2 - brain dev Flashcards

(47 cards)

1
Q

What is the learning outcome for Lecture 2?

A

Understand normal and abnormal developmental themes commonly encountered in the human nervous system.

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2
Q

What are the main topics in this lecture?

A

Embryology, cellular populations, myelination, intrauterine growth stages, neural tube formation, ultrasound evaluation, and congenital abnormalities such as spina bifida and hydrocephalus.

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3
Q

What is prenatal development?

A

The process of embryonic and fetal growth from fertilization until birth.

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4
Q

What occurs during prenatal cellular differentiation?

A

Neural stem cells develop into neurons, glial cells, and ependymal cells associated with cerebrospinal fluid production.

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5
Q

List the stages of neurocytogenesis.

A

Stage 1: Undifferentiated matrix cells → Stage 2: Neuroblasts (neurons) → Stage 3: Glioblasts (glial cells).

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6
Q

When is myelination most active?

A

During the first two years of postnatal life, continuing into the third decade for intracortical fibers.

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7
Q

Which cells produce myelin in the CNS?

A

Oligodendrocytes.

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8
Q

List the stages of oligodendroglial development.

A

Progenitor → Pre-oligodendrocyte → Immature oligodendrocyte → Mature oligodendrocyte.

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9
Q

Why is myelination critical for development?

A

It ensures efficient neural conduction necessary for sensory-motor integration and coordination.

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10
Q

What are the three phases of intrauterine growth?

A

Cellular, embryonic, and fetal stages.

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11
Q

What are the three trimesters of pregnancy?

A

1st: Week 1–12; 2nd: Week 13–26; 3rd: Week 27–birth.

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12
Q

Why is ultrasound the imaging modality of choice during pregnancy?

A

It is noninvasive, radiation-free, cost-effective, and provides high-resolution real-time imaging.

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13
Q

When is the first ultrasound typically performed and for what purpose?

A

During the first trimester to confirm pregnancy and estimate gestational age.

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14
Q

When is the detailed fetal anatomy ultrasound performed?

A

During the second trimester (16–22 weeks) to detect birth defects or anomalies.

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15
Q

What additional uses does ultrasound have in later pregnancy?

A

Monitoring growth, assessing anomalies, and determining fetal position or heart rate.

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16
Q

What is gastrulation?

A

A process (days 7–10) where the embryonic disc forms three germ layers: ectoderm, mesoderm, and endoderm.

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17
Q

What are the derivatives of the three germ layers?

A

Ectoderm → skin & nervous system; Mesoderm → muscles, bones, heart; Endoderm → gut lining & internal organs.

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18
Q

What marks the beginning of gastrulation?

A

Formation of the primitive streak in the embryonic plate.

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19
Q

When does neural tube formation begin?

A

Around days 15–21 after fertilization.

20
Q

What structures form from the neural tube?

A

The brain and spinal cord.

21
Q

What is the notochord?

A

An early midline structure that provides axial support and later contributes to vertebral disc nuclei.

22
Q

When does development of the CNS begin?

A

During the third week of intrauterine life.

23
Q

What are the three layers of the developing neural tube?

A

Ependymal (germinal), mantle (gray matter), and marginal (white matter).

24
Q

What separates sensory from motor regions in the developing neural tube?

A

The sulcus limitans divides the alar plate (sensory) from the basal plate (motor).

25
Where does fusion of the neural tube begin?
In the cervical region, extending both cranially and caudally.
26
When does the rostral neuropore close?
Day 25–26 of development.
27
When does the caudal neuropore close?
Around day 28.
28
What does failure of neural tube closure result in?
Congenital neural tube defects such as spina bifida and anencephaly.
29
What causes congenital vertebral anomalies?
Errors in vertebral development leading to malformations or instability of the spine.
30
When do vertebral structures begin to form?
Around day 23, completing over 10 days.
31
What cells contribute to vertebral formation?
Sclerotome cells from somites migrate dorsally to form neural arches and ventrally to form vertebral bodies.
32
What are common causes of neural tube defects?
Folic acid deficiency, teratogens, and genetic factors.
33
What is spina bifida?
A congenital defect where vertebral arches fail to fuse, leaving the spinal cord exposed or malformed.
34
What are the types of spina bifida?
Occulta, meningocele, myelomeningocele, and myeloschisis.
35
What is spina bifida occulta?
Nonfusion of vertebral arches without neural tissue involvement; typically asymptomatic.
36
What is meningocele?
A protrusion of meninges through vertebral defects forming a CSF-filled sac.
37
What is myelomeningocele?
A severe defect where meninges and spinal tissue protrude through vertebral openings, causing neurological deficits.
38
What is myeloschisis (rachischisis)?
A failure of neural groove closure resulting in exposed neural tissue.
39
What neurological impairments are seen below the level of spina bifida lesions?
Loss of sensation, motor paralysis, bowel/bladder dysfunction, musculoskeletal deformities, and osteoporosis.
40
What are common musculoskeletal deformities in spina bifida?
Scoliosis, joint contractures, club foot, and hip dislocation.
41
What is anencephaly?
Failure of closure of the cranial neuropore, resulting in absence of major brain parts and skull vault.
42
What is encephalocele?
A neural tube defect where brain tissue and meninges herniate through skull openings.
43
How is spina bifida diagnosed prenatally?
By maternal serum alpha-fetoprotein (AFP) testing and ultrasound imaging.
44
What is hydrocephalus?
Abnormal accumulation of cerebrospinal fluid in brain ventricles causing cranial enlargement.
45
What is cerebellar hypoplasia?
Underdevelopment of the cerebellum leading to motor coordination impairments.
46
How are hydrocephalus and cerebellar hypoplasia identified?
Through prenatal ultrasound imaging showing ventricular enlargement or cerebellar underdevelopment.
47
Summarize key developmental milestones.
Neural plate forms at day 18 → Cranial closure day 25 → Caudal closure day 28; Myelination continues postnatally into adulthood.