Notes in CNS Development

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Published 11/30/2024 Common infectious agents in utero:- {{c1::Toxoplasmosis}}- {{c1::Others (syphilis, hepatitis B)}}- {{c1::Rubella}}- {{c1::Cytomegalovirus}}- {{c1::Her…
Published 11/30/2024 Common teratogenic pregnant person metabolic diseases- {{c1::Diabetes}}- {{c1::Iodine deficiency}}- {{c1::Phenylketonuria}}
Published 11/30/2024 Common teratogenic pregnant person toxin/drug exposure- {{c1::Vitamin excess}}- {{c1::Isoretinoin}}- {{c1::Anticonvulsants}}- {{c1::Alcohol}}- {{c1::R…
Published 11/30/2024 Common teratogenic physical agents such as- {{c1::hyperthermia}}- {{c1::radiation}}- {{c1::trauma}}
Published 11/30/2024 CNS malformation typically occurs in the {{c1::embryonic}} phase
Published 11/30/2024 CNS deformation typically occurs in {{c1::fetal}} phase
Published 11/30/2024 {{c2::CNS malformation}} is an ambnormality in morphogenesis due to {{c1::an intrinsic problem within the developing structure}}
Published 11/30/2024 {{c2::CNS deformation}} is an ambnormality in morphogenesis due to {{c1::an extrinsic force on a normally developing or developed structure}}
Published 11/30/2024 {{c2::Hypoplasia}} is the {{c1::underdevelopment or incomplete development of an organ or tissue}}
Published 11/30/2024 Neural tube defects have decreased significantly since {{c1::folate supplementation}}
Published 11/30/2024 Pregnant person risk factors for neural tube defects:- {{c1::Valproic acid (anti seizure medication)}}- {{c1::vitamin a (Retinoic acid)}}-&n…
Published 11/30/2024 Neural Tube Defects preventative measure- {{c1::Folic acid}} supplementation {{c1::1-3 months prior to and during pregnancy::timeframe}}
Published 11/30/2024 Neural Tube DefectsTiming: {{c1::weeks 3-4 (primary neurulation) or 4-7 (secondary neurulation)}}Location: {{c2::brain or spinal cord}}Cause…
Published 11/30/2024 CNS abnormalities categories- {{c1::CNS anomalies}}- {{c1::CNS malformation}}- {{c1::CNS deformation}}- {{c1::Hypoplasia}}
Published 11/30/2024 Dysraphism is an {{c1::incomplete closure of a union or seam}}
Published 11/30/2024 Open neural tube defects involve {{c1::sclerotome & dermamyotome::somite division/s}}
Published 11/30/2024 Closed neural tube defects involve {{c1::the sclerotome::somite division/s}}
Published 11/30/2024 Open neural tube defects have at least some continuation between {{c1::external}} surface of developing fetus & underlying {{c1::neural tissue}} w…
Published 11/30/2024 Unifying hypothesis states {{c1::open::open/closed}} neural tube defects (NTDs) lead to {{c1::CSF leakage}} which in turns leads to failure of {{c1::n…
Published 11/30/2024 CraniorachschisisType: {{c1::Open::Open/Closed}}Timing: before day {{c2::22}}Causes: {{c3::complete failure of primary neurulation}}Symptoms…
Published 11/30/2024 AnencephalyType: {{c1::Open::Open/Closed}}Timing: before day {{c2::24}}Causes: {{c3::Traditional theory: failure of anterior neuropore closu…
Published 11/30/2024 MyelomeningoceleType: {{c1::Open::Open/Closed}}Timing: before day {{c2::26}}Causes: {{c3::Partial failure of primary neurulation.}}Symptoms:…
Published 11/30/2024 Chiari type II malformation has a small {{c1::posterior fossa}} withcrowded and distorted {{c1::posterior fossa}} contents - the {{c1::cerebellum…
Published 11/30/2024 Hydrocephalus in myelomeningocele typically caused by {{c1::obstructed 4th ventricle or narrowed subarchnoid space in the posterior fossa (cerebe…
Published 11/30/2024 MyeloschisisType: {{c1::Open::Open/Closed}}Timing: before day {{c2::26}}Causes: {{c3::failure of primary neurulation}}Symptoms: {{c4::A…
Published 11/30/2024 EncephaloceleType: {{c1::Closed::Open/Closed}}Timing: before day {{c2::24}}Causes: {{c3::Traditional theory: disorder of primary neurulation…
Published 11/30/2024 MeningoceleType: {{c1::Both::Open/Closed}}Timing: before day {{c2::28 (lumbar) or 49 (sacral)}}Causes: {{c3::Disturbance of primary or secon…
Published 11/30/2024 Spina bifida occultaType: {{c1::Closed::Open/Closed}}Timing: before day {{c2::49}}Causes: {{c3::disjunction (separation of overlying ectoder…
Published 11/30/2024 Disjunction impairs the insertion of {{c1::mesoderm}} between the {{c1::ectoderm}} and {{c1::neural tube}}.
Published 11/30/2024 Disjunction results in disturbed development of {{c1::vertebrae}} and {{c1::related mesodermal tissue.}}
Published 11/30/2024 Tethered cordType: {{c1::Closed::Open/Closed}}Timing: before day {{c2::49}}Causes: {{c3::Spina cord attached to fatty growth (lipomeningocel…
Published 11/30/2024 Early neural tube layers:- {{c1::ventricular zone}} also called {{c1::neuroepithelial layer}}- {{c1::intermediate zone}} also called&nb…
Published 11/30/2024 cf832b7f10a441e9868586e34d5b7d89-ao-1
Published 11/30/2024 Ventricular zone consists of {{c1::ependymal}} cells
Published 11/30/2024 Intermediate zone consists of {{c1::neurons and glial}} cells
Published 11/30/2024 Marginal zone consists of {{c1::Nerve fibers (axons) of the neuroblasts of the intermediate layer and glial}} cells
Published 11/30/2024 Neuroblasts form in the {{c1::ventricular}} zone and migrate into the {{c1::intermediate}} layer
Published 11/30/2024 Ventricular zone ultimately forms {{c1::all neurons and most glial cells of the spinal cord and brain}}
Published 11/30/2024 Neurons and glial cells in the intermediate zone develop from {{c1::neuroblasts that migrated from the ventricular zone}}
Published 11/30/2024 Intermediate zone ultimately forms {{c1::gray matter}} of the spinal cord & brain
Published 11/30/2024 Intermediate zone forms {{c1::alar and basal}} plates
Published 11/30/2024 Marginal zone ultimately becomes {{c1::the white matter of the spinal cord & brain}}
Published 11/30/2024 Basal plate is the {{c1::ventrolateral::location}} thickening of the {{c1::intermediate}} zone
Published 11/30/2024 Alar plate is the {{c1::dorsolateral::location}} thickening of the {{c1::intermediate}} zone
Published 11/30/2024 Basal plate in the spinal cord ultimately forms the {{c1::lateral and ventral horns and ventral roots}} during week {{c2::6}}
Published 11/30/2024 Alar plate in the spinal cord ultimately forms the {{c1::sensory neuroblasts of the dorsal horn}} during week {{c2::6}}
Published 11/30/2024 Dorsal roots of spinal cord formed by {{c1::dorsal root ganglia}}
Published 11/30/2024 {{c1::Dorsal roots}} project towards {{c1::ventral roots}} to form the spinal nerve
Published 11/30/2024 Roof and floor plate function: {{c1::pathways for nerve fibers crossing from one side to another}}
Published 11/30/2024 Sulcus limitants appears during week {{c1::4}}
Published 11/30/2024 Sulcus limitants function: {{c1::separates alar and basal plates}}
Published 11/30/2024 Spinal cord at week {{c2::8}} extends to {{c1::entire length of the vertebral canal::location in vertebral canal}}
Published 11/30/2024 The vertebral column and dura mater grow {{c1::faster::faster/slower}} than the spinal cord
Published 11/30/2024 Spinal cord at week {{c2::24}} extends to {{c1::S1::location in vertebral canal}}
Published 11/30/2024 Spinal cord at week {{c2::40 (birth)}} extends to {{c1::L5::location in vertebral canal}}
Published 11/30/2024 Spinal cord at week {{c2::43 (3 weeks postnatal)}} extends to {{c1::inferior border of L1 (ranges from superior T12-L3)::location in vertebral ca…
Published 11/30/2024 Dura and arachnoid mater end at {{c1::S2::spinal cord level}} in adults
Published 11/30/2024 Primary brain vesicles during week {{c2::4-5}}- {{c1::Prosencephalon (forebrain)}}- {{c1::Mesencephalon (midbrain)}}- {{c1::Rhombenceph…
Published 11/30/2024 Midbrain flexure forms during weeks {{c1::4 and 5}}
Published 11/30/2024 Midbrain flexure moves {{c1::mesencephalon::structure}} to {{c1::summit of the brain::location}}
Published 11/30/2024 Midbrain flexure is also called {{c1::mesencephalic}} flexure, {{c1::cephalic}} flexure, and {{c1::cranial}} flexure
Published 11/30/2024 {{c1::Midbrain-hindbrain junction}} is a {{c2::critical organizer that orchestrates patterning::function}} for cerebellum
Published 11/30/2024 Midbrain flexure develops between {{c1::prosencephalon}} and {{c1::rhombencephalon}}
Published 11/30/2024 Cervical flexure develops between {{c1::rhombencephalon}} and {{c1::spinal cord}}
Published 11/30/2024 pontine flexure develops between {{c1::proximal rhombencephalon}} and {{c1::distal rhombencephalon}}
Published 11/30/2024 {{c1::pontine}} flexure causes the walls of the neural tube to flare
Published 11/30/2024 The 4th ventricle is ultimately formed by {{c1::pontine}} flexure
Published 11/30/2024 Result of arrested development of neural tube flexures: {{c1::kinked (z-shaped) brain stem and cerebellar hypoplasia}}
Published 11/30/2024 Secondary brain vesicles during week {{c2::5-6}}- {{c1::Telencephalon (prosencephalon)}}- {{c1::Diencephalon (prosencephalon)}}- {{c1::…
Published 11/30/2024 b5b945b78a0142449f213e45f8b55ea8-ao-1
Published 11/30/2024 b5b945b78a0142449f213e45f8b55ea8-ao-2
Published 11/30/2024 Compared to spinal cord, brain alar plates are more {{c1::lateral::direction}}
Published 11/30/2024 Prosencephalon basal plates {{c1::regress::proliferate/regress}}
Published 11/30/2024 Prosencephalon alar plates {{c1::proliferate::proliferate/regress}}
Published 11/30/2024 Sulcus limitans stops in the brain at {{c1::the midbrain forebrain junction}}
Published 11/30/2024 Compared to spinal cord, brain roof plates are {{c1::thinner and wider}}, especially in the {{c1::brainstem}}
Published 11/30/2024 Cerebellum formation begins at week {{c1::5}} with formation of {{c2::rhombic lips}}
Published 11/30/2024 Cerebellum {{c2::enlarges, fuses to midline, and projects over 4th ventricle}} by week {{c1::8}}
Published 11/30/2024 Cerebellum {{c2::hemispheres and vermis are visible}} by week {{c1::12}}
Published 11/30/2024 Cerebellum {{c2::roof separates into anterior and posterior membranous areas}} by week {{c1::10}}
Published 11/30/2024 Cerebellum primary events- {{c1::Patterning of MHB junction (isthmic organizer) and cerebellar angle}}- {{c1::4th ventricle roof development…
Published 11/30/2024 anterior membranous area contains {{c1::neurons}}
Published 11/30/2024 Cerebellar vermis is incorporated into {{c1::anterior membranous area (AMA)}}
Published 11/30/2024 {{c1::posterior membranous area}} is perforated to form {{c2::foramen of Magendie and foramen of Luschka}}
Published 11/30/2024 Disturbances during {{c2::cerebellar development of the 4th ventricular roof}} results in {{c1::many of the posterior cranial / brain disorders includ…
Published 11/30/2024 cerebellar hemispheres & vermis are primarily derived from the {{c1::alar plate}} near the {{c1::midbrain-hindbrain junction & 1st rhombomere}…
Published 11/30/2024 Disruption of {{c2::cerebellar hemispheres and vermis development}} results in {{c1::mild-to-severe hypoplasia-dysplasia disorders}}
Published 11/30/2024 The major components of the cerebellum are in place by week {{c1::20}}
Published 11/30/2024 {{c1::Dandy walker anomaly}} is a fundamental defect in the development of {{c2::the rhombencephalic roof and vermis}}
Published 11/30/2024 Dandy Walker Anomaly anatomical abnormalities- {{c1::Complete or partial agenesis of cerebellar vermis}}- {{c1::Cystic dilation of 4th ventr…
Published 11/30/2024 Dandy walker anomaly timing: weeks {{c1::8-16}}
Published 11/30/2024 Dandy walker anomaly associated complications- {{c1::Hydrocephalus}}- {{c1::Occipital encephaloceles}}- {{c1::Dysplasia-hypoplasia of c…
Published 11/30/2024 Dandy walker anomaly symptoms: {{c1::variable. Dependant on severity/presence of associated anomalies}}
Published 11/30/2024 Chiari anomaly: {{c1::part of cerebellum (and sometimes brainstem) located inferior to foramen magnum}}
Published 11/30/2024 Chiari anomalies have {{c1::4}} types
Published 11/30/2024 Chiari type I: {{c1::extension of cerebellar tonsils into foramen magnum with no brainstem involvement}}
Published 11/30/2024 Chiari type II {{c1::extension of cerebellar and brainstem tissue into foramen magnum}}
Published 11/30/2024 Chiari type III: {{c1::Cerebellum and brainstem herniate through the brainstem magnum into the spinal cord}}
Published 11/30/2024 Chairi anomalies most to least common:- {{c1::Type I}}- {{c1::Type II}}- {{c1::Type III}}
Published 11/30/2024 Type {{c1::II}} chiari anomalies highly associated with myelomeningocele
Published 11/30/2024 Chiari type II also called {{c1::Arnold chiari}}
Published 11/30/2024 Chiari anomaly clinical presentation in newborns:- {{c1::Sound production, respiratory, and feeding/swallowing difficulties}}
Published 11/30/2024 Chiari anomalies clinical presentation in adults:- {{c1::difficulty with cerebellar-related activity}}- {{c1::Speaking/respiratory/swallowin…
Published 11/30/2024 Forebrain has no {{c1::basal}} plates
Published 11/30/2024 Prosencephalic earliest prominent phase during week {{c1::5-6}}
Published 11/30/2024 Prosencephalic development peaks during weeks {{c1::8-16}}
Published 11/30/2024 Forebrain developmental events:- Prosencephalic {{c1::formation}}- Prosencephalic {{c1::cleavage}}- Prosencephalic {{c1::midline develo…
Published 11/30/2024 Disruption during prosencephalic formation stage results in {{c1::aprosencephaly (lack of telencephalon/diencephalon) or atelencephaly (lack of t…
Published 11/30/2024 Prosencephalic cleavages:- {{c1::Horizontal}}- {{c1::Transverse}}- {{c1::Sagittal}}
Published 11/30/2024 Horizontal prosencephalic cleavage ultimately forms {{c1::paired optic vesicles, olfactory bulbs & tracts}}
Published 11/30/2024 Transverse prosencephalic cleavage ultimately forms {{c1::telencephalon and diencephalon}}
Published 11/30/2024 Sagittal prosencephalic cleavage ultimately forms {{c1::paired cerebral hemispheres, lateral ventricles, and portions of basal ganglia}}
Published 11/30/2024 Diencephalon ultimately forms {{c1::a portion of basal ganglia, thalamus, third ventricle, and posterior portion of pituitary gland (neurohypophysis, …
Published 11/30/2024 Anterior portion of pituitary gland develops from {{c1::an upgrowth of ectodermal roof of stomodeum (hypophysial diverticulum; Rathke’s pouch)}}
Published 11/30/2024 Sagittal cleavage disruption results in {{c1::holoprosencephaly (telencephalon/diencephalon doesn't separate) or holotelencephaly (telencephalon …
Published 11/30/2024 Holoprosencephaly: {{c1::prosencephalon fails to develop into 2 hemispheres}}
Published 11/30/2024 Most severe form of holoprosencephaly is also called {{c1::alobar holoprosencephaly}}
Published 11/30/2024 In holoprosencephaly, {{c2::abnormally close together (hypoterlorism) or fused eyes (cyclopia) and lacking nose::symptoms}} result from {{c1::red…
Published 11/30/2024 Severity of holoprosencephaly depends on {{c1::degree of development of median plane}}
Published 11/30/2024 Holoprosencephaly genetic and environmental factors:- {{c1::Trisomy 13 (patau syndrome)}}- {{c1::Pregnant person diabetes}}- {{c1::Tera…
Published 11/30/2024 Prosencephalic midline development occurs during week {{c1::10-16}}
Published 11/30/2024 The 3 crucial thickenings of prosencephalic midline development:- {{c1::Commissural (septum pellucidum/corpus callosum)}}- {{c1::Chiasmatic …
Published 11/30/2024 Prosencephalic midline development disruption can result in {{c1::agenesis of corpus callosum or dysplasia of other midline thickenings}}
Published 11/30/2024 Corpus callosum develops from the {{c1::lamina terminalis}}
Published 11/30/2024 The anterior neuropore becomes the {{c1::lamina terminalis}}
Published 11/30/2024 Agenesis of corpus callosum symptoms: {{c1::sometimes asymptomatic. Commonly causes seizures/intellectual disabilities}}
Published 11/30/2024 Gray matter of subcortical areas (basal ganglia/thalamus/etc) {{c2::do not migrate::do/don't migrate}} and are formed by {{c1::intermediate}} zon…
Published 11/30/2024 Cerebral cortex cells {{c2::do migrate::do/don't migrate}} and are formed by {{c1::intermediate}} zone
Published 11/30/2024 Cerebral cortex cells migrate from {{c1::intermediate}} zone to {{c1::marginal zone}}
Published 11/30/2024 Choroid plexus is formed by {{c1::tufts of capillaries::structure}} invaginate into {{c1::roof plates::structure}} of the {{c1::forebrain and hin…
Published 11/30/2024 Choroid plexus starts to secrete ventricular fluid by week {{c1::5}}
Published 11/30/2024 CSF substance constituents sources:- {{c1::ventricular fluid}}- {{c1::brain and spinal cord}}- {{c1::pia mater and arachnoid mater}}
Published 11/30/2024 Types of hydrocephalus:- {{c1::obstructure/noncommunicating hydrocephalus}}- {{c1::nonobstructive/communicating hydrocephalus}}
Published 11/30/2024 Obstructive hydrocephalus is caused by {{c1::blocked/inadequate communication between ventricles and subarachnoid space}}
Published 11/30/2024 Common causes of obstructive hydrocephalus- {{c1::Congenital aqueductal stenosis}}- {{c1::Choroid plexus tumors that secrete too much CSF}}-…
Published 11/30/2024 Non-obstructive hydrocephalus is caused by {{c1::Absorption of the CSF is impaired or too much CSF}}
Published 11/30/2024 Non-obstructive hydrocephalus common causes:- {{c1::Obliteration of subarachnoid cisterns}}- {{c1::Malfunction of arachnoid villi}}- {{…
Published 11/30/2024 The big events of fetal brain development- {{c1::neuron production, migration, and differentiation}}- {{c1::Formation of sulci and gyri}}-&n…
Published 11/30/2024 Neuronal production begins on day {{c1::42}}
Published 11/30/2024 Neuronal production is mostly complete by {{c1::mid gestation}} in the brain 
Published 11/30/2024 Neuronal migration results in rudimentary {{c1::neural networks}}
Published 11/30/2024 Major fiber pathways are established by week {{c1::38}}
Published 11/30/2024 Sulci and gyri develop especially during weeks {{c1::32-40}}
Published 11/30/2024 Lissencephaly is caused by {{c1::incomplete neuronal migration to the cerebral cortex}}
Published 11/30/2024 Lissencephaly occurs during week {{c1::8-16}}
Published 11/30/2024 Lissencephaly main characteristics:- {{c1::smooth cerebral surface.}}- {{c1::neuronal heterotopia (abnormal placement of cell bodies other than cortic…
Published 11/30/2024 Lissencephaly discovery timing: {{c1::infant/newborn::infant/childhood/adulthood}}
Published 11/30/2024 Lissencephaly clinical presentation in infants: {{c1:: asymptomatic typically. sometimes apnea/poor feeding/decreased muscle tone. May develop mi…
Published 11/30/2024 Lissencephaly clinical presentation in adults- {{c1::Seizures}}- {{c1::profound intellectual and developmental delays}}- {{c1::spastic quadriplegia}}
Published 11/30/2024 Grey matter heterotopia: {{c1::ectopic (abnormal place) grey matter}}
Published 11/30/2024 Grey matter heterotopia is the basis for some {{c1::seizure}} disorders
Published 11/30/2024 Fetal alcohol syndrome impairs {{c1::cellular adhesion::process}} important for {{c1::cytoskeletal}} structure and may disrupt neuronal {{c1::mig…
Published 11/30/2024 Synaptogenesis enters peak period during week {{c1::34}}
Published 11/30/2024 Neuron production peaks at week {{c1::28}} in general
Published 11/30/2024 Neuronal apoptosis purpose:- {{c1::correct errors in neuronal production/migration}}- {{c1::Eliminate neurons that sent projections to incor…
Published 11/30/2024 Postnatal brain development big picture events:- limited {{c1:: neuron production}}- onset of {{c1:: myelination}}- Synaptic {{c1:: pruning}}- Cortica…
Published 11/30/2024 Myelination order first to last:- {{c1::sensory pathways}}- {{c1::motor pathways}}- {{c1::association pathways}}
Published 11/30/2024 Cortical thinning occurs due to - {{c1::synaptic pruning}}- {{c1::myelination}}
Published 11/30/2024 Cortical thinning order- {{c1::sensory}}- {{c1::motor}}- {{c1::association and higher-order cortical areas}}
Published 11/30/2024 Thinning in motor areas is important for {{c1::fine motor skills}}
Published 11/30/2024 Thinning in language areas is important for {{c1::phonological processing skills}}
Published 11/30/2024 Significant cerebellum developmental lesions are screened with {{c1::prenatal ultrasound}}
Published 11/30/2024 NTDs are screened for by {{c1::Maternal serum alpha-fetoprotein (MSAFP) screening}}
Published 11/30/2024 maternal serum alpha-fetoprotein (MSAFP) screenings are done after week {{c1::12}}
Published 11/30/2024 Causes for increased alpha fetoprotein- {{c1::Fetal death}}- {{c1::Twins}}- {{c1::Contaminated fetal blood}}- {{c1::Digestive tract restrictions (duod…
Published 11/30/2024 Myelomeningoceles are treated prenatally by {{c1::fetal myelo repair (MOMS study)}} during weeks {{c2::19-25}}
Published 11/30/2024 Myelomeningoceles are treated perinatally by {{c1::Caesarean section}} then {{c2::surgical repair}} within {{c2::72}} hours
Published 11/30/2024 Typical patient outcome for myelomeningoceles at S2 is {{c1::good (typically able to walk)}}
Published 11/30/2024 Typical patient outcome for myelomeningoceles at >L2 is {{c1::poor (typically unable to walk)}}
Published 11/30/2024 Neuronal migration peaks during weeks {{c1::12-20}}
Published 11/30/2024 Synaptic pruning peaks during {{c1::childhood::infancy/childhood/adolescence/adulthood}}
Published 11/30/2024 Cortical thinning peaks during {{c1::early adolescence::infancy/childhood/adolescence/adulthood}}
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