Physiological and pathological formation of spinal cord Flashcards

1
Q

What does ectoderm form

A

skin + nervous system

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2
Q

What does endoderm form?

A

Epithelial lining of gut and respiratory system/liver/pancreas

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3
Q

What does the mesoderm form

A

Notochord and muscular system

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4
Q

What will thicken in 4th week

A

The ectoderm thickens to form the neural plate

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5
Q

Neural crest cells

A

In the upper ectoderm give rise to melanocytes.

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6
Q

What does melanocytes produce

A

Melanin

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7
Q

What else does

A
  1. ) sCHWANN cells
  2. ) Adrenal medulla
  3. ) Bony skull
  4. ) Meninges
  5. ) Sensory dorsal root ganglia of spinal cord and cranial nerves
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8
Q

Abnormalities of the spinal cord

A
  • failure to close cephalic region: anencephaly
  • failure to close spinal region: spina bifida
  • collectively called neural tube defect
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9
Q

When does the neural tube close

A
  • neural tube usually closes at end of 4th embryonic week
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10
Q

Spina bifida risk and environmental factors

A
  • 1 sibling: 2%
  • 2 siblings: 10%
  • parents: 4%
  • environmental factors: folic acid/maternal diabetes
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11
Q

Syndromic causes of neural tube defects

A

1.) Meckel Syndrome: NTD/ Cystic kidney malformation/ extra fingers

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12
Q

What structures are present at four weeks (brain)?

A

Prosencephalon:
Mesencephalon
Rhombencephalon
Spinal cord

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13
Q

What structures are present at six weeks (brain)?

A

Telencephalon:
Mesencephalon:
Fourth ventricle:
Rhombencephalon:

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14
Q

What is microcephaly

A

Head is too small

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15
Q

What is macrocephaly

A

Head is too big

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16
Q

What is periventricular nodular heterotopia?

A

Abnormal migration of neurons

17
Q

Features of CSF circulation

A
  • Circulates through the subarachnoid spaces and through the ventricles
  • Cushions brain + helps circulate metabolites
18
Q

Where is CSF produced

A

Produced as filtrate of blood at choroid plexuses in ventricles

19
Q

Where is CSF produced

A

Absorbed via arachnoid granulations in superior sagittal sinus

20
Q

How much CSF fluid is there

A

120 mls

21
Q

Features of hydrocephalus

A
  • Accumulation of CSF with increased intracranial pressure

- Can cause macrocephaly in children

22
Q

What two types of hydrocephaly are there

A
  1. ) Obstructive (non-communicating): tumour/haemorrhage

2. ) Non-obstructive (communicating): increased CSF production