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f : N - i I, }4 T I A I APPENDIX

I N T R O D U C TION
ANATOMYOF THE BRAIN
SURFACE An Illustrated
THE LATERALSURFACEOFTHE BRAIN
/o) CrossFeotures
Guide to Human
(b) SelectedGyri,Sulci,ond Fissures
(c) CerebrolLobesond the Insulo
Neuroematomy
(d) Mojor Sensory,Motor,ond Associotion
THE MEDIAL SURFACEOF THE BRAIN
(o) BroinStem Structures
Areosof Cortex
FT &
(b) ForebroinStructures
(c) Ventricles
THEVENTRALSURFACEOF THE BRAIN
THE DORSAL SURFACEOFTHE BRAIN
(o) Cerebrum
(b) CerebrumRernoved
(c) Cerebrumond CerebellumRemoved

ANATOMYOFTHE BRAIN
CROSS.SECTIONAL
CROSS SECTION| : FOREBRAIN AT THALAMUS-TELENCEPHALON
JUNCTION
(o) GrossFeotures
(b) Selected
Cellond FiberGroups
CROSS SECTION2: FOREBRAIN AT MID-THALAMUS
(o) GrossFeotures
(b) Selected
Cellond FiberGroups
CROSS SECTION3: FOREBRAIN ATTHALAMUS-MIDBRAIN
JUNCTION
(o) GrossFeotures
(b) Se/eaedCellond FiberGrouPs
CROSS SECTION4: ROSTRAL MIDBRAIN
CROSS SECTION5: CAUDALMIDBRAIN
CROSS SECTION6: PONSAND CEREBELLUM
CROSS SECTION7: ROSTRAL MEDULLA
CROSS SECTION8: MID-MEDULLA
CROSS SECTION9: MEDULLA-SPINAL CORDJUNCTION

TH ES P I N A COR
L D
OFTHE SPINALCORDAND SPINALNERVES
THE DORSALSURFACE
SURFACE
THEVENTRAL-LATERAL
ANATOMY
CROSS-SECTIONAL

THEAUTONOMICNERVOUS
SYSTEM
THE CRANIALNERVES
OF THE BRAIN
THE BLOODSUPPLY
VENTRALVIEW
LATERALVIEW
(BRA|NSTEMREMOVED)
MEDTALVTEW

SELF.QUIZ

j:' ,1,..,
:: \) fi:; "i'-
206 C HAPTE R 7 . APPENDIX:AN
ILLUSTRATED
GUIDETOHUMANNEUROANATOMY

W IN TRODUCTION
As we will see in the remainder of the book, a fruitful way to explore the
nervous system is to divide it up into functional systems. Thus, the otfac-
tlry systemconsistsof those parts of the brain that are devoted to the sense
of smell, the visual systemincludes those parts that are devoted to vision,
a n d s o o n . w h i l e t h i s f u n c t i o n a l a p p r o a c h t o i n v e s t i g a t i n gn e r v o u s s y s -
tem structure has many merits, it can make the "big picture,,-how all
these systemsfit rogether inside the box we call the brain-difficult ro see.
T h e g o a l o f t h i s I l l u s t r a t e d G u i d e i s t o h e l p y o u l e a r n , i n a d v a n c e ,a t r o u t
s o m e o f t h e a n a t o m y t h a t w i l l b e d i s c u s s e di n t h e s u b s e q u e n t c h a p t e r s .
H e r e w e c o n c e n t r a t eo n n a m i n g t h e s t r u c t u r e sa n d s e e i n g h o w t h e y a r e
r e l a t e d p h y s i c a l l y ; t h e i r f u n c t i o n a l s i g n i f i c a n c ei s d i s c u s s e di n t h e r e -
mainderof the book
The Guide is clrganizedinto six main parts. The first part covers the sur-
face anatomy of the brain-the structures that can been seen by inspection
of the whole brain, as well as those parts that are visible when the two
c e r e b r a lh e m i s p h e r e sa r e s e p a r a t e db y a c u t i n t h e m i d s a g i t t a lp l a n e . N e x t ,
w e e x p l o r e t h e c r o s s - s e c t i o n aaln a t o m y o f t h e b r a i n , u s i n g a s e r i e so f s l a b s
t h a t c o n t a i n s t r u c t u r e so f i n t e r e s t .T h e b r i e f t h i r d a n d f o u r t h p a r t s c o v e r t h e
s p i n a l c o r d a n d t h e a u t o n o m i c n e r v o u s s y s t e m .T h e f i f t h p a r t o f t h e G u i d e
i l l u s t r a t e st h e c r a n i a l n e r v e s a n d s u m m a r i z e st h e i r d i v e r s e f u n c t i o n s . T h e
l a s t p a r t i l l u s t r a t e st h e b l o o d s u p p l y o f t h e b r a i n .
T h e n e r v o u s s y s t e mh a s a n a s t o n i s h i n gn u m b e r o f b i t s a n d p i e c e s .I n t h i s
G u i d e , w e f o c u s o n t h o s e s t r u c t u r e st h a t w i l l a p p e a rl a t e r i n t h e b o o k w h e n
we discussthe various functional systems.Nonetheless,even this abbrevi-
ated atlas of neuroanatomy yields a formidable list of new vocabulary.
Therefore, to help you learn the terminology, an extensive self-quiz review
is provided at the end, in the form of a perforated workbook with labeling
exercises.

'W
SURFACEANATOMY OF THE BRAIN
Imagine that you hold in your hands a human brain that has been dis-
s e c t e df r o m t h e s k u l l . I t i s w e r a n d s p o n g y a n d w e i g h s a b o u t 1 . 4 k g
( 3 l b ) . L o o k i n g d o w n o n t h e b r a i n ' s d o r s a l s u r f a c er e v e a l st h e c o n v o l u t e d
surface of the cerebrum. Flipping the brain over shows the complex ven-
t r a l s u r f a c et h a t n o r m a l l y r e s t so n t h e f l o o r o f t h e s k u l l . H o l d i n g t h e b r a i n
up and looking at its side-the lateral view-shows the ,,ram.shorn,, shape
of the cerebrum coming off the stalk of the brain stem. The brain stem is
shown more clearly if we slice the brain right down the middle and view
i t s m e d i a l s u r f a c e .I n t h e p a r t o f t h e G u i d e t h a t f o l l o w s , w e w i l l n a m e t h e
important structures that are revealed by such an inspection of the brain.
N o t i c e t h e m a g n i f i c a r i o no f t h e d r a w i n g s : l x i s l i f e - s i z e ,2 X i s t w i c e l i f e -
s i z e ,0 . 6 X i s 6 0 " / . o f l i f e - s i z e .a n d s o o n .

205
Lateral view Medialview
208 c HApTER 7 . AppENDTX:AN
TLLUsTMTED
GUTDEToHUMANNEURoANAToMy

The Lateral Surface of the Brain


(a) Gross Features. This is a life-size drawing of the
brain. Gross inspection reveals the three major parts: the
large cerebrum, the brain stem that forms its stalk, and
the rippled cerebellum. The diminutive olfacrory bulb of
the cerebrum can also be seen in this lateral view.

Cerebrum

Olfactorybulb

Cerebellum

:
i,-
" OFTHEBRAIN
SURFACEANATOMY

(b) Selected Gyri, Sulci, and Fissures. The cerebrum is central gyrus lies immediately posterior to the cenlral sr.rl-
noteworthy for its convoluted surface. The bumps are cus, and the precentral gyrus lies immediately anterior to
called gyri, and the grooves are called sulci or, if they are the central sulcus. The neurons of the postcentral gyrus
especially deep, fissures. The precise pattern of gyri and are involved in somatic sensation (touch; Chapter 12),
sulci can vary considerably from individual to individual, and those of the precentral gyrus control voluntary move-
but many features are common to all human brains. Some ment (Chapter l4). Neurons in the superior lemporal
of the important landmarks are labeled here. The post- gyrlrs are involved in audition (hearing; Chapter ll).

Centralsulcus

Lateral(Sylvian)
fissure

(c) Cerebral Lobes and the Insula. By convention, of the cerebrum, bordering both parietal and temporal
the cerebrum is subdivided into lobes named after the lobes. A buried piece of the cerebral cortex, called the
" i s l a n d " ) , i s r e v e a l e di f t h e m a r g i n s o f
bones of the skull that lie over them. The central sulcus insula (Latin for
d i v i d e st h e l r o n t a l l o b e f r o m t h e p a r i e t a l l o b e . T h e t e m - the lateral fissure are gently pulled apart (inset). The
pural lobc lies immediately ventral to the deep lateral insula borders and separatesthe temporal and frontal
( S y l v i a n ) f i s s u r e .T h e o c c i p i t a ll o b e l i e s a t t h e v e r y b a c k lobes.

Frontallobe

Occipitallobe

'i'..'.;'"1':,',:'i,.,,i;,,,,:11..rt.r,lr:: t,:1,i
. 1, . . ' : r i j .: !l r',i,,':\irir,i:..4
: .
210 cHAprER 7 . A p p E N D T X : ATNL L U S T R A T E D G U T D E T o H UNM
EAUN
RoANAToMy

(d) Major Sensory, Ivlotor, and Association Areas of and auditory areas4l and 42 (Chapter lI) are in the
Cortex. The cerebral cortex is organized like a patch- temporal lobe. On the inferior surface of the parietal
work quilt. The various areas, first identified by Brod- lobe (the operculum) and buried in the insula is gusta-
mann, differ from one another in terms of microscopic tory area 43, devoted to the sense of taste (Chapter 8).
structure and function. Visual areas L7, 18, and l9 In addition to the analysis of sensory information. the
(Chapter l0) are in the occipital lobe, somatic sensory cerebral cortex plays an important role in the control of
areas l, l, and 2 (Chapter 12) are in the parietal lobe, voluntary movement. The major motor control areas-
primary motor cortex (area 4). the supplementary motor
area, and the premotor area-lie in the frontal lobe, an-
terior to the central sulcus (Chapter I4). In the human
brain, large expanses of cortex cannot be simply assigned
to sensory or motor functions. These constitute the as-
sociation areas of cortex. Some of the more important
areasare the prefrontal cortex (Chapters 2l and 24), the
p o s t e r i o rp a r i e t a l c o r t e x ( C h a p t e r s1 2 , 2 1 , a n d 2 4 ) , a n d
t h e i n f e r o t e m p o r a lc o r t e x ( C h a p t e r 2 4 ) .

Brodmann's
mao
Primarymotorcortex
(area4)
Supplementary
motorarea Somatosensory cortex
(area6) (areas3, 1,2)
Posteriorparietalcortex
Premotor
area (areas5, 7)
(area6)

Visualcortex
( a r e a 1s 7 , 1 8 1, 9 )

Prefrontalcortex

Inferotemporal
cortex
(areas20,21,37) Auditory
cortex
(areas
41,42)
I Motorareas
ffi Sensoryareas Gustatory
(area43)
! Association areas

r.l

ffil ji
..:] SURFACEANATOMY
OFTHEBRAIN

The Medial Surface of the Brain


(a) Brain Stem Structures. Splitting the brain down
the middle exposesthe medial surface of the cerebrum,
shown in this life-size illustration. This view also shows
the midsagittal cut surface of the brain stem, consisting
o f t h e d i e n c e p h a l o n( t h a l a n r r r as n d h 1 ' l l o t l r a l a r r r r rtsh)e.
r t t i c l t r r a i r( t e c l r r r na n d l c g n r e n t r r r r r )t h
, e l l o r r s ,a n d t h e
n r c t l r r l l a .( S o m e a n a t c l m i s t sd e f i n e t h e b r a i n s t e m a s c o n -
s i s t i n go n l y o f t h e m i d b r a i n , p o n s , a n d m e d u l l a . )

Thalamus

Y (

Pinealbody

b*^

Hypothalamus

Cerebellum
212 c H A pr E R 7 . AppENDtX:ANILLUSTMTED
GUIDEToHUMANNEURoANAToMy

(b) Forebrain Structures. Shown here are the im- Some of the axons in the fornix regulate memory
portant forebrain structures that can be observed by s t o r a g e( C h a p t e r 2 4 ) .
viewing the medial surface of the brain. Notice the In the lower illustration, the brain has been tilted
c u t s u r f a c eo f t h e c o r p u s c a l l o s u m , a h u g e b u n d l e o f s l i g h t l y t c l s h o w t h e p o s i t i o n so f t h e a n r l , g d a l aa n d h i p -
axons that connects the two sides of the cerebrum. p o c a n r p u s .T h e s e a r e " p h a n t o m v i e w s " o f t h e s e s t r u c -
The unique contributions of the two cerebral hemi- tures, becausethey cannot be observed directly frclm the
s p h e r e st o h u m a n b r a i n f u n c t i o n c a n b e s t u d i e d i n surface. Both lie deep to the overlyinll correx. We will
patients in which the callosum has been sectioned see them again in cross section later in the Guide. The
(Chapter 20). The lornix is another prominent fiber amygdala (Latin for "almond") is important for regulat-
bundle that connects the hippocampus on each side i n g e m o t i o n a l s t a t e s( C h a p t e r l 8 ) , a n d t h e h i p p o c a m p u s
with the hypothalamus. (Fornix is Latin for "arch.") is important for memory (Chapters 24 and 25\.

'(

Cingulategyrus t*'\ ,,,ffi


f^*, Corpuscallosum
(cut edge)

/'rp-

'v

Olfactorybulb/
2*
Calcarinefissure
Opticchiasm

(0.7x)

; \ -

(0.7x)

Amygdala Brainstem and cerebellum


(beneathoverlyingcortex) removedand brain
rotatedslightly
Hippocampus
(beneathoverlyingcortex)
V SURFACEANATOMY
OFTHEBRAIN 2'3

(c) Ventricles. The lateral walls of the unpaired parts of The lateral ventricles are paired structures that sprout
the ventricular system-the third ventricle, the cerebral like antlers from the third ventricle. A phantom view
aqueduct, the fourth ventricle, and the spinal canal- of the right lateral ventricle, which lies underneath the
can be observed in the medial view of the brain. These overlying cortex, is shown in the lower illustration.
are handy landmarks, because the thalamus and hypo- The two cerebral hemispheres surround the two lateral
thalamus lie next to the third ventricle; the midbrain lies ventricles. Notice how a coronal section of the brain at
next to the aqueduct; the pons, cerebellum, and medulla the thalamus-midbrain junction will intersect the
lie next to the fourth ventricle; and the spinal cord forms "horns" of the lateral ventricle of each hemisphere
the walls of the spinal canal. twice.

Third ventricle

Cerebralaoueduct

Fourthventricle

Spinalcanal

(0.7x)
Lateral ventricle
(beneathoverlyingcortex)
Brainstemandcerebellum
removedand brain
rotatedslightly
214 c H A pr E R 7 . AppENDtX:
AN TLLUSTRATED
GUIDEToHUMANNEURoANAToMv

The Ventral Surface of the Brain


of the eyes, are the oplic ncrvcs. The bundles lying pcls-
The underside of the brain has a lot of distinct anatomi- terior to the chiasm, that disappearinto the thalamus, are
cal features.Notice the nerves emerging from the brain c a l l e dt h e o p t i c t r a c l s( C h a p t e rl 0 ) . T h e p a i r e dr r r . r r r r r r r i l -
stem; these are the cranial ucr\'('s,which are illustrated in larl' boclies(Latin for "nipple") are a prominent feature of
more detail later in the Guide. Also notice the X-shaped the ventral surface of the brain. These nuclei of the hy-
oplic chiasnrjust anterior to the hypothalamus. The chi- pothalamus are part of the circuitry that stores memory
asm is the place where many axons from the eyes decus- (Chapter 241 and are a major target of the axons of the
sate (cross)from one side to another. The bundles of ax- f o r n i x ( s e e ni n t h e m e d i a l v i e w ) . N o t i c ea l s o t h e o l l r t t o r v
ons anterior to the chiasm, which emerge from the backs t r t r l b s( C h a p t e r8 ) a n d t h e r n i r l b r . t i nl,) ( ) n sa, n d r n t ' r l r r l l a .

Olfactorybulb

Opticchiasm
*!ffi-

.ar*\

-{

Optic tract

Optic nerve

Hypothalamus

Mammillary
body

Midbrain

Cranialnerves
SURFACE
ANATOMYOFTHEBRAIN 2t5

The Dorsal Surface of the Brain


(a) Cerebrurm. The dorsal vicw of the Llrainis don'ri-
n a t e d b y t h e l a r g e c e r e b r u n r .N o t i c c t h e p a i r e c lc e r e b r a l
h e m i s p h e r e s .T h e s c a r e c o n n e c t e c lb y t h c a x o n s o f t h e
( ( ) r ' l ) L rl \. r l l o s u r l ( C h a p t e r2 0 ) , w h i c h c a n b c s c c n i f t h e
h e m i s p h e r e sa r t : r e t r a c t e c ls l i g h t l y . T h c r n c c l i a lv i e w o f
t h e b r a i n , i l l u s t r a t e dp r e v i o t r s l y ,s h o w c c lt l t e c a l k r s u r l i n
c r o s ss e c t i o l t .

Corpuscallosum

hemisphere R i g h th e m i s p h e r e

--t

Centralsulcus

Longitudinal
cerebral
fissure
2,5 c H A pr E R 7 . AppENDtX:ANILLUSTRATED
GUIDEToHUMANNEURoANAToMy

(b) Cerebrum Removed. The cerebellum dominates


the dorsal view of the brain if the cerebrum is removed
and the brain is tilted slightly forward. The cerebellum,
an important motor control structure (Chapter I4), is di-
vided into two hemispheres and a midline region called
the vermis (Latin for "worm").

Lefl cerebellar Rightcerebellar


hemisphere hemisphere

Spinalcord

(c) Cerebrum and Cerebellum Removed. The top sur- (Chaptersl7 and l9). The superior colliculusreceives
face of the brain stem is exposed when both the cerebrum direct input from the eyes (Chapter l0) and is involved in
and the cerebellum are removed. The major divisions of the control of eye movements (Chapter l4), while the irr-
the brain stem are labeled on the left side, and some spe- ferior colliculusis an important component of the auditory
cific structures are labeled on the right side. The pineal system (Chapter Ill. (Colliculzsis Latin for "mound.") The
body, lying atop the thalamus, secretesmelatonin and is cerebellarpeduncles are the large bundles of axons that
involved in the regulation of sleep and sexual behavior connect the cerebellum and the brain stem (Chapter l4).

Thalamus Pinealbody

Superiorcolliculus
Midbrain
Inferiorcolliculus

.t, -'!
Cerebellarpeduncle
(cut surface)
i{
Fourthventricle(floor)
'rr.

E.

i,
v cRoss-sEcroNALANAToMy
oFTHEBRATN 247

V CROSS.SECTIONALANATOMY
the junction of the midbrain and thalamus. Conse-
O F T H E B R A IN
quently, the best plane of section depends on exactly
Understanding the brain requires that we peer inside it, where along the neuraxis we are looking.
and this is accomplished by making cross sections. Cross In this part of the Guide, we take a look at drawings
sections can be made physically with a knife or, in the of a series of cross-sectional slabs of the brain, showing
case of noninvasive imaging of the living brain, digitally the internal structure of the forebrain (cross sections
with an MRI or a CT scan. For learning the internal or- l-3), the midbrain (crosssections4 and 5), the pons and
ganization of the brain, the best approach is to make cerebellum (crosssection 6), and the medulla (crosssec-
cross sections that are perpendicular to the axis defined tions 7-9). The drawings are schematic. meaning that
by the embryonic neural tube, called the neuraxis. Tll'e structures within the slab are sometimes projected onto
neuraxis bends as the human fetus grows, particularly at the slab's visible surface.

ForebrainSections

@ (

BrainStem Sections
2t8 C HA PTE R 7 . APPENDIX:AN
ILLUSTRATED
GUIDETOHUMANNEUROANATOMY

Cross Section l: Forebrain at


Thalam us-Telen cephalon Junction
( a ) G r o s s F e a t u r e s . T h e t e l e n c e p h a l o ns u r r o u n d s t h e
l a t e r a l v e n t r i c l e s ,a n d t h e l l t a l a n r r r ss u r r o u n d s t h e t h i r d
ventricle. In this section,the latcral vcntriclt's can be
s e e n s p r o u t i n g f r o m t h e s l i t l i k e t l r i r d v c n t r i c l t ' .T h e l r 1 ' -
p o t h a l a r r r L r fso, r m i n g t h e f l o o r o f t h e t h i r d v e n t r i c l e ,i s a
vital control center for many basic bodily functions
( C h a p t e r s1 5 - 1 7 1 .T h e i n s r r l a( C h a p t e r8 ) l i e s a t t h e b a s e
o f t h e l a t c r a l1 S i ' l v i a nl)i s s t r r r h
' , e r e s e p a r a t i n tgh e l r o n l a l
I o b c f r o m t h e l e r r r p o r a ll o b e . T h e h e t e r o g e n e o u sr e g i o n
l y i n g d e e p w i t h i n t h e t e l e n c e p h a l o n ,m e d i a l t o t h e i n -
s u l a a n d l a t e r a l t o t h e t h a l a m u s .i s c a l l e d t h e b a s a lI o r r ' -
b r ai n .

Lateralventricle

Thalamus
lnsula

Lateral(Sylvian)
f issure

Thirdventricle

Temporallobe

Hypothalamus
" CROSS-SECTIONALANATOMY
OFTHEBRAIN 219

(b) Selected Cell and Fiber Groups. Here we take a


more detailed look at the structures of the forebrain. The
i n t c m a l c a p s t r l ei s t h e l a r g e c o l l e c t i o no f a x o n s c o n n e c t -
i n g t h e c o r t i c a lr v h i l e n r a n er w i t h t h e t h a l a m u s , a n d t h e
c o r l ) u s c a l l < l s r u ni s t h e e n o r m o u s s l i n g o f a x o n s c o n -
necting the cerebral cortex of the two hemispheres.The
l o r n i x , s h o w n e a r l i e ri n t h e m e d i a l v i e w o f t h e b r a i n , i s
shown here in cross section where it loclps around the
stalk of the lateral ventricle. The neurclns of the closely
a s s o c i a t e ds ep l . r l a r c a ( f r o m s a e p t u m ,L a l i n f c l r " p a r t i -
t i o n " ) c o n t r i b u t ea x o n s t o t h e f o r n i x a n d a r e i n v o l v e d i n
memory storage(Chapter 24). Three important collec-
t i o n s o f n e u r o n s i n t h e b a s a l t e l e n c e p h a l o na r e a l s o
s h o w n : t h e c a r r r l . r t en i r c l t ' r r s ,t h e l ) u l . r l n c r r ,a n d t h e
g l o b r r sp . r l l i d t r s .C o l l e c t i v e l y ,t h e s e s t r u c t u r e sa r e c a l i e d
t h e b a s a lg a n g l i aa n d a r e a n i m p o r t a n t p a r t o f t h e b r a i n
s y s t e m st h a t c o n t r o l m o v e m e n t ( C h a p t e r l 4 ) .

Fiber groups:

Putamen

Globuspallidus
C HAPTE R 7 . APPENDIX:
AN ILLUSTRATED
GUIDETOHUMANNEUROANATOMY

Cross Section 2: Forebrain at Mid-Thalamus


(a) Gross Features. As we move slightly caudal in the
n e u r a x i s , w e s e e t h e h e a r t - s h a p e dt h a l a r r r t r s( G r e e k f o r
"inner chamber") surrounding
the small llrird vcntricle
at the brain'score.Just ventral to the thalamus lies the
h 1 ' p o t h a l a r r r u sT.h e t e l e n c e p h a l o ni s o r g a n i z e d m u c h
Iike what we saw in cross section l. Becausewe are
slightly posterior, the lateral fissure here separatesthe
p a r i c t a ll o b c f r o m t h e t e n r p o r a lk l b c .

s S fr*F
, s
/, I
.\Cb ldv
J
l . ) '
,f,-.
t
Lateralventricle

Thalamus

Lateral(Sylvian)
fissure

Thirdventricle

Temporallobe

Basalforebrain Hypothalamus (1x)


g CROSS.SECTIONALANATOMY
OFTHEBRAIN 221

(b) Selected Cell and Fiber Groups. Many important are labeled. The thalamus provides much of the input to
cell and fiber groups appear at this level of the neuraxis. t h e c c r e b r a lc o r t c x , w i t h d i f f e r e n t t h a l a m i c n u c l e i p r o -
One new structure apparent in the telencephalon is jecting axons to different areas of cortex. The ventral
t h e a r n y g c l a l a ,i n v o l v e d i n t h e r e g u l a t i o n o f e m o t i o n p < l s t c r i o rn t r c l c u s ,a p a r t o f t h e s o m a t i c s e n s o r y s y s t e m
(Chapter l8) and memory (Chapter 24). The thalamus (Chapter l2), projectsto the cortex of the postcentral
is divided into separatenuclei, two of which-the ven- g y r u s . T h e v c r r t r a l l a t c r a l n u c l c r r sa n d c l o s e l y r e l a t e d
tral posterior nucleus and the ventral lateral nucleus- ventral anterior nucleus (not shown) are parts of the
motor system (Chapter l4); they project to the motor
cortex of the precentral gyrus. Visible below the thala-
m u s a r e t h e s u l r t h a l a n r r rasn d t h e n t a n t n r i l l a r yl l o d i c so f
t h e h y p o t h a l a m u s . T h e s u b t h a l a m u si s a p a r t o f t h e
motor system (Chapter l4), while the mammillary bodies
receive information from the lornix and contribute to
t h e r e g u l a t i o n o f m e m o r y ( C h a p t e r 2 4 ) . B e c a u s et h i s
section also encroaches on the midbrain, a little of the
s t r l r s t a n l i .n. ri g r a ( " b l a c k s u b s t a n c e " )c a n b e s e e n n e a r t h e
b a s eo f t h e b r a i n s t e m . T h e s u b s t a n t i an i g r a i s a l s o a p a r t
o f t h e m o t o r s y s t e m ( C h a p t e r l 4 ) . P a r k i n s o n ' sd i s e a s e
r e s u l t sf r o m t h e d e g e n e r a t i o no f t h i s s t r u c t u r e .

Fornix

Corpuscallosum

Caudatenucleus

Putamen
Internalcapsule

Globuspallidus

Corticalwhite
matter
Amygdala

Substantianigra (1x)
Subthalamus Mammillary
body
C H A P T E R7 APPENDIX:
AN ILLUSTRATED
GUIDETOHUMANNEUROANATOMY

Cross Section 3: Forebrain at Thalamus-


Midbrain Junction
(a) Gross Features. The neuraxis bends sharply at the
junction of the thalamus and the midbrain. This cross
section is taken at a level where the teardrop-shaped
t l . r i r c lv e n t r i c l c c o m m u n i c a t e s w i t h t h e c t ' r r ' [ r r a la q r r r ' -
d t r c t .T h e b r a i n s u r r o u n d i n g t h e t h i r d v e n t r i c l e i s t l r a l a -
I t t u s ,a n d t h e b r a i n a r o u n d t h e c e r e b r a la q u e d u c ti s r r r i t l -
b r a i n . T h e l a t c r a lv e r r t r i c l c so f e a c h h e m i s p h e r ea p p e a r
t w i c e i n t h i s s e c t i o n .Y o u c a n s e e w h y b y r e v i e w i n g t h e
p h a n t o m v i e w o f t h e v e n t r i c l e ,s h o w n e a r l i e r .

Thirdventricle
?r,
Lateralventricle

Thalamus
W

Temporal
,"r"A

(1x)
Midbrain Cerebralaqueduct
V CROSS.SECTIONALANATOMY
OFTHEBRAIN 223

(b) Selected Cell and Fiber Groups. Notice that this


sectioncontainstwo more important nuclei of the thal-
amus: the medial and lateral geniculatenuclei. (Genicu-
late is Latin for "knee.") The lateral geniculatenucleus
relaysinformation to the visual cortex (ChapterI0), and
the medial geniculatenucleus relays information to the
auditory cortex (Chapter lt). Also notice the location of
the hippocampus, a relatively simple form of cerebral
cortex bordering the lateral ventricle of the temporal
lobe. The hippocampus(Greek for "seahorse")plays an
important role in learning and memory (Chapters 24
and25).

Corpuscallosum Cerebral
cortex

Lateralgeniculate
nucleus

W Hippocampus

Medialgeniculate
nucleus

i
iiii
CHAPTER 7 . APPENDIX:AN
ILLUSTMTED
GUIDETOHUMANNEUROANATOMY

Cross Section 4: Rostral Midbrain


We are now at the midbrain. The plane of section has earlier, the superior colliculus is a part of the visual
been angled relative to the forebrain sections, so that it system (Chapter i0) and the substantianigra is a part of
remains perpendicular to the neuraxis. The core of the the motor system (Chapter t4). The red nucleus is also
midbrain is the small cerebral aqueduct. Here, the roof a motor control structure (Chapter l4), while the peri-
of the midbrain, also called the tectum (Latin for "roof"), aqueductal gray is important in the control of somatic
consists of the paired superior colliculi. As discussed pain sensations(Chapter l2).

Superiorcolliculus Cerebralaqueduct

gray
Periaqueductal

Substantianigra

Rednucleus

Cross Section 5: Caudal Midbrain


The caudal midbrain appearsvery similar to the rostral
midbrain. At this level, however, the roof is formed by
the inferior colliculi(part of the auditory system;Chap-
ter I I ) instead of by the superior colliculi. Review the
dorsal view of the brain stem to see how the superior
and inferior colliculi are situatedrelative to each other.

Inferiorcolliculus Cerebralaoueduct

gray
Periaqueductal

;]\.

(2x)
Substantia
nigra ti
v cRoss-sEcloNALANAToMy
oFTHEBn,lIN 225

Cross Section 6: Ponsand Cerebellum


This section shows the pons and cerebellum, parts of the (reticulumis Latin for "net") runs from the midbrain to
rostral hindbrain that border the fourth ventricle. As the medulla at the core of the brain stem,just under the
mentioned earlier, the cerebellum is important in the cerebralaqueduct and fourth ventricle. One function of
control of movement. Much of the input to the cerebel- the reticular formation is to regulate sleep and wake-
lar cortex derives from the pontine nuclei, while the fulness(Chapterl9). In addition,a function of the pon-
output of the cerebellum is from neurons of the deep tine reticular formation is to control body posture
cerebellar nuclei (Chapter 14). The reticular formation (Chapterl4).

Fourthventricle

Cerebellar
cortex

Deepcerebellar
nuclei

Pontinenuclei

Cross Section 7: Rostral Medulla


As we move farther caudally along the neuraxis,the which are involved in the control of voluntary move-
brain surrounding the fourth ventricle becomesthe ment (Chapter14). Severalnuclei that are important for
medulla. The medulla is a complex region of the brain. hearing are also found in the rostral medulla: the dorsal
Here we focus only on those structureswhose functions and ventralcochlearnucleiand the superiorolive (Chap-
are discussedlater in the book. At the very floor of the ter ll). Also shown are the inferior olive, important for
medulla lie the medullary pyramids,huge bundlesof ax- motor control (Chaptert4), and the raphe nucleus,im-
ons descendingfrom the forebrain toward the spinal portant for the modulation of pain, mood, and wakeful-
cord. The pyramids contain the corticospinaltracts, ness (Chapters12, 19, and 22\.

Dorsalcochlearnucleus Fourthventricle

Ventralcochlear
nucleus

Raphenucleus

Superior
olive

Inferiorolive

Medullarypyramid
CHAPTER 7 . A P P E N D I X : AIN
L L U S T M T EGDU I D E T OH U M A NN E U R O A N A T O M Y

CrossSection 8: Mid-Medulla
The mid-medulla contains some of the same structures serving the sense of taste (Chapter 8), is part of a larger
labeled in cross section 7. Notice also the medial lemnis- nucleus of the solitary tract, which regulates aspectsof
cus (Latin for "ribbon"). The medial lemniscus contains v i s c e r a lf u n c t i o n ( C h a p t e r s l 5 a n d l 6 ) . T h e v e s l i b u l a r
axons bringing information about somatic sensation to nuclei serve the sense of balance (Chapter it).
the thalamus (Chapter 12). The gustatory nucleus,

Fourlhventricle
Vestibular
nucleus
Nucleusof the
solitarytract
(gustatory nucleus)

Medullaryreticular------tl-"il
formation

Inferiorolive

Mediallemniscus

Cross Section 9: Medulla-SpinalCord


Junction information from the spinal cord (Chapter l2). Axons
As the medulla disappears,so does the fourth ventricle, arising from the neurons in each dorsal column nucleus
now replacedby the beginning of the spinal canal. Notice crossto the other side of the brain (decussate)and ascend
the dorsal column nuclei, which receive somatic sensory to the thalamus via the medial lemnisctrs.

Dorsalcolumnnuclei Spinalcanal

Mediallemniscus

(2.5X)
Medullarypyramid,/

V THE SPINAL CORD lumbar, and those within the pelvic area are called
The Dorsal Surface of the Spinal Cord s a c r al .
The spinal nerves and the associatedsegments of the
and Spinal Nerves
spinal cord adopt the names of the vertebrae; eight cer-
The spinal cord lies within the vertebral column. The vical nerves are associatedwith seven cervical vertebrae.
spinal nerves, a part of the somatic PNS, communicate Also. the spinal cord in the adult human ends at about
with the cord via notches between the vertebrae. The the level of the third lumbar vertebra. This disparity
vertebrae are described according to their location. In arisesbecausethe spinal cord does not grow after birth,
the neck, they are called cervical vertebrae and are whereas the spinal column does. The bundles of spinal
numbered from Cl to C7. The vertebrae attached to ribs nerves streaming down within the lumbar and sacral
are called thoracic vertebrae and are numbered from Tl vertebral column are called the cauda equina (Latin for
to T12. The five vertebrae of the lower back are called "horse's
tail").

**,:+;ir.rfiiiili_i**r
" THESPINAL
CORD 227

lst cervicalnerve
1stcervicalvertebra(C1)

7th cervicalvertebra(C7)

8th cervicalnerve

1st thoracicvertebra(T1)
1st thoracicnerve

12ththoracicvertebra(Tl 2)

12ththoracicnerve

1st lumbarvertebra(L1)

1st lumbarnerve

Caudaequina

5thlumbarvertebra(L5)

sth lumbarnerve
(S1)
1stsacralvertebra

1stsacralnerve
228 c HApTER 7 . AppENDtX:ANILLUsTMTED
GUIDEToHUMANNEURoANAToMy

The Ventral-Lateral Surface


of neuronal cell bodies. The gray matter is divided into
This view shows how the spinal nerves attach to the the dorsal, lateral, and ventral horns. Notice how the
spinal cord and how the spinal meninges are organized. organization of gray and white matter in the spinal cord
As the nerve passesinto the vertebral notch (not shown), differs from that in the forebrain. In the forebrain, the
it splits into two roots. The dorsal root carries sensory gray matter surrounds the white matter; in the spinal
axons whose cell bodies lie in the dorsal root ganglia. cord, it is the other way around. The thick shell of white
The ventral root carries motor axons arising from the matter, containing the long axons that run up and down
gray matter of the ventral spinal cord. The butterfly- the cord, is divided into three columns: the dorsal
shaped core of the spinal cord is gray matter consisting columns, the lateral columns, and the ventral columns.

Dorsalcotumns
Dorsalhorn /
Al
DORSAL
/ l
Lateralcolumn Spinalcanal
/ , / ll
I
)-=-
Ventralhorn
Lateralhorn
Ventral
column

Dorsalroot filaments

Dorsalroot

Dorsalrootganglion

Spinalpia mater
Spinalnerve
Subarachnoid
space

Soinalarachnoid

Ventralroot

Soinaldura mater

Ventralroot
filaments

(6x)

VENTRAL
V THESPINAL
CORD

C ross-Sectional Anatomy
Illustrated in this view are some of the important tracts portant for the control of movement (Chapter I4). The
of axons running up and down the spinal cord. On the names of the tracts accurately describe their origins and
left side, the major ascending sensory pathways are in- terminations (e.9., the vestibulospinal tract originates in
dicated. The entire dorsal column consistsof sensory ax- the vestibular nuclei of the medulla and terminates in
ons ascending to the brain. This pathway is important the spinal cord). The descending tracts contribute to two
for the conscious appreciation of touch. The spinothala- pathways: the lateral and ventromedial pathways. The
mic tract carries information about painful stimuli and lateral pathway carries the commands for voluntary
temperature. The somatic sensory system is the topic of movements, especially of the extremities. The ventro-
Chapter 12. medial pathway participates primarily in the mainte-
On the right side are some of the descending tracts im- nance of posture and certain reflex movements.

Ascending
SensoryPathways Descending
MotorPathways

Dorsalcolumn

\
tract \
Corticosoinal
'
v Laleral
\ pathway
Rubrospinaltract
\

Medullary reticulospinal
tract
Soinothalamictract
Tectospinaltract

Pontine
reticulosoinal
tract
Ventromedial
Vestibulosoinal
tract pathway
230 c HApTER 7 . A p p E N D t X : A INL L U s T M T EG
D U I D E T oH U M A NN E U R o A N A T o M y

V THE AUTONOMIC NERVOUSSYSTEM


In addition to the somatic PNS, which is devoted largely
to the voluntary control of movement and conscious
skin sensations,there is the visceral PNS, devoted to the
regulation of the internal organs, glands, and vascula-
ture. Because this regulation occurs automatically and is
not under direct conscious control, this system is called
the autonomic nervous system, or ANS. The two most
important divisions of the ANS are the sympathetic and
p ar a s y m p a t h e t i cd i v i s i o n s .
The illustration on the facing page shows the cavity of
the body as it appearswhen it has been sectioned sagit-
tally at the level of the eye. Notice the verrebral column,
which is encasedin a thick wall of connective tissue.The
spinal nerves can be seen emerging from the column.
Notice that the sympathetic division of the ANS consists
of a chain of ganglia that runs along the side of the ver-
tebral column. These syrnpathetic ganglia communicate
with the spinal nerves, with one another, and with a
large number of internal organs.
The parasympathetic division of the ANS is organized
quite differently. Much of the parasympathericinnerva-
tion of the viscera arises from the vagus nerve, one of
the cranial nerves emerging from the medulla. The other
m a j o r s o u r c eo f p a r a s y r n l ) a t h e t ifci b c r si s t h e s a c r a ls p i n a l
nerves.
The two divisions of the ANS exert opposite effects
on body physiology. For example, the sympathetic nerv-
ous system speedsheart rate, while the parasympa-
thetic nervous system slows it down. In general, the
sympathetic division is activated to prepare the body
for stressful conditions, such as escaping danger,
whereas the parasympathetic division is most active
under vegetative conditions, such as digesting a large
meal. (The functional organization of the ANS is dis-
c u s s e di n C h a n t e r 1 5 . )

' t, il
;'i;11:Il 1'-111;'1 ir - .';" 11.",,:lr. :al :i.,.:r'tr' triii:; ;iiii'l rr'.r'-r
V THEAUTONOMICNERVOUS
SYSTEM 231

Vagusnerve

Spinalnerves

Vertebral
column

Ribs of the
rightside (cut)

Kidney

Small intestine

Sympatheticganglia

Urinarybladder

Prostategland

Sympatheticfibers

Parasympathetic
fibers
232 c HAprE R 7 . AppENDtX:ANILLUsTRATED
GUIDEToHUMANNEURoANAToMv

g THE CRANIAL NERVES


T W e l v ep a i r s o f c r . t r r i a ln ( ' r v e se m e r g e f r o m t h e b a s e o f i s i m p o r t a n t t o r e c o g n i z et h a t t h e c r a n i a l n e r v e s h a v e
the brain. The first two "nerves" are actually parts of the a s s o c i a t e dc r a n i a l n e r v e n u c l e i i n t l - r em i d b r a i n , p o n s ,
CNS, serving olfaction and vision. The rest are like the a n d m e d u l l a . E x a m p l e sa r e t h e c o c h l e a r a n d v e s t i b u l a r
s p i n a l n e r v e s ,i n t h a t t h e y c o n t a i n a x o n s o f t h e p N S . A s nuclei, which receive information from cranial nerve
the illustration shows, however, a single nerve clften has VIII. Most of cranial nerve nuclei were not illllstrated
fibers performing many different functions. I(nowledge o r l a b e l e d i n t h e b r a i n s t e m c r o s s s e c t i o n s .h o w e v e r .
o f t h e n e r v e sa n d t h e i r d i v e r s ef u n c t i o n s i s a v a l u a b l ea i d b e c a u s e t h e i r f u n c t i o n s a r e n o t d i s c u s s e de x n l i c i t l v i n
i n t h e d i a g n o s i so f a n u m b e r c l f n e u r o l o g i c a ld i s o r d e r s I. t this book.

--{
l. Olfactory
I

lV Trochlear

V.Trigeminal

Vl. Abducens

Vll. Facial

VlIl. Auditory-vestibular

lX. Glossopharyngeal

X. Vagus

Xl. Spinalaccessory

Xll. Hypoglossal
w' THEcRANTALNERVES 233

N E R V EN U M B E RA N D N A M E TYPESOF AXONS IMPORTANTFUNCTIONS


L Olfactory Specialsensory of smell
Sensation
ll. Optic Specialsensory of vision
Sensation
lll. Oculomotor Somaticmotor Movementsof the eye and eyelid
Visceralmotor control of pupil size
Parasympathetic
lV.Trochlear Somaticmotor Movementsof the eye
V.Trigeminal Somaticsensory Sensationof touch to the face
Somaticmotor Movementof musclesof mastication(chewing)
Vl.Abducens Somaticmotor Movementsof the eye
Vll. Facial Somaticsensory Movementof musclesof facialexpression
Specialsensory Sensationof taste in anterior two-thirds of
the tongue
Vl IL Auditory-vestibular Specialsensory Sensationof hearingand balance
lX. Glossopharyngeal Somaticmotor Movementof musclesin the throat
(oropharynx)
Visceralmotor Parasympathetic control of the salivaryglands
Specialsensory Sensationof taste in posterior one-third of
the tongue
Visceralsensory Detection of blood pressurechangesin the
aorta
X.Vagus Visceralmotor Parasympatheticcontrol of the heart,lungs,
and abdominalorgans
Visceralsensory Sensationof pain associatedwith viscera
Somaticmotor Movementof musclesin the throat
(oropharynx)
Xl. Spinalaccessory Somaticmotor Movementof musclesin the throat and neck
Xll. Hypoglossal Somaticmotor Movementof the tongue
234 c HApr E R 7 . AppENDTX:AN
TLLUSTRATED
GUTDEToHUMANNEURoANAToMy

g THE BLOOD SUPPLY


OF THE BRAIN
VentralView
Two pairs of arteries supply blood to the brain: the vcr- b r a n c h t o f o r m t h e r t r i d d l e r ' r ' r r ' [ r r a.lr r . l c r i c sa n d t h e
t c b r a l a r t c r i c sa n d t h e i n l c r r r a lc a r o t i t la r t c r i c s T . he ver- a n t er i o r c c r c [ r r a la r t c r i c ' s T
. h e a n t e r i o r c e r e b r a la r t e r i e s
tebral arteries converge near the base of the pons to o f e a c h s i d e a r e c o n n e c t e db y t h e a n t c r i o r ( o n l n t r i n l ( . . 1 -
f o r m t h e u n p a i r e d l r a s i l a ri ] 1 1 c r ] 'A. t t h e l e v e l o f t h e ing arlc'r1'.Thus, there is a ring of connected arteries at
midbrain, the basilar artery splits into the right and left the base of the brain, formed by the posterior cerebral
s r r p t ' r ' i o rc ' c r r ' [ r e l l aar r l t ' r i c s a n d t h e p o s t e r i o r c e r e b r a l and communicating arteries, the internal carotids, and
a r t e r i e s .T h e p o s t t ' r i r l r c c r c [ r r a l a r t er i c s s e n d b r a n c h e s , the anterior cerebral and communicating arteries. This
c a l l e d l l o s t c r i o r r ' o r n n t r r n i c a t i n aq r l c r i c s , t h a t c o n n e c t ring is called the circleof Willis.
them to the internal carotids. The internal carotids

Anteriorcerebralartery

/\

Posteriorcerebral
artery

Superiorcerebellar
arrery
Basilarartery

(1x)

Vertebralarteries
OFTHEBRAIN
V THEBLOODSUPPLY 235

LateralView
Most of the lateral surfaceof the cerebrum is supplied
by the middle cerebralartery. This artery also feedsthe
Terminalcortical
branchesof anterior deen structuresof the basalforebrain.
artery
cerebral

cortical
Terminal
Middlecerebral
artery branchesof oosterior
artery
cerebral

MedialView (Brain Stem Removed)


Most of the medial wall of the cerebralhemisphere is
suppliedby the anterior cerebralartery. The posterior
cerebralartery feedsthe medial wall of the occipitalIobe
and the inferior part of the temporal lobe.

Anterior
cerebral

Posteriol
236 CHAPTER 7 . APPENDIX:AN
ILLUSTMTED
GUIDETOHUMANNEUROANATOMY

v S E LF- QU|Z
This review workbook is designed to help you learn the neuroanatomy that
has been presented. Here we have reproduced the images from the Guide;
instead of labels, however, numbered leader lines (arranged clockwise)
point to the structures of interest. Test your knowledge by filling in the ap-
propriate names in the spacesprovided. To review what you have learned,
quiz yourself by putting your hand over the names. This technique greatly
facilitates the learning and retention of anatomical terms. Mastery of the
vocabulary of neuroanatomy will serve you well as you learn about the
functional organization of the brain in the remainder of the book.

THE LATERAL SURFACEOFTHE BRAIN


(a) GrossFeatures

'i,

F
2.
I 5
t
tf
q.

1
4.

P,l
t'
i
*l
l.

I
'{: .
T
il
ii
ii,'
(b) SelectedGyri, Sulci,and Fissures

/'
,
[.,,
s._ [r
Jl.l
6 _ {
S',

7_
ri
[i

lt;
8.. _
8 tF
[:1
gj
,f,"
$'r
t,
{.r
i.r
ti
til
|il
f t
f,:,
ffi. i"
V SELF.QUIZ 237

THE LATERAL SURFACEOFTHE BRAIN


(c) CerebralLobesandthe Insula

t.

7.

3.

4.

5.

(d) Major Sensory,Motor, and AssociationAreas of Cortex

6 .

7.

8.

9.

t0.

ll.

t2.

t3.

t4.

15.

i.
238 c H Apr E R 7 . AppENDTX:AN
TLLUsTMTED
GUTDEToHUMANNEURoANAToMy

T H E M E D I A L S U R F A C EO F T H E B R A I N t.
(a) BrainStemStructures

2.

3.

4.

5.

6.

7.

8.

9.

(b) Forebrain
Srructures

t0.

il.

12.

t3.

t4.

t5.

16.

t7.
V SELF.QUIZ

THE MEDIAL SURFACEOFTHE BRAIN


(c)Ventricles

t.

2.

3.

4.

5.

6.

THEVENTRAL SURFACEOFTHE BRAIN


(a) GrossFeatures 7.

8.

9.

11
r 0.

12 lt.
13
t2.
14

15 r3.

t4.

t5.
CHAPTER 7 . APPENDIX:AN
ILLUSTMTED
GUIDETOHUMANNEUROANATOMY

THE DORSAL SURFACEOFTHE BRAIN


(a) Cerebrum

t.

2.

3.

4.

).

(b) Cerebrum Removed

7.

8.

9.

t0.

il.
(c) Cerebrum and Cerebellum Removed

t2.

13
t3.
14
15
t4.

16 t5.

17 t6.
i: :i

t7. ' i
:, !

{. j
.;I
i l
:-: I
,:i 241
SELF-QUIZ

FOREBRAINAT THALAMUS-TELENCEPHALONJUNCTION
(a) GrossFeatures

t,^
- /
c-----------l-\-- |
,' *'
r /'"-- - --t {
+ L

\ - -
\ !

^r" \
J

(b) SelectedCell and Fiber Groups

t0.

il.

tc
t2.
16
t3.
17
t4.

t5.

t5.

t7.

t8.
242 c H A pr E R 7 . AppENDTX:
AN TLLUSTRATED
GUTDEToHUMANNEURoANAToMy

FOREBRAINAT MID.THALAMUS
(a) GrossFeatures

,>. 9 +l "\ +t l

/' \.rA

6.

8.

9.

t0.

il.

(b) SelectedCell and Fiber Groups


t2.

t3.

t4.

t5.

t6.

t7.

t8.

t9

20.

a l

22.

23

t., il::;;-rrl;,:;'a r:;i|\,'::i! ij,i


V SELF.QUIZ

FOREBRATN AT THALAMUS-MtDBRA|N TUNCT|ON


(a) GrossFeatures

l.

2.

3.

4.

5.

6.

7.

(b) Selected
Cell and FiberGroups

8.

9.

t0.

il.

t2.

t3.
C H A PT E R 7 . APPENDIX:
AN ILLUSTMTEDGUIDETOHUMAN NEUROANATOMY

ROSTRAL MIDBRAIN

t.

2.

3.

4.

5.

CAUDAL MIDBRAIN

6.

7.

8.

9.

PONS AND CEREBELLUM

t0.

il.

t2.

r3.

t4.
V SELF-QUIZ

ROSTRAL MEDULLA t.

2.

3.

4.

5.

6.

7.

MID.MEDULLA

8.

9.
12

t0.
11

il.
10

t2.

t3.

14.

MEDULLA-SPTNALCORD TUNCTTON

t5.

t6.

17.

,u /' " t8.


C H A PT E R 7 . APPENDIX:
AN ILLUSTMTEDGUIDETOHUMAN NEUROANATOMY

SPINAL CORD,VENTRAL.LATERAL SURFACE t.

2.

3.

6 4.

5.
12
6.
13
7.
14
8.

9.

10.

il.

12.

t3.

I
VENTRAL
t4.

t5.

t6.

17.

t8.

t9.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.
v SELF-QU|Z

THE CRANIAL NERVES

t.

2.
1
3.
2
4.

3
5.
4
6.
5
7.
o

7
8.
8

o
9.
10

11 t0.

12
il.

t2.
CHAPTER 7 . APPENDIX:AN
ILLUSTRATED
GUIDETOHUMANNEUROANATOMY

THE BLOOD SUPPLY OFTHE BRAIN

t.

2.

3.

4.

5.

6.

7.

8.

9.

t0.

il.

t2.

t3.

t4.

t5.

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