Spinal cord development Flashcards

1
Q

Spinal cord

A

part of CNS that arises from brainstem and ends at the conus medullaris

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2
Q

3 primary functions of spinal cord

A

carry motor signals from brain to PNS
carry sensory info from PNS to brain
coordinate reflexes

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3
Q

ectoderm

A

outmost of the 3 primary germ layers. the root of all neural tissue

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4
Q

mesoderm

A

muddle of the 3 primary germ layers. form much of the bone and musculature

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5
Q

endoderm

A

innermost of the 3 primary germ layers. forms much of the viscera

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6
Q

neurulation

A

the process of neural tube formation

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7
Q

neural tube

A

the precursor structure to the CNS

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8
Q

neuropores

A

the openings found at each end of the neural tube

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9
Q

neural tube formation occurs

A

between day 16-28 after conception

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10
Q

day 15 neural tube formation

A

neural plate forms, neural groove begins

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11
Q

day 18 neural tube formation

A

neural plate begins to fold centrally

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12
Q

day 20 neural tube formation

A

first neural tube fusion occurs

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13
Q

day 20-22 neural tube formation

A

neural tube slow fuses outward from the center

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14
Q

day 22-24 neural tube formation

A

anterior (cranial) neuropore closes

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15
Q

day 26-28 neural tube formation

A

posterior (spinal) neuropore closes

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16
Q

day 28+ neural tube formation

A

neural tubes closed. will begin to differentiate into structures

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17
Q

DNA is rapidly duplicating during neural tube formation which means —-

A

increased folate requirement

18
Q

what is the blueprint for folding

A

DNA

19
Q

What is affected in all forms of spina bifida

A

somites

20
Q

What do somites form

A

the mesoderm

differentiate to form skin, muscles, and axial skeleton

21
Q

notochord goes on to form

A

intervertebral discs

22
Q

neural crest cels differentiate to form

A

the Pia and arachnoid mater

23
Q

When should the spinal cord end

A

L1 or L2; conus medullaris

24
Q

2 most common neural tube defects

A

spina bifida
ancephaly

25
Q

neural tube defects

A

any of a series of conditions caused by failure of the neural tube to close

26
Q

open neural tube defect

A

neural tube defect with meninges/neural tissue exposed

27
Q

closed neural tube defect

A

neural tube defect with skin intact

28
Q

Occulta spina bifida

A

most common and least debilitating
technically falls under closed NTD category but might not involve neural tube at all

29
Q

Meningocele spina bifida

A

out pouching of meningeal layers without neural tissue

30
Q

Myelomeningocele

A

out pouching of meningeal layers with neural tissue

31
Q

Myeloschisis

A

outpouring of neural tissue without meningeal covering

32
Q

What is unaffected by the supplementation of folate

A

lipomyelomeningocele

so folate deficiency does not increase risk of lipomyelomeningocele

33
Q

spinal cord imaging is complete primarily via

A

MRI with or without contrast

34
Q

MRI works by

A

measuring energy released by protons in the body tissue

35
Q

CT measure _____, MRI measures ______

A

CT measures density

MRI measures RF signal from protons

36
Q

MRI contrast dye

A

Gadolinium

37
Q

T1 spinal MRI

A

CSF = dark
Gray matter = gray
White matter = white

38
Q

T2 spinal MRI

A

CSF = bright
Gray matter = gray
white matter = dark

39
Q

Flair spinal MRI (T2 with inverted CSF)

A

CSF = dark
Gray matter = gray
White matter = dark

40
Q

STIR spinal MRI uses

A

beneficial for fat suppression
water (edema) = bright

41
Q

FLAIR MRI uses

A

suppresses fluid (CSF) allowing for increased visibility near CSF-brain borders

42
Q

What is CT myelogram good for

A

CSF leak