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34 Cards in this Set

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  • Back
What % of newborns have congenital CNS malformations?
1%
What % of infant deaths are due to CNS malformations?
40%
What do the majority of CNS malformations causing infant deaths consist of?
Defective closure or rupture of the neural tube - 90%
What are the other 10% due to?
Abnormal neuronal and glial proliferation, migration, and organization.
What are the 3 general periods of CNS development?
1. Induction
2. Cell proliferation/migration
3. Cellular organization and architectonics
When is the induction period?
From conception to 1.5 months gestation
When is the period of cell proliferation and migration?
From 2nd month gestation until 6 months postnatal
When is the period of cell organization and architectonics?
6months gestation to 2nd postnatal year
What has happened by the end of the 1st week of gestation?
Uterine implantation of the embryo
What has happened by the end of the 2nd week of gestation?
The 3 germ layers have formed
What forms in the midline of the ectoderm at the end of the 2nd week?
The neural plate
What happens to the neural plate during week 3 of gestation?
It deepens between lateral neural folds to form the neural groove.
What do the lateral folds fuse to form?
The neural tube with neural pores at each end
What happens to the neural tube?
It closes off the pores, diverticulates, and flexes.
What are the 4 components of the neural tube after flexion?
1. Forebrain: cerebrm/thalamus
2. Midbrain
3. Hindbrain: pons cerebellum and medulla
4. Spinal cord
What do the neural crest cells develop into? (6 things)
-Dorsal roots
-Ganglia
-Schwann cells
-Melanocytes
-Adrenal medulla
-Mesenchymal tissues
What does the caudal cell mass at the lower end of the neural tube form?
Conus medullaris
What forms the vertebral bodies and arches around the neural tube?
Mesodermal somites
What is the Induction theory?
The theory that neural axial development depends on induction by the adjacent germ layers and notochord.
What will failure of dorsal induction lead to? When?
Posterior midline defects - this should occur during weeks 3-4 of gestation.
What will failure of ventral induction lead to? When?
Anterior midline defects - this should occur during weeks 5-6
What does "proliferation" in the proliferation/migration phase consist of?
Proliferation of undifferentiated germinal cells in the neural tube in the periventricular region.
What do the cells do after proliferating in the periventricular region?
Migrate centrifugally in waves to form neurons and glia in the cortex and white matter.
When does neuronal proliferation cease in the cerebellum?
In the postnatal 6th month
When is neural migration completed?
By 1.5 years postnatal
What happens to the surface of the brain during the completion of neural migration?
Development of gyri/sulci - the surface becomes convoluted.
When do the primary sulci form? Which sulci are these?
-5th gestational month
-Central sulcus
-Sylvian fissures
So what is the timeframe of the period of cell proliferation and migration?
2nd month of gestation to the 6th month postnatal
When is the period of cell organization and architectonics?
6th month gestation to 2nd postnatal year
What takes place in the period of cellular organization and architectonics?
Construction of the brain - alignment and connection of neurons.
How is functional interaction established in the brain?
By formation of synapses
What else happens to improve nerve impulse conduction during this phase?
Myelination
When does myelination begin and end?
Begins at 6 mo gestation
Mostly done by 2 yrs postnatal
All done by 4 yrs old
How long is neural plasticity present?
Throughout life