQD 0F*UDZ+LOOSS 6\QHN 90 7KH 3\ULIRUPLV V\QGURPH UHYLHZ DQG FDVHSUHVHQWDWLRQ&OLQ([S1HXURO 7UHVVHUUDV 3 (VFULJ 0 ,QVWUXPHQWDO DSDUDWDMH SRVLFLRQHV HQ QHXURFLUXJtD \ IXQFLRQHV GH OD HQIHUPHUD SUHRSHUDWRULR (Q ) %DUWXPHXV HG 1RFLRQHV EiVLFDV GH 1HXURFLUXJtD 1HXURFLUXJtD0DOORUFD3HUPDQ\HUSS (O5XEDLGL 2$ +RUFDMDGDV$OPDQVD $ 5RGUtJXH] 5XELR ' *DOLFLD%XOQHV -0 &RPSUHVLyQ GHO QHUYLR FLiWLFR FRPR FRPSOLFDFLyQ GH OD SRVLFLyQ VHQWDGR 1HXURFLUXJtD &RUUHVSRQGHQFLDSRVWDO2VDPDK$EGXOODK(O5XEDLGL&&DVWL OOD\/HyQ1%-DpQ