Neuroanatomy: Development of the Nervous System
Development of the Nervous System
- Central Nervous System: Originates from the neural plate and tube.
- Peripheral Nervous System: Originates from neural crest cells.
- Dura Mater: From mesoderm.
- Pia Mater & Arachnoid: From neural crest cells.
- Neural Crest Cells: Form sensory ganglia, remain near neural tube.
- Somitogenesis: Formation of future spinal cord connections with somite derivatives.
Importance of Folic Acid (Vitamin B9)
- Advised for women of reproductive age: 400-800 mcg daily.
- Reduces neural tube defects.
- Post-neural tube defect: 4000 mcg daily recommended.
Neural Tube Formation
- Distal portion: Forms by secondary neurulation from the tail bud.
Neural Tube and Spine Defects
- Dysraphisms: Incomplete fusion of neural tube.
- Types:
- Craniorachischisis: Complete dysraphism.
- Cranioschisis/Anencephaly: Open in cephalic region.
- Myeloschisis: Dysraphism at spinal cord level.
Spina Bifida
- Most likely to survive when born with spina bifida.
- Types:
- Occulta: Hair growth over affected region.
- Aperta: Visible at observation.
- Cystica: Associated with meningocele, meningomyelocele, or myeloschisis.
- Risk Factors: Folate deficiency, Valproic Acid, diabetes, obesity, hyperthermia.
Cranium Bifidum
- Defects in skull ossification lead to encephaloceles or cranium bifidum.
Midline Defects
- Eye Field: Development of eye vesicles and hemispheres.
- Sonic Hedgehog Gene: Non-expression leads to defects like holoprosencephaly and cyclopia.
Histogenesis of the Neural Tube
- Neuroepithelial Cells: Mitotically active, forming neurons and glia.
- Interkinetic Nuclear Migration: Nucleus moves between ventricular and pial sides for division.
Spinal Cord Development
- Ventricular, Mantle, and Marginal Layers: Formation of zones in neural tube.
- Spina Bifida: Lack of fusion in vertebral arches.
Neural Circuit Differentiation
- Neuron and glial production before birth.
- Post-birth: Dendritic arborization and synapse formation.
Reflexes
- Babinski Reflex: Normal in infants up to 2 years.
- Other Reflexes: Palmar, moro, asymmetric tonic neck, parachute, balance test.
Neural Crest Derivatives
- Divided into cranial and trunk portions.
- Cranial Neural Crest: Forms pharyngeal arches, neurocranium bones, etc.
- Trunk Neural Crest: Forms melanocytes, Schwann cells, adrenal chromaffin cells, etc.
Neurocristopathies
- Result from abnormal neural crest cell development.
- Examples: Neurofibromatosis, medullary carcinoma, CHARGE association.
Spinal Cord Development
- Alar and Basal Plates: Form sensory and motor regions, respectively.
- Morphogens: Shh from notochord and BMPs from epidermis determine dorsal-ventral cell fates.
Development of the Brain
- Flexures: Cephalic and cervical during the fourth week.
- Ventricular System: Formation of lateral, third, and fourth ventricles.
- Choroid Plexuses: Produce cerebrospinal fluid in the ventricles.
Brainstem and Cerebellum
- Brainstem: Derives from myelencephalon, metencephalon, and mesencephalon.
- Cerebellum: From alar plate of metencephalic vesicle, involved in balance and coordination.
Development of the Telencephalon and Diencephalon
- Telencephalon: Formation of cerebral hemispheres, limbic system components.
- Diencephalon: Forms thalamic structures, epithalamus, hypothalamus.
Hydrocephalus and Other Conditions
- Hydrocephalus: Accumulation of CSF due to blocked ventricular communication.
- Dandy-Walker Syndrome: Malformation of posterior cranial fossa.
These notes provide a comprehensive summary of the lecture on the development of the nervous system, highlighting important structures, processes, and associated conditions.