L19 Neurulation and Embryonic Folding Flashcards

1
Q

what are the common presentation for spinida bifida?

A

dimpled skin and a tuft of hair

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2
Q

how is neurulation initiated?

A

The notochord signals to the overlying ectodorm, to signal it to thicken and form neural-ectoderm (which gives rise to neural plate). this is called induction

DAY 19

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3
Q

what happens with neurulation on during day 20?

A

the lateral edges of the neural plate elevate to form neural folds.

Fusion of the neural folds begins in the cervical (neck) region of the embryo and continues cranially and caudally

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4
Q

what does the neural tube separate to form day 20?

A

As the neural folds fuse, the tube separates from the surface ectoderm

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5
Q

on what day does the anterior neuropore fuse?

A

day 25

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6
Q

on what day does the posterior neuropore fuse?

A

day 28

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7
Q

what do the cranial and caudal ends of the neural tube form?

A

cranial - brain

caudal - spinal cord

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8
Q

what is anencephaly and how is it caused?

A

failure of the anterior neuropore to fuse means the forebrain does not form, so the baby has no cognition, memory, speech, vision and hearing. there is normally a brainstem which controls heart, lungs and some reflexes.

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9
Q

how does the forebrain not form during anencephaly?

A

the open neural cord is exposed to the amniotic fluid/cavity, which damages the neural cord

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10
Q

how long does a baby with anencephaly survive?

A

rarely a few years but most are stillbirth or newborn dies a few hours after birth

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11
Q

what is rachischisis?

A

the spinal cord does not form properly leading to paralysis and the open neural tube prevents formation of vertebrae. the flat plate of neural tissue is exposed at birth so ther eis a high risk of infection

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12
Q

what is a NTD and which disorders are NTDs?

A

Neural Tube Defect. anencephaly and rachischisis are both NTDs. spina bifide is technically also a NTD but is actually due to abnormal induction of sclerotime by the notochord

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13
Q

how many births are affected by NTDs in the UK and how can this number be reduced?

A

1 in 1000 births in the UK and folic acid reduces NTDs by 50-70 %

(marmite is rich in folic acid)

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14
Q

where are the neural crest cells found?

A

they are at the lateral edges of the folds of the neural-ectoderm. once the neural tube forms the crest cells migrate laterally and ventrally though developing embryo, differentiating and contributing to the formation of many structures and systems

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15
Q

which structures are derived from the neural crest cells?

A
heart
teeth
skull bones
glands eg adrenal
nervous system in gut
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16
Q

what is neurofibromatosis and how is it caused?

A

(elephant man) it is a genetic condition caused by a mutation in the neurofibromin 1 (NF1) gene - a tumour supressor gene in neural crest cells. this means the neural crest cells replicate excessively once migrated to the location. causes benign tumours of the nervous system, skin and cranial bones

17
Q

when does the embryo begin folding, in which directions and why?

A

during the 4th week beings folding craniocaudally and laterally. this is due to differential growth of the amniotic sac and yolk sac.

18
Q

how does the embryo fold laterally?

A

the amniotic sac grows rapidly while the yolk sac stays the same size. the amniotic sac pushes down the lateral sides to fuse (forming ventral wall) in most regions except the midgut. it pushes the surface ectoderm to fuse also

19
Q

what does the connecting stalk become?

A

future umbilical cord

20
Q

what is the allantois?

A

is connected to fetal bladder

21
Q

what is the vitelline duct?

A

connection between yolk sac and midgut

22
Q

what is ectopia cordis?

A

– lateral folds fail to fuse in thoracic region leaving heart outside the body

Extremely rare – Approx. 1 in 5 million live births

23
Q

what is gastroschisis?

A

lateral folds fail to fuse in abdominal region below midgut. Intestines outside the body wall

Occurs in 3.5/10,000 births

24
Q

how is ectopia cordis and gastroschisis treated?

A

ectopia cordis = surgically

gastroschisis = intestines are placed in silo bag until the baby has grown enough for there to be space to put the intestines back into the body

25
Q

what happens to the amniotic cavity late week 4?

A

it grows and fuses with the chorionic cavity

26
Q

what is the lens placode and the otic placode?

A

dunno - look it up