Lecture 3 Flashcards
Will our notochord last forever?
No.
When our vertebral bodies begin to form, our notochord will degenerate and create the nucleus pulposus of our intervertebral discs.
What is another name for our neuroectoderm?
Neural plate.
What does our neuroectoderm give rise to?
- Neural tube
2. Neural crest cells
What does our neural tube create?
- CNS (brain and spinal cord)
- Retina
- Pineal gland
- Posterior pituitary
CRPP
Acronym for what does our neuroectoderm give rise to?
CRiPP (CRPP)
Neural crest cells will create what?
- dentin and enamel
- Sensory neurons and their ganglia (spinal ganglia aka DRG and autonomic ganglia)
- Endocrine cells like chromaffin and C-cells
- Cranial ganglia of CN 5, 7, 9, 10
- Cartlidge and bones of the face
- Pigment cells
- Supporting cells (satellite, schwann)
- Walls of large arteries from aortic arches : aorticpumonary septations
Problems with neural crest cells are called __________.
Neurochristopathies
What is Hirschsprung’s disease?
Hirschsprung’s disease is a neurochristopathy that occurs when the ANS does not innervate the colon. As a result, infant cannot deficate, causing the colon to expand.
Aorticpulmonary septations defects of the heart are caused by what?
Problems with neural crest cells
Cleft lip and cleft palate are caused by what?
Problems with neural crest cells.
What is DiGeorge Syndrome?
DiGeorge syndrome is a thyroid deficiency.
It is caused by problems with neural crest cells.
Dental anomalies caused by defects in dentin and enamel are caused by what?
Problems with neural crest cells
What is a neuroblastoma?
Neuroblastoma is a tumor in the adrenal medulla and/or autonomic ganglia caused by a problem with neural crest cells.
Albinism is caused by what?
Problems with neural crest cells.
Why do spina bifida problems occur?
Spina bifida problems occur because the caudal neuropore of the neural tube failed to close at the appropriate time (day 28).
What are the 4 spina bifida problems?
- Spina bifida occulta
- Meningocele
- Meningomylocele
- Myelocele (myelocshisis)
Spina bifida occulta
Spina bifida occulta occurs because the caudal neuropore fails to close at the appropriate time.
Caudal neuropre closes, but the vertebral arches do not close all of the way.
Patients can fx normally and have tufts of hair on the area.
What are the open-neural tube defects called?
- Meningocele
- Meningomyelocele
- Myelocele (myeloschisis)
Meningocele
Meningocele occurs due to failure of the caudal neuropore to close on time. As a result, the vertebral arches DID NOT FORM.
Thus, we a cyst filled with CSF, surrounded by the dura mater forms.
Neural tube does NOT protrude into the cyst.
Meningo- means
meninges
Myelo- means
spinal cord
Cele- means
cyst
Meningomyelocele
Meningomyelocele is caused by failure of the caudal neuropore to close on time (day 27).
As a result, a cyst filled with CSF and covered by the dura mater forms on the back. The neural tube protrudes into the cyst.
Patients here will have spinal cord issues
Myelocele (myeloschis)
Neural tube did not close at all and the spinal cord is open and exposed.
This must be surgically removed, otherwise the child will have an open wound that is susceptible to infection.
Child WILL have sensory and motor deficits.
What is alpha-fetal protein?
Alpha-fetal protein (AFP) is a protein made by the fetus.
When the child has an open-neural tube defect, AFP will be released into amniotic fluid and the moms blood.
To check for levels of AFP, we can take a venous puncture moms blood and confirm with an amniocentesis.
Which disorders do we see elevated levels of AFP?
The open-neural tube conditions
- Meningocele
- Meningomyelocele
- Myelocele (Myeloschisis)
If a baby comes in with elevated levels of AFP, can we guess that they have spina bifida occulta?
No. They will one one of the three other neural tube defects.
What dietary nutrient can we give to prevent neural tube defects?
Folate
What defects occur when there is a failure of the ROSTRAL neuropore of the neural tube to close on time (day 25)?
AEE
- Anencephaly
- Encephalocele (with brain tissue)
- Encephalocele (without brain tissue)
Anencephaly
Anencephaly is caused by the failure of the ROSTAL neuropore of the neural tube to close on time.
As a result, the child will have an open skull. They are missing the neocortex of the brain and do not have calavera (bony covering of the skull).
Because of this, they’re at risk for infection and do not live long.
Encephalocele
Encephalocele can occur with or without brain tissue incorporated into the disk. If it is not incorporated into the disk, patients can be normal.
What are meninges?
Meninges are the 3 layers that surround the brain and spinal cord. (DAP)
DAP goes from outside–> in
- Dura mater
- Arachnoid space
- Pia mater
What creates the meninges?
Meninx Primativa
Our meninx primitiva is made from what kind of cells?
- Sclerotome of the paraxial mesoderm
2. Neural crest cells
What is the arrangement of the meninx primitiva?
The meninx primitiva is divided into 2 cell types
- Pachymeninx (made from sclerotome of the paraxial mesoderm).
Pachymeninx will give dura mater - Leptomeninges (made from neural crest cells)
Will give rise arachnoid space and pia mater
What germ layer did the dura mater come from?
Mesoderm.