Embryological Development Flashcards

1
Q

What are the embryological divisions of the neural tube?

A

Expansion of cranial neural tube forms three primary vesicles at 3-4wks:
- FOREBRAIN (Prosencephalon)

  • MIDBRAIN (Mesencephalon)
  • HINDBRAIN (Rhombencephalon)

5wks there are five secondary vesicles:
- Prosencephalon splits into telencephalon (becomes cerebrum) and diencephalon (optic vesicles develop from)

  • Mesencephalon remains the same
  • Rhombencephalon splits into metencephalon (becomes pons and cerebellum) and myelencephalon (becomes medulla oblongata)
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2
Q

What are the embryological components of the facial skeleton?

A

Frontal nasal prominence (unpaired; there due to presence of developing brain)

Paired pharyngeal arches: pharyngeal arch 1 forms the maxillary and mandibular arches

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3
Q

Outline how the cranial nerves are formed.

A

Week 5:

  • pharyngeal arches present (Max 1 & Man 1, 2, 3, 4, 6)
  • pharyngeal clefts between the pharyngeal arches (1st cleft = external acoustic meatus, 2nd cleft grows down to obliterate all other clefts)
  • pharyngeal pouches present (pharyngeal gut tube - glandular derivatives)

The segmental arrangement of the cranial nerves is lost

note: all cranial nerves are derived from the midbrain and hindbrain except for the olfactory nerve (CNI) & the optic nerve (CNII)

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4
Q

What are the nerves of the pharyngeal arches? What function do they serve in general?

A

ARCH 1 = trigeminal nerve (CNV)

ARCH 2 = facial nerve (CNVII)

ARCH 3 = glossopharyngeal nerve (CNIX)

ARCH 4 & 6 = vagus nerve (CNX)

  • 4th = superior laryngeal nerve
  • 6th = recurrent laryngeal nerve

+ cranial accessory nerve (CNXI) and hypoglossal nerve (CNXII) have a relationship with the pharyngeal arch system

Supply derivatives of pharyngeal arches, have mixed sensory and motor functions

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5
Q

What are the muscles which develop from each pair of pharyngeal arches?

A

ARCH 1 = muscles of mastication (trigeminal nerve - CNV)
+ mylohyoid, stylohyoid, anterior & posterior digastric, tensor tympani (dampens sounds made by chewing), tensor veli palatine (tenses soft palate), stapedius

ARCH 2 = muscles of facial expression (facial nerve - CNVII)

ARCH 3 = stylopharyngeus (elevates the larynx & pharynx to facilitate swallowing) (glossopharyngeal nerve - CNIX)

ARCH 4 = cricothyroid (elongates vocal cords by increasing tension & drawing back the cricoid cartilage) (superior laryngeal nerve - branch of vagus nerve CNX)
+ levator palatini (draws back soft palate to prevent food entering nasopharynx during swallowing)
+ constriction of pharynx (superior laryngeal nerve)

ARCH 6 = intrinsic muscles of larynx (recurrent laryngeal nerve - branch of vagus nerve CNX)

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6
Q

What disorders can occur when the cervical sinus is not obliterated by the down growth of the 2nd pharyngeal arch?

A

Branchial cysts (opening to internal surface)

Branchial fistulae (opening to external surface)

note: can occur anywhere along the anterior border of sternocleidomastoid

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7
Q

What cartilage is associated with each pharyngeal arch?

A

ARCH 1 = mandibular prominence develops Meckel’s cartilage (template for mandible during membranous ossification)
+ sphenomandibular ligament + malleus & incus

ARCH 2 = Reichert’s cartilage which contributes to middle ear development (stapes), styloid process, stylohyoid ligament, and part of the hyoid bone

ARCH 3 = remainder of hyoid bone

ARCHES 4 & 6 = thyroid, arytenoid, and cricoid cartilages
+ epiglottis (pharyngeal floor)

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8
Q

Reminder: what does each aortic arch develop into?

A

ARCH 1 = disappear

ARCH 2 = disappear

ARCH 3 = internal carotid artery

ARCH 4 = aortic arch & brachiocephalic artery

ARCH 6 = pulmonary arch

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9
Q

What does each pharyngeal pouch develop into?

A

POUCH 1:

  • VENTRAL = obliterated
  • DORSAL = Eustachian/pharyngotympanic tube & middle ear cavity

POUCH 2:

  • VENTRAL = partially obliterated; colonised by lymphoid precursors which form the crypts of the palatine tonsil
  • DORSAL = contributes to Eustachian tube

POUCH 3:

  • VENTRAL = thymus
  • DORSAL = inferior parathyroid gland

POUCH 4:

  • VENTRAL = ultimobranchial bodies (C-cells of thyroid gland)
  • DORSAL = superior parathyroid gland
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10
Q

What are the pharyngeal arches?

A

Mesodermal (specifically mesenchymal) outpouchings in the neck region (bilateral) invaded by neural crest cells

Each pharyngeal arch has an associated artery (from the aortic arches), vein, cranial nerve, cartilage bar (mesenchyme), ectodermal covering, endodermal lining (derived from gut tube of pharynx)

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11
Q

Outline the development of the eyes.

A
  1. Outgrowth of surface ectoderm on each side of the diencephalon (optic vesicles: give rise to retina, iris, ciliary body)
  2. Signalling molecules released by optic vesicle stimulate changes in ectoderm —> localised thickening opposite the optic vesicle —> lens placode formed
  3. Optic vesicle & lens placode invaginate —> lens becomes closed vesicle and sinks below surface ectoderm —> becomes cornea
  4. Mesenchyme cells arrange themselves around developing lens & retina —> form choroid (layer of eyeball between retina & sclera, contains blood vessels and pigment) and sclera

Muscles which move the eye are derived from somites

Eyes originally on sides of the head; growth of maxillary prominences towards the midline shifts the eyes to the front

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12
Q

Give some examples of foetal eye abnormalities.

A

Cyclopia = single midline eye

Anopthalmia = absence of eyes

Microphthalmia = abnormally small eyes

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13
Q

Outline the development of the nose.

A
  1. Nasal placodes on frontonasal prominence sink to become nasal pits (medial and lateral prominences form either side)
  2. Maxillary prominences grow medially, pushing the nasal prominences closer together in the midline
  3. Maxillary prominences fuse with medial nasal prominences and medial nasal prominences fuse in the midline —> creates intermaxillary segment:
    - labial component —> philtrum
    - upper jaw —> 4 incisors
    - palate —> primary palate
  4. Oronasal membrane between nasal pit and oral cavity ruptures —> creates nasal cavities
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14
Q

Outline the development of the secondary palate.

A
  1. Maxillary prominences give rise to palatal shelves which grow vertically downwards into the oral cavity on each side of the developing tongue
  2. Mandible grows larger enough to allow tongue to “drop”
  3. Palatal shelves grow towards each other and fuse in the midline
  4. Nasal septum develops as a midline down-growth and ultimately fuses with the palatal shelves
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15
Q

What are the different types of cleft lip?

A

Lateral cleft lip = failure of fusion of medial nasal prominence and maxillary prominence

Lateral cleft lip involving primary palate

Cleft lip & cleft palate = failure of palatal shelves to meet in the midline

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16
Q

What are the fates of the different facial prominences?

A

Frontonasal prominence:

  • –> forehead
  • –> bridge of nose
  • –> medial & lateral nasal prominences

Medial nasal prominence:

  • –> philtrum
  • –> primary palate
  • –> mid upper jaw

Lateral nasal prominence —> sides of the nose

Maxillary prominence:

  • –> cheeks
  • –> lateral upper lip
  • –> secondary palate
  • –> lateral upper jaw

Mandibular prominence —> lower jaw and lip

17
Q

Outline the development of the ears.

A

External auditory meatus develops from 1st pharyngeal cleft (only cleft with functional remnant)

Auricles (auricular follicles) develop from proliferation within the 1st & 2nd pharyngeal arches surrounding the external auditory meatus

External ears initially develop in the neck; as the mandible grows the ears ascend to the side of the head to lie in line with the eyes

note: all common chromosomal abnormalities have associated external ear anomalies (low set ears typically)

Inner ear:

  • otic placodes invaginate —> auditory vesicles
  • membranous labyrinth —> cochlea & semi-lunar canal system
18
Q

Outline the development of the pituitary gland.

A

Anterior pituitary:

  • out-pocketing of ectoderm of stomatodeum (evagination of roof of oropharynx - Rathke’s pouch) grows dorsally towards developing forebrain
  • pinched off from oropharynx by ossification of the roof of the sphenoid bone
  • pars tuberalis = part of ant. pituitary surrounding the infundibulum

Posterior pituitary:
- downward out-growth of forebrain grows towards roof of pharynx (infundibulum)

note: infundibulum also forms stalk of the pituitary

Pituitary gland sits in pituitary fossa of sphenoid bone (sella turcica)

19
Q

Outline the development of the tongue.

A

2 lateral lingual swellings (pharyngeal arch 1)
Tuberculum impar (pharyngeal arch 1)
Cupola (pharyngeal arches 2, 3, 4)
Epiglottal swelling (pharyngeal arch 4)

Lateral lingual swellings overgrow the tuberculum impar
3rd pharyngeal arch component of the cupola overgrows the second arch component
Extensive degeneration underneath tongue, freeing the tongue from the floor of the oral cavity (except for the lingual frenulum)

Primordia of the tongue (mounds of tissue growing in the floor of oral cavity) appear around the same time as the palate begins to form

20
Q

Outline the development of the thyroid gland.

A

Primordium of thyroid appears in the floor of pharynx between tuberculum impar and the cupola

Descends from the foramen cecum (remains connected by thyroglossal duct)

Bifurcates as it descends —> bi-lobed diverticulum connected by isthmus

Follicular cells (produce T3 & T4) derived from thyroid diverticulum 
Parafollicular cells (C-cells) produce calcitonin derived from ultimobranchial (4th pharyngeal pouch)

note: ectopic thyroid tissue most commonly in the tongue

21
Q

What is a thyroglossal cyst?

A

When the thyroglossal duct remains patent, fluid collects in the duct, causing a lump to appear somewhere along the line of descent of the thyroid (in the midline)

note: differentiate from thyroid tissue by using radioactive iodine; cyst will have no iodine but thyroid will

22
Q

What is first arch syndrome? Give some examples.

A

Congenital defects of eyes, ears, mandible, and palate caused by failure of colonisation of the 1st pharyngeal arch with neural crest cells

  • Treacher-Collins syndrome = characterised by hypoplasia of the mandible & facial bones (autosomal dominant)
  • Di George syndrome = caused by abnormal development of the neural crest cells
  • CHARGE syndrome = caused by defective protein required for production of multipotent neural crest cells; symptoms are: Coloboma (iris defect), Heart defects, choanal Atresia, growth & development Retardation, Genital hypoplasia, Ear defects
23
Q

Why may the parathyroid gland be found within the thymus in a retrosternal position?

A

Two pairs of parathyroid glands develop from 3rd & 4th pharyngeal pouches

Usually migrate caudally with the thymus:

  • –> one pair lies in fascial sheath in upper part of the thyroid
  • –> one pair lies in inferior lobe of thyroid gland

Aberrant migration —> retrosternal position within thymus