ANATOMY OF THE NERVOUS SYSTEM 127 



tween the fifth and sixth thoracic vertebra) is the " fifth thoracic " 

 nerve, and that between the last thoracic and first lumbar verte- 

 bra), the "twelfth thoracic." In the cervical region, however, 

 this rule is not adhered to. The nerve passing out between th? 

 occipital bone and the atlas is called the "first cervical" nerve, 

 that between the atlas and axis the second, and so on; that be- 

 tween seventh cervical and first thoracic vertebrae being the 

 "eighth cervical" nerve. The thirty-one pairs of spinal nerves 

 are then thus distributed: 8 cervical, 12 thoracic, 5 lumbar, 

 5 sacral, and 1 coccygeal; the latter passing out between the 

 sacrum and coccyx. Since the spinal cord ends opposite the 

 upper lumbar vertebras while the sacral and coccygeal nerves pass 

 out from the neural canal much farther back, it is clear that the 

 roots of those nerves, on their way to unite in the foramina of 

 exit and form nerve-trunks, must run obliquely backwards in the 

 spinal canal for a considerable distance. One finds in fact the 

 neural canal in the lumbar and sacral regions, behind the point 

 where the spinal cord has tapered off to form ihefilum terminate, 

 occupied chiefly by a great bunch of nerve-roots forming the so- 

 called " horse's tail " or cauda equina. 



Plexuses. Very frequently several neighboring nerve-trunks 

 send off communicating branches to one another, each branch 

 carrying fibers from one trunk to the other. Such networks are 

 called plexuses (Fig. 63), and through the interchanges taking 

 place in them it often happens that the distal branches of a nerve- 

 trunk contain fibers which it' docs not possess as it leaves the 

 central nervous system. 



Distribution of the Spinal Nerves. It would be out of place 

 here to go into detail as to the exact portions of the Body sup- 

 plied by each spinal nerve, but the following general statements 

 may be made. The ventral primary branches of the first four 

 cervical nerves form on each side the cervical plexus (Fig. 63) 

 from which branches are supplied to the muscles and integument 

 of the neck: also to the outer ear and the back part of the scalp. 

 The ventral primary branches of the remaining cervical nerves 

 and the first dorsal form the brachial plexus, from which the upper 

 limb is supplied. The roots of the trunks which form this plexus 

 arise from the cervical enlargement of the spinal cord. 



From the fourth and fifth cervical nerves on each side, 



