NeuroAnatomy - Lecture 14 - Neural Tube Development Flashcards

1
Q

What is the neural tube?

A

primitive embryonic tube-like structure that is the precursor to the CNS

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2
Q

What is the process called that develops the neural tube?

A

Neurulation during first month of embryonic development

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3
Q

How do neural tube defects occur?

A

when the neural tube fails to close during neurulation in either rostral or caudal neuropores

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4
Q

What are the embyronic stages leading to neural tube development?

A

Fertilization/Implantation, Gastrulation, Neurulation

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5
Q

What is the time period of fertilization?

A

0-7 days before implantation

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6
Q

When does implantation occur?

A

day 7 after fertilization

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7
Q

When does gastrulation occur?

A

during the week after implantation, and by day 15-16 gastrulation is complete

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8
Q

What are the three primary layers formed in the gastrulation period?

A

endoderm, mesoderm, ectoderm

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9
Q

What is the Mesoderm?

A

middle germ layer // circulatory and skeletal systems as well as serous membranes lining body cavities

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10
Q

What is the Endoderm?

A

internal germ layer // forms lining of the gut and other internal organs

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11
Q

What is the Ectoderm?

A

external germ layer // forms the skin, brain, nervous system, and other external tissues

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12
Q

When does neural tube development occur?

A

begins during the third week and closes by the end of the fourth week

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13
Q

What is happening in week 3 of gestation approx. ~17-18 days after fertilization for neural tube development?

A

approx. ~17-18 days after fertilization, neural plate forms and neural groove is first seen along midline of neural plate

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14
Q

What is happening in week 3 of gestation approx. ~20 days after fertilization for neural tube development?

A

neural groove begins to thicken, elevate, and fold, eventionally becomes the neural crest

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15
Q

What is happening in week 4 of gestation during neural tube development?

A

neural folds fuse to form the neural tube // leaves 2 openings at each end that are called neuropores, which eventually fuse a rostral neuropore and caudal neuropore

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16
Q

What is happening at the end of week 4 of gestation in neural tube development?

A

it is completely fused by day 27

17
Q

What happens after neurulation is complete for the neural TUBE?

A

develops into the CNS central canal, represents future development of ventricular system

18
Q

What happens after neurulation is complete for the neural CREST?

A

After the neural crest has formed, it goes on to develop into the PNS

19
Q

What happens after neurulation is complete for the Ectoderm?

A

continues to develop into mammillary glands, hypophysis, subcutaneous glands, epidermis, hair, skin, nails, tooth enamel

20
Q

What are types of Neural Tube Defects?

A

Anencephaly, Encephalocele, Spina Bifida

21
Q

What is Anencephaly?

A

parts of the brain and skull fail to develop // failure of anterior or rostral neuropore fail to develop or fuse. not compatible with life. brain does not develop

22
Q

What is Encephalocele?

A

failure of skull to fully close, allowing brain and meninges to form a sac and protrude out of the skull // failure of anterior/rostral neuropore fusing. treated with surgery, neurologic defiits will persist w/ multiple surgeries depending on location

23
Q

What is Spina Bifida?

A

failure of vertebral column to fully close, allowing spinal cord and meninges to form a sac and protrude out of vertebral column

failure of posterior neuropore to develop and fuse

24
Q

What are the three types of Spina Bifida?

A

Spina bifida occulta, meningocele, meningomyelocele

25
What is Spina Bifida Occulta?
failure of vertebral arch to fuse, bony defect, often not diagnosed until adulthood during xray
26
What is Meningocele?
Meninges protrude through bony defect of vertebral arch, least common type, repaired with surgery usually during infancy
27
What is Menigomyelocele?
spinal cord & meninges protrude through bony defect of vertebral arch // life long disabilities, leg weakness/paralysis, loss of bladder/bowel function
28
What is also associated with a Menigomyelocele?
most infants with this also have Arnold-Chiari Type II malformation // brainstem/cerebellum is pulled through foramen magnum into upper spinal canal
29
What is something that can help prevent neural tube defects?
Folic Acid (synethetic B9 Vitamin) / Folate (natural form of B9) during early pregnancy