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Development of the spinal
cord
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• The nervous system develops from an
area of embryonic ectoderm called the
neural plate which appears during week3.
• The underlying notochord and adjacent
mesoderm induce the formation of theneural plate.
• The neural tube and the neural crest
differentiate from the neural plate.
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• The neural tube gives rise to the
central nervous system (brain and
spinal cord; .• The neural crest gives rise to the
peripheral nervous system (cranial,
peripheral, autonomic ganglia andnerves) and Schwann cells, pigment
cells, odontoblasts, meninges, and
bones and muscles of the head .
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Central nervous system• Formation of the neural tube
begins during the early part ofweek 4 (22-23 days) in the regionof the 4th to 6th pairs of somites
(future cervical region of thespinal cord;
• At this stage ,the cranial 2/3 of the
neural plate and neural tube downto somites #4 represent the brainand the caudal 1/3 of the neuraltube and plate represent thespinal cord.
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• Neural folds fuse and the neural tube is
temporarily open at both ends,
communicating freely with the amnioticcavity.
• The rostral neuropore closes around day
25 and caudal neuropore on day 27.• Walls of the neural tube thicken to form
the brain and spinal cord.
• The lumen of the neural tube is convertedto the ventricular system of the brain and
the central canal of the spinal cord.
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• The spinal cord is formed from the neural tubecaudal to somites 4.
• The central canal is formed by week 9 or 10 .
• Pseudostratified, columnar neuroepithelium inthe walls constitute the ventricular zone(ependymal layer) and give rise to all neuronsand macroglial cells (astroglia and
oligodendroglia) in the spinal cord.• The outer parts of the neuroepithelial cellsdifferentiate into a marginal zone which will giverise to the white matter of the spinal cord asaxons grow into it from neurons in the spinal
cord, spinal ganglia and brain.• Neuroepithelial cells in the ventricular zone
differentiate into neuroblasts and form anintermediate zone between the ventricular and
marginal zones. They will give rise to neurons.
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• Glioblasts (spongioblasts) differentiate from
neuroepithelial cells after neuroblast formation
has stopped. They migrate from the ventricularzone into the intermediate and marginal zones.
• Some become astroblasts and then astroglia
(astrocytes). Others become oligodendroblasts
and then oligodendroglia (oligodendrocytes).The remaining neuroepithelial cells differentiate
into ependymal cells lining the central canal of
the spinal cord
• Microglia are derived from the mesenchymal
cells. They invade the nervous system late in
the fetal period after penetration from blood
vessels.
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• Proliferation and differentiation of
the neuroepithelial cells in the
developing spinal cord producethick walls and thin roof and floor
plates.
• A shallow longitudinal sulcus
limitans appears in the lateral
walls of the spinal cord andseparates the dorsal alar plate
from the ventral basal plate
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• Alar plates: cells form the dorsal
horns and will have afferent
functions.• Basal plates: cells form the ventral
and lateral horns and will have
efferent functions. Axons grow out ofthe spinal cord to form the ventral
roots.
• The dorsal root ganglia are formedfrom the neural crest cells. Their
axons enter the spinal cord and form
the dorsal roots.
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• Mesenchyme surrounding the
neural tube condenses to formthe primitive meninx.
• The outer layer thickens toform the dura mater .
• The inner layer remains thin
and forms the pia-arachnoid
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• Positional changes of the developing
spinal cord
• In the embryo, the spinal cord extends theentire length of the vertebral canal and the
spinal nerves pass through the
intervertebral foramina near their levels oforigin.
• This relationship does not persist because
the spine and the dura mater grow morerapidly than the spinal cord. The caudal
end of the spinal cord comes to lie at
relatively higher levels.
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• Positional changes of the
developing spinal cord.
• At month 6 of gestation, the end of
the spinal cord lies at the level of S1.
• In the newborn infant, it lies at L 3• In the adult, it lies at L 1.
• Lumbar and sacral spinal nerve roots
run obliquely from the spinal cord totheir corresponding intervertebral
foramina inferiorly.
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• Congenital malformations:
• are mostly due to the defective closure of
the caudal neuropore at the end of week4.
• The defects will involve the tissue
overlying the spinal cord (meninges,vertebral arch, dorsal muscles and skin).
• involving the spinal cord and vertebral
arches are called spina bifida (nonfusionof the vertebral arches
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• Spina bi f ida occu l ta.
• is a defect in the vertebral arch (neural arch)
resulting from failure of the halves of thevertebral arch to grow normally and fuse in the
median plane.
• occurs at L 5 or S 1 vertebra in about 10% of the
population.
• may only be evident as a small dimple with a tuft
of hair.
• produces no clinical symptoms although a smallpercentage may have significant defects of the
underlying spinal cord and spinal roots.
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• Spinal dermal sinus
• representing the area of closureof the caudal neuropore at theend of week 4, may exist.
• It is the last place of separationbetween the ectoderm and theneural tube.
• The dimple may be connected bya fibrous cord with the duramater.
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• In t ramedu l lary dermoids are
tumors arising from surfaceectodermal cells incorporated
into the neural tube during
closure of the caudal
neuropore.
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• Spina bifida cystica
• is a protrusion of the spinal cord and/or
meninges through the defective neuralarch.
• is present in 1/1000 births.
• may result in loss of sensation in
corresponding dermatome, complete or
partial skeletal muscle paralysis, sphincter
paralysis (with lumbarmeningomyeloceles) and saddle
anesthesia.
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• Spina bifida
• with meningocele: only meninges and
cerebrospinal fluid in the sac.• with meningomyelocele : spinal cord and nerve
roots included with meninges and CSF in the
sac, covered by skin or thin membrane. There
are marked neurological deficits inferior to thesac, due to incorporation of the neural tissue into
the wall of the sac.
• with myeloschisis (with myelocele: open spinalcord due to failure of neural folds to fuse. The
spinal cord in this area is a flattened mass.
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• cystica and/or meroanencephaly (absence
of part of the brain; is suspected in utero
when there is a high-level of alpha-fetoprotein in the amniotic fluid or in the
maternal blood serum.
• Amniocentesis or ultrasound should beperformed at about week 10 when the
vertebral column becomes visible.
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• The telencephalon is the most rostral of
the secondary vesicles.
• Two buds emerge from either side of itsrostral portion to form the two
telencephalic vesicles.
• These two vesicles grow rapidly to formthe two cerebral hemispheres.
• First they grow back over the
diencephalon, then they grow down tocover its sides.
•
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A th i f i l ill l t
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• Another pair of vesicles will also sprout
from the ventral surface of these cerebral
hemispheres to become the olfactory
bulbs and other structures that contributeto the sense of smell.
• Various structures will then emerge from
the walls of the telencephalon while thewhite matter that connects these
structures develops as well.
• The neurons of the telencephalon wallproliferate to form three distinct regions—
the cerebral cortex, the basal
telencephalon, and the olfactory bulb.
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• The axons of these neurons will also graduallyelongate to make connections with the otherparts of the nervous system.
• Some of these axons will constitute the corticalwhite matter that arises from and projects toneurons in the cortex.
• Others will form the corpus callosum, the bandof nerve fibres that connects the twohemispheres of the brain. Still others—those ofthe internal capsule—will connect the corticalwhite matter to the brain stem, generally by wayof the thalamus.
• For example, the axons arising from the motorcortex will pass through the internal capsule toconnect to the motor neurons in the spinal cord.
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• In the the remaining space between thetelencephalon and the diencephalon oneither side, the two cerebral ventricles(also known as the lateral ventricles or thefirst and second ventricle) form, while thethird ventricle forms in the space at the
centre of the diencephalon.
The diencephalon also differentiates intodistinct areas: the thalamus and the
hypothalamus. •
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• On either side of the diencephalon, two
secondary vesicles also develop—the
optic vesicles.• The optic vesicles lengthen and fold
inward to form the optic peduncles and
optic cups, which will give rise to theretinas and the optic nerves.
• The retinas and the optic nerves are
therefore not part of the peripheralnervous system, but rather they are
integral parts of the brain!
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• Compared with the prosencephalon(telencephalon and diencephalon), themesencephalon undergoes far lesstransformation.
• Its dorsal surface forms the tectum, whileits floor forms the tegmentum.
• While these structures are differentiating,the cavity that separates them shrinks to anarrow channel called the cerebral
aqueduct.• The rostral portion of this aqueduct opens
into the third ventricle of the diencephalon.
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• The mesencephalon serves as the passagewayfor the bundles of fibres that connect the cortexto the spinal cord—both those that arise from the
sensory system and those that descend toparticipate in movement control.
The tectum differentiates into two structures.
One, the superior colliculus, receivesinformation directly from the eye and controlseye movements.
• The other, the inferior colliculus, receives
information from the ear and serves as animportant relay in the auditory pathways.
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• The tegmentum is one of the mostcolourful areas of the brain.
• It contains the substantia nigra (“blackmatter”) and the red nucleus, twostructures that are involved in controllingvoluntary movement.
• Other groups of cells in themesencephalon project their axonsdiffusely into large areas of the brain and
influence a wide variety of functions, suchas consciousness, mood, pleasure andpain.
• Caudal to the mesencephalon lies the
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Caudal to the mesencephalon lies themetencephalon, which is the rostralportion of the hindbrain and differentiatesinto two major structures: the cerebellum and the pons.
• The cerebellum arises from the thickeningof the tissue covering the lateral walls ofthe neural tube at this location.
• The two masses thus formed ultimatelyfuse dorsally to form the cerebellum.
• During this time, a swelling develops on
the ventral side of the metencephalon andforms the pons.
• This structure is an important informationpathway between the brain, the
cerebellum, and the spinal cord.
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• In the the myelencephalon (the caudalportion of the hindbrain) the changes areless spectacular.
• The ventral and lateral regions of thisstructure swell to form the medullaoblongata.
• Along the ventral aspect of the medulla,the two medullary pyramids will alsodevelop, formed by the passage of the
corticospinal bundles responsible forvoluntary movement.
• Lastly, the central canal, which persistswhile the medulla is forming, becomes the
fourth ventricle
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• The entire portion of the neural tube
that lies caudal to the five secondary
vesicles becomes the spinal cordthrough a fairly direct process of
differentiation consisting in the
thickening of the tube walls.
• This thickening gradually reduces the
diameter of the neural tube until it
becomes the very narrow spinal
canal.
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• As the cross-section shown here
illustrates, the cell bodies of the neurons in
the spinal cord are concentrated in thegrey matter at the centre (the butterfly-
shaped area), while the white matter at
the periphery is composed of bundles of
axons.
• The grey matter of the spinal cord is in
turn divided into the dorsal horn, which
receives sensory inputs, and the ventral
horn, whose neurons innervate the
skeletal muscles.
• Likewise, within the white matter, there
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Likewise, within the white matter, theredevelop dorsal columns composed ofsensory axons that ascend to the brain
and lateral columns composed ofcorticospinal axons that descend totransmit signals for controlling movement.
• Between the dorsal and ventral horns, alarge number of interneurons also developthat are involved in various types ofreflexes as well as in establishing
networks that perform initial processing ofthe information received in the spinal cord.
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