N2 - Developmental Disorders (Mitchell) Flashcards
Failure of fusion between symmetric halves
Dysraphism
Least severe form of dysraphism
Closed NTDs (Spina bifida occulta)
Encephalocele associated with ______
Chiari III malformation
Wnt & Bmp4
surface ectoderm
Early coronal closure
Tall skull
Flat frontal and occipital
Bracycephaly
Cerebellum protrudes inferior to forament magnum
Chiari II malformation
Sensory and motor deficits distal to the lesion
Spina bifida cystica
Early coronal closure on one side
Plagiocephaly
Cloverleaf skull
synostosis of skull base, sagitall, coronal, and lambdoidal sutures
Thanatophoric dwarfism type II
Responsible for bifid appearance in spina bifida
Failure of pedicles to grow and form vertebral arch
Gives rise to axial skeleton
Sclerotome
Entire neural plate fails to fold and remains as plate
Craniorachischisis
How do we control ventricular pressure when sutures and fontanelles fail to fuse?
1/8th inch shunt from lateral ventrical to peritoneal cavity
Detects most NTDs during screening
US and maternal serum alpha fetoprotein (MSAFP)
Herniation of subarachnoid space outside dura mater
Meningocele
Moles, angioma, lipoma, dimples, abnormal hair growth
Spina bifida occulta
Risk factor to microcephaly
Alcohol
Brainstem & portion of spinal cord pulled into encephalocele
Chiari III malformation
Meninges closed
Neural plate folded up properly
Calvaria fails to develop and close
Ancephaly without craniorachischisis
Cone growth of skull
Early coronal suture fusion
Apert syndrome