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22 Cards in this Set

  • Front
  • Back

Neural development

Notochord - induces overlying ectoderm to diff into neuroectoderm - form neural plate


NP - gives rise to neural tube and neural crest cells


Notochord becomes nucleus pulposus of intervertebral disc in adults

Forebrain

Prosencephalon


Divides to form telencephalon and diencephalon

Midbrain

Mesencephalon

Hindbrain

Rhombencephalon


Divides into metencephalon and myelencephalon

Telencephalon

Cerebral hemispheres


Lateral ventricles

Diencephalon

Thalamus


Third ventricle

Mesencephalon

Midbrain


Aqueduct

Metencephalon

Pons


Cerebellum


Upper part of 4th ventricle

Myelencephalon

Medulla


Lower part of 4th ventricle

Neuroectoderm

CNS neurons


Ependymal cells - inner lining of ventricles, makes CSF


Oligodendroglia


Astrocytes

Neural crest

PNS neurons


Schwann cells

Mesoderm

Microglia

Neural tube defects

Neuropores fail to fuse in 4th week


Persistent connection between amniotic cavity and spinal canal


A/W low folic acid


Elevated AFP in amniotic fluid and maternal serum


Increased AChE in amniotic fluid - confirmatory test - fetal AChE in CSF crosses defect into amniotic fluid

Spina bifida occulta

Failure of bony spinal canal to close


No structural herniation


Lower vertebral levels


Dura intact


Tuft of hair or skin dimple at level of defect

Meningocele

Meninges only herniate through spinal canal defect


Normal AFP

Meningomyelocele

Meninges and spinal cord herniate through defect

Anencephaly

Malformation of neural tube


No forebrain


Open calvarium


Frog like appearance


Increased AFP, polyhydramnios,


A/W maternal DM1


Risk decreased by folic acid

Holoprosencephaly

Failure of L and R hemispheres to separate


Weeks 5/6


Related to mutations in sonic hedgehog signalling pathway


Moderate = cleft lip/palate


Severe = cyclopia

Chiari 2

= Arnold Chiari malformation


Herniation of cerebellar tonsils and vermis through foramen magnum


+ aqueductal stenosis, hydrocephalus


PC - lumbosacral myelomeningocele, paralysis below the defect

Dandy Walker

Agenesis of cerebellar vermis


Cystic enlargement of 4th ventricle - fills enlarged posterior fossa


A/W spina bifida and hydrocephalus

Syringomyelia

Syrinx = cystic cavity - within spinal cord


Within central canal = hydromyelia


Crossing ant spinal fissures damages first -> Cape like bilateral loss of pain and temp sensation in upper extremities


Fine touch sensation preserved


C8-T1 most common


A/W Chiari 1 malformation

Chiari 1

3-5mm+ cerebellar tonsillar ectopia


Congenital


Asymptomatic in childhood


Headaches + cerebellar symptoms