Embryology Flashcards

1
Q

Briefly describe the formation of the neural tube

A

Gastrulation produces the notochord which secretes signalling molecules that cause neurulation

There is then induction of the neural plate with elevation of the lateral edges of the neural plate

Neural folds gradually approach each other and fuse in the midline to produce the neural tube

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2
Q

How does the neural tube fuse along its length and what are found at the ends of the neural tube

A

The neural tube fuses from the middle first and then moves cranially and caudally

Cranial/anterior neuropore found cranially which fuses first

Caudal/posterior neurpore found caudally which fuses last

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3
Q

Describe the formation of the ventricular system

A

Lumen of the neural tube persists and forms the ventricular system with each primary brain vesicle forming one part of the system

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4
Q

Describe the development of the cranial portion of the brain

A

Cranial portion of the neural tube has 3 dilatations that form 5 dilatations which then go on to form the parts of the brain

During neural fold formation, 3 primary brain regions can be distinguished

Once neural tube closes the dilatations become the primary brain vesicles which then go on to form the 5 primary brain vesicles

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5
Q

What are the 3 primary brain vesicles and what do they go on to form

A

Forebrain - prosencephalon -> telencephalon and diencephalon

Midbrain - mesencephalon -> mesencephalon

Hindbrain - rhombencephalon -> metencephalon and myelencephalon

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6
Q

What are the 5 primary brain vesicles and what parts of the brain do they form

A

Telenecephalon -> cerebral hemispheres

Diencephalon -> thalamus

Mesencephalon - midbrain

Metencephalon -> pons and cerebellum

Myelencephalon -> medulla oblongata

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7
Q

Describe the development of the spinal cord

A

Most of the neural tube forms the spinal cord

The vertebral column grows faster than the spinal cord so the spinal roots must elongate to exit at their intervertebral foramen forming the cauda equina

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8
Q

Why does the neural tube have to bend during development and what are the two parts where it bends called

A

Neural tube has to bend to allow the brain to fit into a small space as the growth and development at the cranial end exceeds the available space so it must fold to fit

Cervical flexure - spinal cord and hindbrain

Cephalic flexure - midbrain region

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9
Q

Describe the organisation of the neural tube

A

The inside layer of the NT is a neuroepithelial layer that secretes CSF

The intermediate/mantal layer contains neuroblasts and is split into alar and basal plates

There is a roof plate at the dorsal aspect and a floor plate at the ventral aspect

There is an outer marginal layer that contains processes from the developing neuroblasts

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10
Q

What do the alar and basal plates go on to form and what drives their development

A

Alar plate is stimulated by the roof plate to become sensory

Basal plate is stimulated by the floor plate to become motor

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11
Q

What are the neural crest cells and what do they do

A

Neural crest cells are a group of cells found on the lateral border of the neuroectoderm tube that become displaced and enter the mesoderm as the neural tube folds

They undergo epithelial to mesenchymal transistion and help to form neuronal type tissue

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12
Q

What conditions can arise from neural tube defects

A

Anecephaly

Spina bifida - meningocele and myelomeningocele

Rachischisis

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13
Q

What is anacephaly

A

Anacephaly is where there is failure of the NT to close cranially resulting in absence of cranial structures

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14
Q

What is spina bifida, where does it most commonly occur and what are the two types

A

Spina bifida is where there is a caudal neural tube defect

Most commonly occurs in the lumbosacral region

Meningocele - where only CSF and meninges form a cyst due to a defect in the vertebral body

Myelomeningocele - where there is a defect in the vertebral body with part of the spinal cord herniating out along with CSF and meninges

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15
Q

What is rachischisis

A

Rachischisis is where there is failure of neural fold elevation resulting in no neural tube formation so no CNS formation

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16
Q

How are neural tube defects detected and what can be givent to reduce the risk of neural tube defects

A

Diagnosis made using by USS and by looking for raised maternal serum alpha-fetoprotein

Prevention of neural tube defects is by folic acid supplements pre-conceptually and during the 1st trimester

17
Q

Name two conditions caused by defects in neural crest migration

A

Hirschsprung’s disease - aganglionic megacolon

DiGeorge syndrome - multiple structures affected. Thyroid deficiency, thymus defect, cardiac defects, abnormal facies