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Establishing the neuraxis
Medical School Devo
59
Other
Graduate
09/18/2011

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Cards

Term
When does Neurulation begin?
Definition
During 3rd week
Term
What signals the medial ectoderm to specialize into neuro-ectoderm?
Definition
The notocord
Term
How is Ectodermal phenotype maintained?
Definition
Process of autocrine signalling. The ectoderm cells secrete BMP-4 to maintain cell phenotype

Binds causing a phosphorylation event
-smad transcription factors
Term
How does the notocord signal ectoderm into neuro-ectoderm?
Definition
Releases BMP-4 antagonists

Chordin
Noggin
Follistatin
Term
Primary neurulation has how many "zipper points"?
Definition
5
Term
What results from a closure failure at segment 2?
Definition
Anencephaly
Term
What results from a closure failure at segment 5?
Definition
Spina Bifida
Term
What are dysraphisms?
Definition
Neural tube defects of primary neurulation
Term
Why do Neural Tube defects secondarily deform overlying tissue?
Definition
Because neural tubes are responsibly for much of the signalling of surrounding tissue
Term
What sort of deficiencies can cause a neural tube defects?
Definition
Folate or B12 deficiency causes a decrease in methionine synthesis which then causes neural tube defects
Term
What is the most common congenital brain malformation?
Definition
Anencephaly
Term
What is Anencephaly?
Definition
partial brain (meroancephaly)
meninges absent or hypoplastic
sometimes acrania
cranioshisis
facial abnormalities

common cause of polyhydramnios
Term
Why is anencephaly a common cause of polyhydramnios?
Definition
Result in facial and neural deformities that keep the fetus from swalling appropriately and increase amniotic volume
Term
What is an Arnold-Chiari malformation?
Definition
Herniation of cerebellar vermis and medulla through foramen magnum.

Caused by a small posterior cranial fossa
Term
What is the name for an incomplete cranial closure allowing sacular protrusions through skull openings?
Definition
Cranial Bifida
Term
What is the most common site for a cranial bifida?
Definition
Occipital region
Term
How would a Cranial meningocele be characterized?
Definition
A cranial bifida in which CSF and Dura-arachnoid sleeve compose the sacular protrusion
Term
How would a Meningoencephalocele be characterized?
Definition
A cranial bifida in which cerebral tissue is contained within the sacular protrusion
Term
How would a meningohydroencephalocele be characterized?
Definition
A Cranial Bifida in which the the brain ventricle makes up the contents of the sacular protrusion
Term
What are the three classes of Spina Bifida?
Definition
Spina Bifida Occulta, Meningocele, and Myelomeningocele
Term
Which is the only spina bifida presenting with sever neurological deficits?
Definition
Myelomeningocoele.

signs present inferior to lesion

motor/sensory deficits for lower extremity

parasympathetic dysfunction, incontinence
Term
What is a myelodysplasia?
Definition
Congenital neural tube defect of the secondary neurulation
Term
What forms S3-S5 and coccygeal cord segments?
Definition
Secondary Neurulation
Term
What is the most common myelodysplasia?
Definition
Tethered Cord syndrome
Term
What is Tethered cord syndrome?
Definition
defective filum terminale
-abnormally taut
-caused by congenital thickening, local lipoma formation, or scarring from meningomyelocele repair
Term
Where is the conus medullaris located at 8 weeks of gestation?
Definition
Cocc
Term
Where is the conus medullaris located at 24 weeks of gestation?
Definition
S1-2
Term
Where is the conus medullaris located on a newborn?
Definition
L3-L4
Term
Where is the Conus Medullaris located on an adult?
Definition
L1-L2
Term
What are the common presenting symptoms of tethered cord?
Definition
Saddle anesthesia
urinary incontinence
motor signs to lower extremity
Term
How is tethered cord treated?
Definition
Surgically repairable
Term
What are the three primary brain vesicles that are initially derived in the cranial region?
Definition
Prosencephalon: Forebrain
Mesencephalon
Rhombencephalon: hindbrain
Term
What are the two flexures in the neural tube? Which one remains in adults?
Definition
Cephalic Flexure (Remains in adults)
Cervical Flexure
Term
Prosencephalon differentiates into which vesicles?
Definition
Telencephalon
Diencephalon
Term
Thombencephalon differentiates in which vesicles?
Definition
Metencephalon
Myelencephlon
Term
What does the Mesencephalon and Rhombencephalon become in adults
Definition
Mesencephalon: Midbrain
Rhombencephalon
-Metencephalon: Pons
-Myelencephalon: Medulla
Term
What cranial nerve is associated with the telencephalon?
Definition
Olfactory
Term
What cranial nerve is associated with the diencephalon?
Definition
Optic
Term
What cranial nerves are associated with the mesencephalon?
Definition
Oculomoter and Trochlear
Term
What cranial nerves are associated with the metencephalon?
Definition
Trigeminal Abducens and Facial
Term
What
Definition
Term
What cranial nerve is associated with the metencephalon/myencephalon junction?
Definition
Vestibulocochlear
Term
What cranial nerves are associated with the myelencephalon?
Definition
Glossopharyngeal Vagus and Hypoglossal
Term
What cranial nerve is associated with the myelencephalon/Cord?
Definition
Spinal Accessory
Term
What is the name of the disease in which prosencephalization fails?
Definition
Holoprosencephaly
Term
Each cerebral hemisphere contains:
Definition
Corpus Callosum, Basal Ganglia, Hippocampus, Lateral ventrical, and gray and white matter
Term
What are the Diencephalon adult derivatives?
Definition
Thalamus, Hypothalamus, Pineal Gland, CN II, Retina, Posterior Pituitary
Term
What are the signalling molecules responsible for dorsal-ventral polarity in the neural tube?
Definition
BMP (Dorsal)
Shh (Ventral)
Term
What secretes Shh for neural tube ventral signalling?
Definition
Notocord and floor-plate
Term
What secretes BMP for ventral neural tube signalling?
Definition
Dorsal ectoderm and roof plate
Term
BMP dorsal signalling eventually forms the ___ ____ which then becomes the dorsal horn
Definition
Alar Plate
Term
Shh ventral signalling eventually forms the ___ ___ which then becomes the ventral horn
Definition
Basal Plate
Term
How is Dorsal ventral patterning done in proencephalization if the notocord does not reach that high?
Definition
SHH secreted by midline ventral structures
-creates medial and lateral ganglionic eminences (LGE=basal ganglia)
Term
What are the master control genes of segementation in the body?
Definition
Hox Genes
Term
What initiates hindbrain segementation?
Definition
Shh and the Isthmic Organizer (IO)
Term
What induces the isthmic organizer?
Definition
Signalling from notochord and head-organizing regions
Term
What are neuromeres?
Definition
7 designated hindbrain segments induced by Shh and Io
Term
What causes defective rhombomere formation?
Definition
Retinoids, powerful teratogen than inhibits hox expression
Term
Why are underage pregnant females such a high risk group for disrupted Hox gene expression?
Definition
Retinoic Acid is marketed for acne (commonly taken by teenagers)
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