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93 Cards in this Set
- Front
- Back
What is neurulation? |
Formation of the neural tube and neural crest |
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When does neurulation occur? |
2nd - 4th weeks after fertilization |
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When is primary neurulation complete? |
When neural tube closes |
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Epidermal Placode |
Sensory Neurons in Spinal Nerves Sensory Neurons in Cranial Nerves Post-ganglionic autonomic neurons (sympathetic and parasympathetic - cell bodies in PNS) |
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What is the neural tube and neural crest derived from? |
Thickening of the epidermis |
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Dysraphic Defects are also called... |
Neuroectoderm |
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Nervous system components derived from the neural crest (3) |
Otic Olfactory Lens Epibranchial Dorsolateral |
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Cranioschisis: basic problem |
Neural tube defects |
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Anencephaly |
Neural tube does not form properly |
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Crania bifidum and distortion of craino-facial features |
Malformation of Anterior Neural Tube |
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Encephalocele |
Failure of anterior neuropore to close |
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Meningocele |
Anencephaly |
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Meningoencephalocele |
Herniation of intracranial contents through an opening in the cranium |
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Meningohydroencephalocele |
Meninges and CSF herniate out due to incomplete skull formation (but not brain/ventricle) |
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'Myelo' |
CSF, Meninges and Brain herniate out due to incomplete skull formation (but not ventricle) |
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'Bulbia' |
CSF, meninges, brain and ventricle herniate out due to incomplete skull formation. |
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Meningoencephalocele |
Spinal cord |
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'Bulbia' |
Medulla (brainstem) |
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'occulta' |
Hidden |
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Syringobulbua |
Medulla (brainstem) |
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'occulta' |
Hidden |
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Syringobulbia |
Cavitation of the medulla creating an open space where there shouldn't be |
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Myeloschisis |
Malformation of the posterior neural tube |
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What is Spina bifida an example of? |
Myeloschisis |
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Indication: dark/light pigment and possible tuft of hair along the midline of the back. May be asymptomatic |
Spina bifida occulta |
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CSF filled sack on midline of the back; meninges petrude but without spinal cord damage |
Meningocele (Spina bifida cyctica) |
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Damaged spinal cord; CSF filled sack and meninges herniate in midline of back; usually accompanied by brain complications; no sensory information to legs and trouble voiding |
Myelomeningocele (also called meningomyelocele or Spina Bifida cyctica/aperta) |
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Where can spina bifida occur? |
Anywhere along the spinal midline |
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Where is the most common location for spina bifida to occur? |
Lumbosacral |
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the most common permanently disabling birth defect in the US |
Spina Bifida |
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accumulation of CSF and rise in intracranial pressure; possible brain damage |
Hydrocephalus |
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What are the two common conditions related to meningiomyelocele? |
Hydrocephalus Chiari malformations |
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Displacement of cerebellar tonsils through foramen magnum; found more frequently in adults |
Type I Chiari Malformation |
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Displacement of cerebelllum and part of the brain stem through the foramen magnum; may be agenesis of cerebellar brains; commonly accompanies meningomyelocele |
Type II (Arnold) Chiari Malformations |
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Often found in kids with spina bifida signs: breathing and swallowing difficulties |
Type II (Arnold) Chiari Malformations |
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Most extensive displacement of cerebellum and lower brain stem through foramen magnum; may be apparent as encephalocele |
Type III Chiari Malformation |
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What diagnostic tools are used in evaluating for NTD? |
Alpha-fetoprotein levels Ultrasound |
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where is alpha-fetoprotein produced? |
Fetal liver |
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Prevention of NTD |
Vitamin B9/Folic Acid |
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Secondary Neurulation |
Formation of the caudal sacral and coccygeal spinal cord |
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What is an example of myelodysplasia (secondary neurulation disorder) |
Spina bifida |
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What are the 2 common secondary neurulation disorders |
Myelodysplasia Tethered Cord Syndrome |
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Secondary Neurulation disorder where conus medularis and filum terminale abnormally fixed to defective vetebral bones. |
Tethered cord syndrome |
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In tethered cord syndrome, what causes the damage? |
Forces on the spinal cord |
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What are the 3 layers of the neural tube from deep to superficial to develop after neurulation? |
Mitotic Layer Mantle Layer Marginal Layer |
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What neural tube layer to neuroblasts migrate to in order to become a neuron? |
Mantle Layer |
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Stem cells of neurons and glial cells are found in what neural tube layer? |
Mitotic Layer |
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What neural growth factor is associated with the Alar Plate? |
Bone morphogenic hormome (BMP) |
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What neural growth factor is associated with the Basal Plate? |
Sonic HedgeHog (SHH) |
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What are the 2 neural growth factors present in the differentiation of the neural tube? |
BMP (bone morphogenic protein) SHH (sonic HedgeHog) NGF (nerve growth factor) |
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What allows for the alar and basal plates to form? |
Gradient in the neural growth factors |
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Where does the BMP (Bone morphogenic protein) come from? |
Epidermis |
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Where does the SHH (Sonic HedgeHog) come from? |
Notochord |
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What is the original NT layer of the Alar and Basal Plates |
Mantal |
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Alar has what nerve fibers |
Sensory |
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Basal has what nerve fibers |
Motor |
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What separates the basal and alar plates |
Sulcus limitans |
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What neural tube layer does gray matter originate from? |
Mantal |
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what horn of gray matter is derived form the alar plate? |
Dorsal (posterior) horn |
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What horn of gray matter is derived form the basal plate? |
Ventral (anterior) horn |
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What are the 3 horns of gray matter? |
Dorsal (posterior) Lateral (at some levels) Ventral (Anterior) |
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What kind of nerves are found in the dorsal horn of gray matter? |
Sensory |
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What kind of nerves are found in the ventral horn of gray matter? |
Motor |
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Where is the lateral horn not visible |
the top and bottom of the spinal cord |
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The rostral neural tube becomes... |
the embryonic brain |
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What are the 3 primary brain vesicles that are produce between weeks 3 and 4 of development? |
Prosencephalon Mesencephalon Rhombencephalon |
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What primary brain vesicle corresponds to the forebrain? |
Prosencephalon |
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What primary brain vesicle corresponds to the midbrain? |
Mesencephalon |
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What primary brain vesicle corresponds to the hindbrain? |
Rhombencephalon |
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What is the name of the flexure that separates the spinal cord from the rhombencephalon? |
Cervical Flexure |
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What is the name of the felxure that separates the Rhombencephalon from the Mesencephalon? |
Cephalic Felxure |
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What secondary brain vesicles does the prosencephalon form? |
Telencephalon Diencephalon |
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What secondary brain vesicles does the rhombencephalon form? |
Metencephalon Myelencephalon |
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The Retina is an outgrowth of what secondary brain vesicle? |
Diencephalon |
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The secondary brain vesicles that produces the Retina is from what primary brain vesicle? |
Prosencephalon |
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What gives the 4th ventricle a 'diamond' shape when viewed from above? |
Pantine flexure |
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Where is the pantine flexure located? |
between the myelencephalon and metencephalon |
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Where is the cervical flexure located? |
Between the spinal cord and myelencephalon |
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Where is the cephalic flexure located? |
between the metencephalon and mesencephalon |
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What secondary brain vesicle produces the third ventricle |
Diencephalon |
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What secondary brain vesicles are considered 'forebrain'? |
Telencephalon Diencephalon |
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What secondary brain vesicles are considered 'brain stem'? |
Mesencephalon Metencephalon Myelencephalon |
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What part of the neural tube opens laterally during hindbrain development? |
Tectum |
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Where is a prominent tectum found? |
Midbrain |
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Where is the tectum so small that it is largely ignored in hindbrain? |
Medulla and Pons |
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Where is there a prominent tegmentum in the hindbrain? |
Medulla Pons Midbrain |
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What does the choroid plexus do? |
Make CSF |
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From which plate of the mantle layer does the cerebellum develop? |
Alar Plate |
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from what secondary brain vesicle does the cerebellum develop? |
Metencephalon |
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From what secondary brain vesicle does the Cerebral cortex develop? |
Telencephalon |
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From what secondary brain vesicle does the basal ganglia develop? |
Telencephalon |
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From what secondary brain vesicle do the thalamus and hypothalamus develop? |
Diencephalon |
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Where is the choroid plexus located? |
Lateral Ventricles |