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PowerPoint® Lecture Slides prepared by Janice Meeking, Mount Royal College CHAPTER 11 Fundamentals of the Nervous System and Nervous Tissue: Part A Copyright © 2010 Pearson Education, Inc. *Functions of the Nervous System 1. Sensory input • Information gathered by sensory receptors about internal and external changes 2. Integration • Interpretation of sensory input 3. Motor output • Activation of effector organs (muscles and glands) produces a response Copyright © 2010 Pearson Education, Inc. Sensory input Integration Motor output Copyright © 2010 Pearson Education, Inc. Figure 11.1 *Divisions of the Nervous System • Central nervous system (CNS) • Brain and spinal cord • Integration and command center • Peripheral nervous system (PNS) • Paired spinal and cranial nerves carry messages to and from the CNS Copyright © 2010 Pearson Education, Inc. Peripheral Nervous System (PNS) • Two functional divisions 1. Sensory (afferent) division • Somatic afferent fibers—convey impulses from skin, skeletal muscles, and joints • Visceral afferent fibers—convey impulses from visceral organs Copyright © 2010 Pearson Education, Inc. Copyright © 2010 Pearson Education, Inc. * 2. Motor (efferent) division • Transmits impulses from the CNS to effector organs Copyright © 2010 Pearson Education, Inc. Copyright © 2010 Pearson Education, Inc. *Motor Division of PNS 1. Somatic (voluntary) nervous system • Conscious control of skeletal muscles Copyright © 2010 Pearson Education, Inc. Peripheral nervous system (PNS) Central nervous system (CNS) Cranial nerves and spinal nerves Communication lines between the CNS and the rest of the body Brain and spinal cord Integrative and control centers Sensory (afferent) division Somatic and visceral sensory nerve fibers Conducts impulses from receptors to the CNS Somatic sensory fiber Motor (efferent) division Motor nerve fibers Conducts impulses from the CNS to effectors (muscles and glands) Somatic nervous system Somatic motor (voluntary) Conducts impulses from the CNS to skeletal muscles Skin Visceral sensory fiber Stomach Skeletal muscle Motor fiber of somatic nervous system Sympathetic division Mobilizes body systems during activity Sympathetic motor fiber of ANS Structure Function Sensory (afferent) division of PNS Motor (efferent) division of PNS Copyright © 2010 Pearson Education, Inc. Parasympathetic motor fiber of ANS Autonomic nervous system (ANS) Visceral motor (involuntary) Conducts impulses from the CNS to cardiac muscles, smooth muscles, and glands Parasympathetic division Conserves energy Promotes housekeeping functions during rest Heart Bladder Figure 11.2 *Motor Division of PNS 2. Autonomic (involuntary) nervous system (ANS) • Visceral motor nerve fibers • Regulates smooth muscle, cardiac muscle, and glands • Two functional subdivisions • Sympathetic • Parasympathetic Copyright © 2010 Pearson Education, Inc. Copyright © 2010 Pearson Education, Inc. *Histology of Nervous Tissue • Two principal cell types 1. Neurons—excitable cells that transmit electrical signals Copyright © 2010 Pearson Education, Inc. *Histology of Nervous Tissue 2. Neuroglia (glial cells)—supporting cells: • Astrocytes (CNS) – most abundant, control chemical environment (blood/brain barrier) • Microglia (CNS) • Ependymal cells (CNS) • Oligodendrocytes (CNS) • Satellite cells (PNS) • Schwann cells (PNS) Copyright © 2010 Pearson Education, Inc. *Satellite Cells and Schwann Cells • Satellite cells • Surround neuron cell bodies in the PNS • Schwann cells (neurolemmocytes) • Surround peripheral nerve fibers and form myelin sheaths • Vital to regeneration of damaged peripheral nerve fibers Copyright © 2010 Pearson Education, Inc. Satellite cells Cell body of neuron Schwann cells (forming myelin sheath) Nerve fiber (e) Satellite cells and Schwann cells (which form myelin) surround neurons in the PNS. Copyright © 2010 Pearson Education, Inc. Figure 11.3e *Neurons (Nerve Cells) • Special characteristics: • Long-lived ( 100 years or more) • Amitotic—with few exceptions • High metabolic rate—depends on continuous supply of oxygen and glucose • Plasma membrane functions in: • Electrical signaling • Cell-to-cell interactions during development Copyright © 2010 Pearson Education, Inc. Cell Body (Perikaryon or Soma) • Biosynthetic center of a neuron • Spherical nucleus with nucleolus • Well-developed Golgi apparatus • Rough ER called Nissl bodies (chromatophilic substance) Copyright © 2010 Pearson Education, Inc. Copyright © 2010 Pearson Education, Inc. Dendrites (receptive regions) Cell body (biosynthetic center and receptive region) Nucleolus Axon (impulse generating and conducting region) Nucleus Nissl bodies Axon hillock (b) Copyright © 2010 Pearson Education, Inc. Impulse direction Node of Ranvier Schwann cell Neurilemma (one interTerminal node) branches Axon terminals (secretory region) Figure 11.4b Processes • Dendrites and axons • Bundles of processes are called • Tracts in the CNS • Nerves in the PNS Copyright © 2010 Pearson Education, Inc. *Dendrites • Short, tapering, and diffusely branched • Receptive (input) region of a neuron • Convey electrical signals toward the cell body as graded potentials Copyright © 2010 Pearson Education, Inc. The Axon • One axon per cell • Long axons (nerve fibers) • Occasional branches (axon collaterals) Copyright © 2010 Pearson Education, Inc. Dendrites (receptive regions) Cell body (biosynthetic center and receptive region) Nucleolus Axon (impulse generating and conducting region) Nucleus Nissl bodies Axon hillock (b) Copyright © 2010 Pearson Education, Inc. Impulse direction Node of Ranvier Schwann cell Neurilemma (one interTerminal node) branches Axon terminals (secretory region) Figure 11.4b The Axon • Numerous terminal branches • Knoblike axon terminals called synaptic knobs or boutons • Release neurotransmitters to excite or inhibit other cells* Copyright © 2010 Pearson Education, Inc. *Axons: Function • Conducting region of a neuron • Generates and transmits nerve impulses (action potentials) away from the cell body Copyright © 2010 Pearson Education, Inc. Dendrites (receptive regions) Cell body (biosynthetic center and receptive region) Nucleolus Axon (impulse generating and conducting region) Nucleus Nissl bodies Axon hillock (b) Copyright © 2010 Pearson Education, Inc. Impulse direction Node of Ranvier Schwann cell Neurilemma (one interTerminal node) branches Axon terminals (secretory region) Figure 11.4b *Myelin Sheath • Segmented protein-lipoid sheath around most long or large-diameter axons • It functions to: • Protect and electrically insulate the axon • Increase speed of nerve impulse transmission --conduction in myelinated axons is about 30 times faster Copyright © 2010 Pearson Education, Inc. Myelin Sheaths in the PNS • Schwann cells wraps many times around the axon • Myelin sheath—concentric layers of Schwann cell membrane • Neurilemma—peripheral bulge of Schwann cell cytoplasm Copyright © 2010 Pearson Education, Inc. Schwann cell plasma membrane Schwann cell cytoplasm Axon 1 A Schwann cell envelopes an axon. Schwann cell nucleus 2 The Schwann cell then rotates around the axon, wrapping its plasma membrane loosely around it in successive layers. Neurilemma Myelin sheath (a) Myelination of a nerve fiber (axon) Copyright © 2010 Pearson Education, Inc. 3 The Schwann cell cytoplasm is forced from between the membranes. The tight membrane wrappings surrounding the axon form the myelin sheath. Figure 11.5a *Unmyelinated Axons • Thin nerve fibers are unmyelinated • One Schwann cell may incompletely enclose 15 or more unmyelinated axons Copyright © 2010 Pearson Education, Inc. Myelin sheath Process of oligodendrocyte Nerve fibers (d) Oligodendrocytes have processes that form myelin sheaths around CNS nerve fibers. Copyright © 2010 Pearson Education, Inc. Figure 11.3d *Multiple Sclerosis (MS) • An autoimmune disease that mainly affects young adults • Symptoms: visual disturbances, weakness, loss of muscular control, speech disturbances, and urinary incontinence • Myelin sheaths in the CNS become nonfunctional scleroses • Shunting and short-circuiting of nerve impulses occurs • Impulse conduction slows and eventually ceases Copyright © 2010 Pearson Education, Inc. *Multiple Sclerosis: Treatment • Some immune system–modifying drugs, including interferons and Copazone: • Hold symptoms at bay • Reduce complications • Reduce disability Copyright © 2010 Pearson Education, Inc. White Matter and Gray Matter • White matter • Dense collections of myelinated fibers • Gray matter • Mostly neuron cell bodies and unmyelinated fibers Copyright © 2010 Pearson Education, Inc. *Structural Classification of Neurons • Three types: 1. Multipolar—1 axon and several dendrites • Most abundant • Motor neurons and interneurons • Pyramidal neuron – high branching, found in cerebral cortex, hippocampus and amygdala 2. Bipolar—1 axon and 1 dendrite • Rare, e.g., retinal neurons Copyright © 2010 Pearson Education, Inc. *Structural Classification of Neurons 3. Unipolar (pseudounipolar)—single, short process that has two branches: • Peripheral process—more distal branch, often associated with a sensory receptor • Central process—branch entering the CNS Copyright © 2010 Pearson Education, Inc. Copyright © 2010 Pearson Education, Inc. Table 11.1 (1 of 3) Copyright © 2010 Pearson Education, Inc. Copyright © 2010 Pearson Education, Inc. Table 11.1 (2 of 3) *Functional Classification of Neurons • Three types: 1. Sensory (afferent) • Transmit impulses from sensory receptors toward the CNS 2. Motor (efferent) • Carry impulses from the CNS to effectors Copyright © 2010 Pearson Education, Inc. *Functional Classification of Neurons 3. Interneurons (association neurons) • Shuttle signals through CNS pathways; most are entirely within the CNS Copyright © 2010 Pearson Education, Inc. Copyright © 2010 Pearson Education, Inc. Table 11.1 (3 of 3) Reflex Arc* • Components of a reflex arc (neural path) 1. Receptor—site of stimulus action 2. Sensory neuron—transmits afferent impulses to the CNS 3. Integration center—either monosynaptic or polysynaptic region within the CNS 4. Motor neuron—conducts efferent impulses from the integration center to an effector organ 5. Effector—muscle fiber or gland cell that responds to the efferent impulses by contracting or secreting Copyright © 2010 Pearson Education, Inc. Stimulus Skin 1 Receptor Interneuron 2 Sensory neuron 3 Integration center 4 Motor neuron 5 Effector Spinal cord (in cross section) Copyright © 2010 Pearson Education, Inc. Figure 13.14 The patellar (knee-jerk) reflex—a specific example of a stretch reflex 2 Quadriceps (extensors) 1 3a 3b 3b Patella Muscle spindle Spinal cord (L2–L4) Hamstrings (flexors) Patellar ligament 1 Tapping the patellar ligament excites muscle spindles in the quadriceps. 2 Afferent impulses (blue) travel to the spinal cord, where synapses occur with motor neurons and interneurons. 3a The motor neurons (red) send + – Excitatory synapse Inhibitory synapse activating impulses to the quadriceps causing it to contract, extending the knee. 3b The interneurons (green) make inhibitory synapses with ventral horn neurons (purple) that prevent the antagonist muscles (hamstrings) from resisting the contraction of the quadriceps. Copyright © 2010 Pearson Education, Inc. Figure 13.17 (2 of 2) *Role of Membrane Ion Channels • Proteins serve as membrane ion channels • Two main types of ion channels 1. Leakage (nongated) channels—always open Copyright © 2010 Pearson Education, Inc. *Role of Membrane Ion Channels 2. Gated channels (three types): • Chemically gated (ligand-gated) channels—open with binding of a specific neurotransmitter • Voltage-gated channels—open and close in response to changes in membrane potential • Mechanically gated channels—open and close in response to physical deformation of receptors Copyright © 2010 Pearson Education, Inc. Receptor Neurotransmitter chemical attached to receptor Na+ Na+ Na+ Chemical binds K+ Closed Membrane voltage changes K+ Open (a) Chemically (ligand) gated ion channels open when the appropriate neurotransmitter binds to the receptor, allowing (in this case) simultaneous movement of Na+ and K+. Copyright © 2010 Pearson Education, Inc. Na+ Closed Open (b) Voltage-gated ion channels open and close in response to changes in membrane voltage. Figure 11.6 *The Synapse • A junction that mediates information transfer from one neuron: • To another neuron, or • To an effector cell Copyright © 2010 Pearson Education, Inc. *The Synapse • Presynaptic neuron—conducts impulses toward the synapse • Postsynaptic neuron—transmits impulses away from the synapse Copyright © 2010 Pearson Education, Inc. Axodendritic synapses Dendrites Axosomatic synapses Cell body Axoaxonic synapses (a) Axon Axon Axosomatic synapses (b) Copyright © 2010 Pearson Education, Inc. Cell body (soma) of postsynaptic neuron Figure 11.16 *Electrical Synapses • Less common than chemical synapses • Neurons are electrically coupled (joined by gap junctions) • Communication is very rapid, and may be unidirectional or bidirectional • Are important in: • Embryonic nervous tissue • Some brain regions Copyright © 2010 Pearson Education, Inc. *Chemical Synapses • Specialized for the release and reception of neurotransmitters • Typically composed of two parts • Axon terminal of the presynaptic neuron, which contains synaptic vesicles • Receptor region on the postsynaptic neuron Copyright © 2010 Pearson Education, Inc. *Termination of Neurotransmitter Effects • Within a few milliseconds, the neurotransmitter effect is terminated • Degradation by enzymes • Reuptake by astrocytes or axon terminal • Diffusion away from the synaptic cleft Copyright © 2010 Pearson Education, Inc. *Neurotransmitters • Most neurons make two or more neurotransmitters, which are released at different stimulation frequencies • 50 or more neurotransmitters have been identified • Classified by chemical structure and by function Copyright © 2010 Pearson Education, Inc. *Chemical Classes of Neurotransmitters • Acetylcholine (Ach) • Released at neuromuscular junctions and some ANS neurons • Synthesized by enzyme choline acetyltransferase • Degraded by the enzyme acetylcholinesterase (AChE) Copyright © 2010 Pearson Education, Inc. Chemical Classes of Neurotransmitters • Biogenic amines include: • Catecholamines • Dopamine, norepinephrine (NE), and epinephrine • Indolamines • Serotonin and histamine • Broadly distributed in the brain • Play roles in emotional behaviors and the biological clock Copyright © 2010 Pearson Education, Inc. Chemical Classes of Neurotransmitters • Amino acids include: • GABA—Gamma ()-aminobutyric acid • Glycine • Aspartate • Glutamate Copyright © 2010 Pearson Education, Inc. Chemical Classes of Neurotransmitters • Peptides (neuropeptides) include: • Substance P • Mediator of pain signals • Endorphins • Act as natural opiates; reduce pain perception • Gut-brain peptides • Somatostatin and cholecystokinin Copyright © 2010 Pearson Education, Inc. Chemical Classes of Neurotransmitters • Purines such as ATP: • Act in both the CNS and PNS • Produce fast or slow responses • Induce Ca2+ influx in astrocytes • Provoke pain sensation Copyright © 2010 Pearson Education, Inc. Chemical Classes of Neurotransmitters • Gases and lipids • Nitric oxide (NO) • Synthesized on demand • Activates the intracellular receptor guanylyl cyclase to cyclic GMP • Involved in learning and memory • Carbon monoxide (CO) is a regulator of cGMP in the brain Copyright © 2010 Pearson Education, Inc. Chemical Classes of Neurotransmitters • Gases and lipids • Endocannabinoids • Lipid soluble; synthesized on demand from membrane lipids • Bind with G protein–coupled receptors in the brain • Involved in learning and memory Copyright © 2010 Pearson Education, Inc. Functional Classification of Neurotransmitters • Neurotransmitter effects may be excitatory (depolarizing) and/or inhibitory (hyperpolarizing) • Determined by the receptor type of the postsynaptic neuron • GABA and glycine are usually inhibitory • Glutamate is usually excitatory • Acetylcholine • Excitatory at neuromuscular junctions in skeletal muscle • Inhibitory in cardiac muscle Copyright © 2010 Pearson Education, Inc. Peripheral Nervous System (PNS) • All neural structures outside the brain • Sensory receptors • Peripheral nerves and associated ganglia • Motor endings Copyright © 2010 Pearson Education, Inc. Central nervous system (CNS) Peripheral nervous system (PNS) Sensory (afferent) division Copyright © 2010 Pearson Education, Inc. Motor (efferent) division Somatic nervous system Autonomic nervous system (ANS) Sympathetic division Parasympathetic division Figure 13.1 Sensory Receptors • Specialized to respond to changes in their environment (stimuli) • Activation results in graded potentials that trigger nerve impulses • Sensation (awareness of stimulus) and perception (interpretation of the meaning of the stimulus) occur in the brain Copyright © 2010 Pearson Education, Inc. *Classification of Receptors • Based on: • Stimulus type • Location • Structural complexity Copyright © 2010 Pearson Education, Inc. *Classification by Stimulus Type • Mechanoreceptors—respond to touch, pressure, vibration, stretch, and itch • Thermoreceptors—sensitive to changes in temperature • Photoreceptors—respond to light energy (e.g., retina) • Chemoreceptors—respond to chemicals (e.g., smell, taste, changes in blood chemistry) • Nociceptors—sensitive to pain-causing stimuli (e.g. extreme heat or cold, excessive pressure, inflammatory chemicals) Copyright © 2010 Pearson Education, Inc. Unencapsulated Dendritic Endings • Thermoreceptors • Cold receptors (10–40ºC); in superficial dermis • Heat receptors (32–48ºC); in deeper dermis Copyright © 2010 Pearson Education, Inc. Unencapsulated Dendritic Endings • Nociceptors • Respond to: • Pinching • Chemicals from damaged tissue • Temperatures outside the range of thermoreceptors • Capsaicin Copyright © 2010 Pearson Education, Inc. Unencapsulated Dendritic Endings • Light touch receptors • Tactile (Merkel) discs • Hair follicle receptors Copyright © 2010 Pearson Education, Inc. Copyright © 2010 Pearson Education, Inc. Table 13.1 *Encapsulated Dendritic Endings • All are mechanoreceptors • Meissner’s (tactile) corpuscles—discriminative touch • Pacinian (lamellated) corpuscles—deep pressure and vibration • Ruffini endings—deep continuous pressure • Muscle spindles—muscle stretch • Golgi tendon organs—stretch in tendons • Joint kinesthetic receptors—stretch in articular capsules Copyright © 2010 Pearson Education, Inc. Copyright © 2010 Pearson Education, Inc. Table 13.1 *Classification of Nerves • Most nerves are mixtures of afferent and efferent fibers and somatic and autonomic (visceral) fibers • Pure sensory (afferent) or motor (efferent) nerves are rare • Types of fibers in mixed nerves: • Somatic afferent and somatic efferent • Visceral afferent and visceral efferent • Peripheral nerves classified as cranial or spinal nerves Copyright © 2010 Pearson Education, Inc. Ganglia • Contain neuron cell bodies associated with nerves • Dorsal root ganglia (sensory, somatic) (Chapter 12) • Autonomic ganglia (motor, visceral) (Chapter 14) Copyright © 2010 Pearson Education, Inc. Cranial Nerves • Twelve pairs of nerves associated with the brain • Most are mixed in function; two pairs are purely sensory • Each nerve is identified by a number (I through XII) and a name “On occasion, our trusty truck acts funny—very good vehicle anyhow” Copyright © 2010 Pearson Education, Inc. • The cranial nerves are: • I - Olfactory nerve Old • II - Optic nerve Opie • III - Occulomotor nerve Occassionally • IV - Trochlear nerve Tries • V - Trigeminal nerve/dentist nerve Trigonometry • VI - Abducens nerve And • VII - Facial nerve Feels • VIII - Vestibulocochlear nerve/Auditory nerve Very • IX - Glossopharyngeal nerve Gloomy • X - Vagus nerve Vague • XI - Accessory nerve/Spinal accessory nerve And • XII - Hypoglossal nerve hypoactive Copyright © 2010 Pearson Education, Inc. • Odor Of Orangutan Terrified Tarzan After Forty Voracious Gorillas Viciously Attacked Him • Old Opie Occasionally Tries Trigonometry And Feels Very Gloomy, Vague And Hypoactive Copyright © 2010 Pearson Education, Inc. Frontal lobe Temporal lobe Infundibulum Facial nerve (VII) Vestibulocochlear nerve (VIII) Glossopharyngeal nerve (IX) Vagus nerve (X) Accessory nerve (XI) Hypoglossal nerve (XII) Filaments of olfactory nerve (I) Olfactory bulb Olfactory tract Optic nerve (II) Optic chiasma Optic tract Oculomotor nerve (III) Trochlear nerve (IV) Trigeminal nerve (V) Abducens nerve (VI) Cerebellum Medulla oblongata (a) Copyright © 2010 Pearson Education, Inc. Figure 13.5 (a) Copyright © 2010 Pearson Education, Inc. A person attempting to show his teeth and raise his eyebrows with Bell's palsy on his right side Bell's palsy is the most common acute mononeuropathy Cranial Nerve VII Caused by a herpes virus Copyright © 2010 Pearson Education, Inc. Cranial nerves I – VI I II III IV V Olfactory Optic Oculomotor Trochlear Trigeminal VI Abducens Cranial nerves VII – XII VII Facial VIII Vestibulocochlear IX X XI XII (b) Copyright © 2010 Pearson Education, Inc. Glossopharyngeal Vagus Accessory Hypoglossal Sensory function Motor function PS* fibers Yes (smell) Yes (vision) No No Yes (general sensation) No No Yes Yes Yes No No Yes No No No Yes No Sensory function Motor function PS* fibers Yes (taste) Yes (hearing and balance) Yes Some Yes No Yes (taste) Yes (taste) No No Yes Yes Yes Yes Yes Yes No No *PS = parasympathetic Figure 13.5 (b) *Spinal Nerves • 31 pairs of mixed nerves named according to their point of issue from the spinal cord • 8 cervical (C1–C8) • 12 thoracic (T1–T12) • 5 Lumbar (L1–L5) • 5 Sacral (S1–S5) • 1 Coccygeal (C0) Copyright © 2010 Pearson Education, Inc. Cervical plexus Brachial plexus Cervical enlargement Intercostal nerves Cervical nerves C1 – C8 Thoracic nerves T1 – T12 Lumbar enlargement Lumbar plexus Sacral plexus Cauda equina Copyright © 2010 Pearson Education, Inc. Lumbar nerves L1 – L5 Sacral nerves S1 – S5 Coccygeal nerve Co1 Figure 13.6 *Spinal Nerves: Roots • Each spinal nerve connects to the spinal cord via two roots • Ventral roots • Contain motor (efferent) fibers from the ventral horn motor neurons • Fibers innervate skeletal muscles) Copyright © 2010 Pearson Education, Inc. *Spinal Nerves: Roots • Dorsal roots • Contain sensory (afferent) fibers from sensory neurons in the dorsal root ganglia • Conduct impulses from peripheral receptors • Dorsal and ventral roots unite to form spinal nerves, which then emerge from the vertebral column via the intervertebral foramina Copyright © 2010 Pearson Education, Inc. Gray matter White matter Ventral root Dorsal root Dorsal root ganglion Dorsal ramus of spinal nerve Ventral ramus of spinal nerve Spinal nerve Dorsal and ventral rootlets of spinal nerve Rami communicantes Sympathetic trunk ganglion Anterior view showing spinal cord, associated nerves, and vertebrae. The dorsal and ventral roots arise medially as rootlets and join laterally to form the spinal nerve. Copyright © 2010 Pearson Education, Inc. Figure 13.7 (a) * Sciatica -- A common condition arising from compression of, or damage to, a nerve or nerve root. Restless legs syndrome (RLS) is a disorder of the part of the nervous system that affects the legs and causes an urge to move them. Because it usually interferes with sleep, it also is considered a sleep disorder Copyright © 2010 Pearson Education, Inc. * • Guillain-Barré syndrome -- causes muscle weakness, loss of reflexes, and numbness or tingling in your arms, legs, face, and other parts of your body. In GBS, the immune system attacks the myelin sheath of certain nerves. This causes nerve damage. May be triggered by a viral or bacterial infection Copyright © 2010 Pearson Education, Inc. Copyright © 2010 Pearson Education, Inc. *Innervation of Skin • Dermatome: the area of skin innervated by the cutaneous branches of a single spinal nerve • All spinal nerves except C1 participate in dermatomes • Most dermatomes overlap, so destruction of a single spinal nerve will not cause complete numbness Copyright © 2010 Pearson Education, Inc. C2 C3 C4 C5 C6 C7 C8 T1 T2 T3 T4 T5 T6 T7 T8 T9 T10 C2 C3 C4 C5 T1 T2 T3 T4 T5 T6 T7 T8 T9 T10 T11 T2 C5 C6 C6 C7 L1 C8 L2 T12 S2 S3 T2 C5 C6 L1 C8 L2 S1 L4 S2 S3 S4 S5 C6 C7 C6 C7 C8 C8 L2 S2 S1 L1 L3 L5 L4 T11 T12 L1 L3 L5 C7 C6 S1 S2 L3 C5 L2 L5 L4 L3 L5 L5 L4 S1 Anterior view Copyright © 2010 Pearson Education, Inc. S1 (b) Posterior view L4 L5 L4 L5 S1 Figure 13.12