Embryo: Development of the Nervous System Flashcards
Formation of 3 germ layers (endoderm, mesoderm, and ectoderm)
Gastrulation
What week does Gastrulation begin?
Week 3
Components of gastrulation
- formation of 3 germ layers
- Primitive streak
- Notochordal process
What germ layer is the primitive streak made up of?
Embryonic ectoderm
3 parts to the primitive streak?
- Primitive node
- Primitive groove
- Primitive pit
What region of the embryo does the primitive streak occur at?
Caudal region of the embryo
What region of the embryo does the primitive node occur at?
Rostral region of the embryo
What germ layer is the notochordal process made of?
Mesoderm
What does the notochordal process become?
It is the template for formation of the vertebral column and induces the formation of the neural plate
When does neurulation begin?
Day 22-23
Notochord induces neural plate formation: ?
- Neural plate
- Neural groove
- Neural folds
- Neural tube
What does the notochord release to form the neural plate?
Sonic Hedge Hog (Shh)
What is the neural plate (germ layer)?
Thickening of ectoderm
What is the space called when the neural folds have not yet met each other?
Neural groove
Neurulation
- In the end, the surface ectoderm becomes?
Developing epidermis
Neurulation
- In the end, the neural crest becomes?
Developing spinal ganglion
Neurulation
- When the neural folds met up, it is now called?
Neural tube
What are the germ layers involved with the neural plate?
Neuroectoderm, surface ectoderm, and neural crest
What germ layer is the neural tube made of?
Neuroectoderm
Neurulation
- What day does the rostral neuropore close?
Day 25
Neurulation
- What day does the caudal neuropore close?
Day 27/28
What does primary neurulation give rise to?
Brain and down to the lumbar region of the spinal cord
What day does primary neurulation begin?
Day 22-23
What day does secondary neurulation begin?
Day 20-42
What is the group of cells from neuroectoderm that forms the sacral and coccyx region of the spinal cord ?
Caudal eminence
What are the cells of the nervous system that come from neuroectoderm?
- Dendrite
- Protoplasmic astrocyte
- Fibrous astrocyte
- Oligodendrocyte
- Ependyma and Epithelium of choroid plexus
What are the cells of the nervous system that come from mesoderm?
**Microglial cell
from blood monocytes
Neural tube forms portion of the brain cranial to the ? somites
Fourth
What are the three primary brain vesicles?
- Prosencephalon
- Mesencephalon
- Rhombencephalon
Prosencephalon is what part of the brain?
Forebrain
Mesencephalon is what part of the brain?
Midbrain
Rhombencephalon is what part of the brain?
Hindbrain
What week do the forebrain and hindbrain divide?
5th week
Prosencephalon gives rise to?
Telencephalon and
diencephalon
Rhombencephalon gives rise to?
Metencephalon and
myelencephalon
What area do we find in the region of the telencephalon?
Lateral ventricle
What area do we find in the region of the diencephalon?
Third ventricle
What area do we find in the region of the Mesencephalon?
Cerebral aqueduct
What is bonded between metencephalon and
myelencephalon?
Fourth ventricle
Spinal cord has opening to the ?
Central canal
Have ? that give rise the adult formation of the brain
Flexures
Telencephalon consists of?
Cerebral hemisphere
Diencephalon consists of?
Thalamus and hypothalamus
Mesencephalon consists of?
Midbrain
Metencephalon consists of?
Pons and cerebellum
Myelencephalon consists of?
Medulla
Cervical flexure develops in what week?
Week 5
Demarcates the hindbrain from the spinal cord
Cervical flexure
Divides hindbrain into caudal myelencephalon and rostral metencephalon
Pontine flexure
What flexure develops later?
Pontine flexure
Bend between midbrain and forebrain
Cephalic flexure
persists and gives our brain the adult structure
What week are basal ganglion and cortical structure developing?
Between weeks 6 to 32
What is a collection of different cell bodies or nuclei?
Basal Ganglion
Basal ganglion includes?
Caudate nucleus, putamen, globus pallidus, subthalamic nucleus, and substantia nigra
Telencephalon consists of?
– Cerebral cortex – ** Subcortical white matter (including internal capsule) (made of ectoderm) – Olfactory bulb and tract – Basal ganglia – Amygdala – Hippocampus
Diencephalon consists of?
– ** Thalamus (made of ectoderm)
– Hypothalamus
– Epithalamus
– Eye (optic nerve)
Midbrain consists of?
– Cerebral peduncles
– Superior and inferior colliculi
– 2 cranial nerves
Medulla oblongata consists of?
- Olive
- Pyramid
What are the adult structures of the brain?
- Telencephalon
- Diencephalon
- Midbrain
- Cerebellum
- Pons
- Medulla oblongata
What results from incomplete separation of cerebral hemispheres?
Holoprosencephaly (HPE)
Holoprosencephaly
– Most associated with ?
– Reduction of ?
–Eyes close together aka ?
- facial abnormalities
- frontonasal prominence
- Hypotelorism
Causes of Holoprosencephaly
- Genetic and environmental factors
- Maternal diabetes
- Teratogens (alcohol) (can cause the cyclopia)
- Retinoic acid
Clinical features of Holoprosencephaly
- Microcephaly (small head), microphthalmia (small eyes), ocular hypotelorism, midfacial hypoplasia, and cleft lip with or without cleft palate
- ** Intellectual disability (mental retardation) or developmental delay
- Epilepsy, hydrocephalus, dystonia, movement disorder, autonomic
dysfunction, and
hypothalamic/pituitary dysfunction
Holoprosencephaly spectrum
- Median cleft lip and palate
- Mild - Cebocephaly
- One nose - Ethmocephaly
- Nose from frontal nasal prominence does not migrate correctly = Probiscus - Cyclopia
- Most severe
- Usually die
Pituitary Gland
- First arch ectoderm gives rise to:
– Roof of mouth
**– Contributes to anterior lobe of pituitary gland
– Hypophysial
diverticulum (Rathke’s
pouch)
Pituitary Gland
- Posterior lobe of pituitary gland is from?
** Neuroectoderm
Posterior lobe of pituitary gland is from neuroectoderm and comes from?
– Diencephalic floor
– Neurohypophysial
diverticulum
So the anterior lobe of pituitary is ? and posterior lobe is ?
- Surface ectoderm
- Neuroectoderm
Formation of Spinal Cord and Brain Regions:
Neural tube is caudal or inferior to the ?
Fourth pair of somites
Formation of Spinal Cord and Brain Regions:
Neural canal consists of?
Central canal (at the center)
Formation of Spinal Cord and Brain Regions:
- Separates alar and basal plates?
Sulcus limitans
Formation of Spinal Cord and Brain Regions:
• Alar plate
- Gives rise to ? horn
- Gives rise to ? neurons that are contained and stay in the CNS
- Dorsal
- Sensory
Formation of Spinal Cord and Brain Regions:
• Basal plate
- Gives rise to ? neurons which leave to go out to skeletal muscle
- Also gives rise to ?
- Motor
- Preganglionic Autonomics
Formation of Spinal Cord:
- Zones?
- Ventricular zone
- Intermediate zone (mantle layer)
- Marginal zone
- Which zone is gray matte?
- Which zone is white matter?
- Intermediate zone
- Marginal zone
Which zone has stem cells that give rise to neurons?
Ventricular zone
Stem cells give rise ?
Ependymoblasts
Ependymoblasts give rise to ? and ?
Ependymal cells and choroid plexus
- which line the ventricles or central canal
Which layer do you get migration of neurons in this area? Formation of neurons, astocytes, microglia.
Intermediate zone
Which layer has white matter and axon tracts. Axons of neurons leaving. Oligodendrites there and myelinate axons of CNS
Marginal zone
Pattern Maintained Into Brainstem:
Which ventricle moves structures laterally?
4th
Gives rise to dorsal horns and is sensory
Alar plate
Gives rise to ventral horns and is motor
Basal plate
Pattern Maintained Into Brainstem:
- Thinned the roof of the 4th ventricle so have sensory laterally and motor more towards the midline
Pontine flexure
Pattern Maintained Into Brainstem:
•? - found closest to the midline
- CN ?
- Motor neurons going directly to muscles that come from somites are always found in the midline
- GSE
- CN III, IV, VI, XIII (3,4,6,12)
Pattern Maintained Into Brainstem:
• Laterally but still in basal plate - have parasympathetic nuclei lateral to ?
GSE
Pattern Maintained Into Brainstem:
•? - go to pharyngeal arches (CN ?- found laterally)
- SVE
- CN 5,7,9,10
Pattern Maintained Into Brainstem:
• Have ? and ? close to sulcus limitans and ? and ? more laterally
- GVA and SVA
- SSA and GSA
Myelencephalon
• Alar plate gives rise to: ?
- Cuneate
- Gracile nuclei
Myelencephalon:
Cuneate and gracile nuclei are involved with?
Proprioception, vibratory sense and 2 point discrimination, and discriminative touch
Myelencephalon:
• Basal plate gives rise to: ?
- Hypoglossal nuclei closest to midline
Myelencephalon:
• Alar plate gives rise to: ?
extra one
- ** Hypoglossal nucleus
- ** Dorsal motor vagal nucleus = GVE
- ** Nucleus Ambiguous = CN 9 and 10
Myelencephalon:
• Basal plate gives rise to: ?
- ** Solitary nucleus = gets visceral afferent info
- Vestibular nuclei
- Cochlear nuclei
- Spinal trigeminal tract and nucleus = sensory
Metencephalon:
• Basal plate gives rise to: ?
- Abducens nucleus
- Facial motor nucleus
- Trigeminal motor nucleus
- Superior salivatory nucleus
Metencephalon:
- Sulcus limitans gives rise to?
Vestibular and cochlear nuclei
Mesencephalon:
- Alar plate germ layer?
- Basal plate germ layer?
- Ectoderm
- Mesoderm
Mesencephalon:
- Alar plate gives rise to?
- Inferior and superior colliculus (ectoderm)
Mesencephalon:
- Basal plate gives rise to?
- Edinger-Westphal nucleus
- Red nucleus
- Oculomotor nucleus and trochlear nucleus
(all mesoderm)
Mesencephalon:
• In upper midbrain, anytime you see red nucleus, you also see ? and ?
oculomotor and superior colliculus
Mesencephalon:
• In Inferior midbrain, you see ?
Trochlear nucleus
Classifications
•?: somatic muscle
- ?: autonomics to smooth and cardiac muscle and glands
- ?: muscles derived from the pharyngeal arches
• ?: sensory in the skin, joint capsule, tendon, muscle
– Ectoderm
• ?:sensory of visceral structures
– Endoderm
- ? : hearing, balance (CN 8) and sight (CN 2)
- ? : taste and smell: chemical senses
- GSE (General somatic efferent)
- GVE (General visceral efferent)
- SVE (Branchial or Special visceral efferent)
- GSA (General somatic afferent)
- GVA (General visceral afferent)
- SSA (Special somatic afferent)
- SVA (Special visceral afferent)
Ventricles are continuous with the ? in the spinal
cord
central canal
Location of frontal or anterior horn?
Frontal lobe
Location of inferior or temporal horn?
Temporal region
Location of occipital or posterior horn?
Occipital region
Diseases associated with issues of ventricles?
- Syringomyelia
- Hydrocephalus
- Cerebral palsy
Kinds of Cerebral Palsy
- Spastic
- Dyskinetic
- Ataxic
- Mixed
Cerebral palsy
– Spastic: damage adjacent to the ventricles
– Dyskinetic
•? : damage to the basal ganglion
•? : damage to the basal ganglion and VL thalamus
– Ataxic: damage to the ?
– Mixed
- Athetoid
- Dyskinetic
- Cerebellum
Cerebral Palsy
- Spastic - damage to the ?
cortical spinal tract (motor tract)
spasticity = upper motor neuron issues
In homunculus, what is the most medial?
Legs and feet
Axons come right next to ? ventricles as they descend into the posterior limb of intenral capsule
lateral
Syringomyelia
- Excess fluid in the ?
- Form structures called Syrnx found in vertebral level ?
- Disease highly associated with ?
- Causes?
- central canal
- C2-T9 (but can go higher or lower)
- Chiari Type 1
- Some are idiopathic, trauma, infection …
- Too much fluid in the brain
- Many causes are abnormal development
- Communicating and obstructive types
Hydrocephalus
What kind of cerebral palsy?
- Toe walking and scissor gait (toes pointed in)
- Hypertone
- Ventricles enlarge and hit motor tract
Spastic
What kind of cerebral palsy?
- Slow writhing movements of the extremities and/or trunk
- Basal ganglia issue
Athetoid
What kind of cerebral palsy?
- Incoordination, weakness and shaking during voluntary movement
- Drunken sailor gait. Wherever lesion is, falls to that side of the lesion
Ataxic
Cerebral Palsy
- Both limbs on one side of body
Hemiplegia
Cerebral Palsy
- All 4 limbs equally
Quadriplegia
Cerebral Palsy
- lower limbs more affected than upper limbs
Diplegia
Deformity of the hindbrain
Arnold-Chiari Malformation
Arnold-Chiari type I
• Herniation of ? through foramen magnum
• Usually no symptoms
- Head and neck pain, ? cranial nerves (problems with tongue, facial muscles, lateral eye movements, decreased ?, dizziness, coordinating movements)
- cerebellar tonsils
- lower
- hearing
Note:
- Tongue = hypoglossal
- Facial muscles = facial n. and exits at pontine medullary junction
- Lateral eye movement = Abducens at pontine medullary junction
- Decreased hearing and dizziness = CN 8
- Coordinating movements/ataxia = Cerebellum
Arnold-Chiari type II
• Herniation of ? and ? through foramen
magnum
• ?
• Lower cranial nerves (problems with tongue, facial muscles, lateral eye movements, decreased hearing, dizziness, paralysis
of sternocleidomastoid, coordinating movements)
- Medulla and Cerebellum
- Hydrocephalus
Which Arnold-Chiari type doesn’t present until late adolescence and adult hood?
Type 1
Which Arnold-Chiari type presents in infancy or early childhood?
Type 2
- Which Arnold-Chiari type only has cerebellar tonsils herniating?
- Type 1
- Which Arnold-Chiari type starts with cerebellar tonsils herniating and then picks up vermis?
- Type 2
Which Arnold-Chiari type is highly associated with Syringomyelia?
Type 1
Which Arnold-Chiari type present with lower CN problems because traction and compression on these nerves?
Type 2
Which Arnold-Chiari type is almost always associated with spina bifida?
Type 2
The diagnosis of a Chiari II malformation can be made in utero by fetal MRI, which demonstrates the lumbar ? and cerebral Chiari II malformation
myelomeningocele
Dandy Walker Malformation (Cyst):
• Large posterior fossa
cyst continuous with
?
- Hypoplasia of ?, partial or absence of ?
- Atresia of ?
• May be associated
with other abnormalities (like GI and heart issues)
- 4th ventricle
- cerebellum
- vermis
- foramina of Luschka and Magendie
Dandy Walker Malformation (Cyst):
- Atresia causing dilation of the ?
- cyst, 3rd ventricle, 4th ventricle and lateral ventricles
Dandy Walker Malformation (Cyst) on MRI
Cerebellum atrophy and compressed
Unknown cause, but thought to be due to obstruction of
blood flow to the areas
supplied by the internal
carotid arteries.
Hydranencephaly
Hydranencephaly:
• Absences of ? or represented by membranous sacs with
dispersed tissue
• ? is intact
• Excessively head growth
after birth
• ** Little to no cognitive
development
- cerebral hemispheres
- Brainstem
At how many months of pregnancy is the cortex smooth?
5 months
By birth it has the cerebral cortex has folded
in on itself to form ?
gyri (bumps) and sulci
grooves
At how many months of pregnancy do you get bumps of gyri and grooves of sulci?
6-7 months
• ? (gyri and sulci) fold over insula
- Formed by ?
Operculum
- Formed by frontal, parietal and temporal lobes
Cytodifferentiation of Cerebrum:
- Lamina ? : contains mainly dendrites
I
Cytodifferentiation of Cerebrum:
- Lamina ? receives the majority of inputs from the thalamus
- Sensory or motor?
IV
- SENSORY
Cytodifferentiation of Cerebrum:
- Lamina ? projects primarily to the thalamus
VI
Cytodifferentiation of Cerebrum:
- Laminae ? and ? contains mainly neurons that project to other areas of the cortex
II and III
Cytodifferentiation of Cerebrum: projects mostly to subcortical structures such as the brainstem, spinal cord and basal ganglia
- Sensory or motor?
V
- MOTOR
Cytodifferentiation of Cerebrum:
- Older areas of the brain have ? layers of cerebrum and newer areas have ? layers
- 3
- 6
Cytodifferentiation of Cerebrum:
Inside-out Sequence: Part 1
- First neurons produced from VENTRICULAR zone
- Form a superficial layer, the PREPLATE
- Axons from these neurons and form
INTERMEDIATE zone
Cytodifferentiation of Cerebrum:
Inside-out Sequence: Part 2
- Next neurons to be born migrate into the middle of the preplate and divide it into three parts: • Marginal zone • Cortical plate • Subplate
- Early neurons of the cortical plate will form the deep layers (laminae VI and V) of the finished cortex
Cytodifferentiation of Cerebrum:
Inside-out Sequence: Part 3
• Later born neurons migrate radially from the ventricular zone across the intermediate
zone and subplate
• Through the earlier layers of VI and V and established laminae IV, then III and finally
II
Incomplete of failure of neuronal migration during 12-24 weeks
Lissencephaly or Agyria (smooth brain)
smooth brain = mesoderm
Lissencephaly or Agyria (smooth brain)
- Characterized by ?
– Microcephaly (mesoderm)
– Ventriculomegaly
– Wide Sylvian fissures (mesoderm) and minimal operculum (mesoderm) of insula
– Complete or partial agenesis of the corpus callosum (mesoderm)
Lissencephaly or Agyria (smooth brain)
- Infant have ?, ? or ?
- apnea, poor feeding or abnormal muscle
tone.
Lissencephaly or Agyria (smooth brain)
- Patients later develop ?, ? and ?
- seizures
- mental retardation
- mild spastic quadriplegia
Microcephaly is a ?, not a
diagnosis
sign
2 major mechanisms of Microcephaly
– Abnormal or lack of brain development during neurogenesis (mesoderm)
– Injury or insult to a previously normal brain
Etiology of Microcephaly
– Genetic
– Prenatal and perinatal brain injury
• Cytomegalovirus, rubella,
Toxoplasma gondii
– Craniosynostosis
– Postnatal brain injury
– Unknown
Cytodifferentiation of Cerebellum:
- Cells from ventricle layer proliferate and migrate and form ? and ? out towards pia
- ? - migrates over Purkinje cells and deep cerebellar nuclei cells that have already migrated out
- Cells from germination center migrate back in and form ? and ?
- deep cerebellar nuclei
- purkinje cell layer
- External germination center
- granular cells
- granular layer
What germ layer is the cerebellum?
Neuroectoderm
What vertebral level does the spinal cord end in for a newborn?
L2 or L3
What vertebral level does the spinal cord end in for a adult?
L1 or L2
Spinal Cord
- Neural crest cells give rise to ? and ? in the periphery
- spinal ganglion cells
- sensory neurons
Spinal Cord
- Alar plate gives rise to sensory neurons in ?
- Neural crest gives rise to sensory neurons in ? (touch, pain, temperature)
- CNS
- Periphery
What forms the PNS?
Neural crest and ectodermal placode
Cells that develop from the
neural crest include:
– Neurons of dorsal root
ganglia (sensory)
– Sensory ganglia of cranial nerves (NC)
– Schwann cells (NC)
– Sympathetic ganglia
(Autonomic ganglia- come from NC because post synaptic. Pre = neuroectoderm and post = NC)
Development of the PNS
- Motor: come from ? in the ventral horn or spinal cord
- Sensory: come from ?
- neuroectoderm
- NC
When does myelination form?
Late fetal period and continues into first postnatal year
What myelinates the CNS?
oligodendrocytes
What myelinates the PNS?
Schwann cells
Oligodendrocytes
- Location?
- When?
- Start in lower brain stem (myelinate older tracts first and newest last)
- 6th month through puberty
Schwann cells
- ? roots myelinated before ? roots
- When?
- Motor before sensory
- 4th month
Which lobe of the brain is myelinated last?
Frontal Lobe
Neural tube disorder where there is failure of closure of CAUDAL neuropore?
Spina bifida
- Note: Occulta closes but closes late and Myelocele doesn’t close at all
What can help prevent spina bifida?
Folic acid
Neural tube disorders where there is failure of closure of ROSTRAL neuropore to close?
• Anencephaly
(Meroanencephaly) - (didn’t close at all)
• Encephalocele (with
brain tissue)
• Encephalocele (without
brain tissue)