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Neuronal Development • Dr. Donald Allen Development of the Brain • Begins on day 28 • Vesicles • Flexures Three Primary Vesicles • Develop during 4th week • Prosencephalon • Mesencephalon • Rhombencephalon Two Flexures • Cervical Flexure • Cephalic flexure Five Secondary Vesicles • Develop by 5th week • Derived from primary vesicles Five Secondary Vesicles • Prosencephalon – – • Mesencephalon • Rhombencephalon – – Adult neuroanatomy terms • The terms used are strictly used only to describe parts of the brain during development • Some of these terms are used (probably incorrectly) to describe structures in the adult brain – Telencephalon – Diencephalon – Mesencephalon Table 5-1, page 88 • Telecephalon – Cerebral hemispheres – Basal ganglia • Diencephalon – Thalamus, hypothalamus • Mesencephalon – Midbrain Pontine flexure • Does not persist in adulthood • As flexure forms, the walls of neural tube split apart Further Development of Telencephalon • Page 89, Figure 5-8 • The cerebral hemispheres expand so that they cover the diencephalon • The hemispheres become C-shaped • The insula region does not grow as fast, and it becomes covered by the frontal and temporal lobes • Surface folds to produce gyri and sulci Processes of Development • • • • • • • Cell migration Growth cone Neuronal death Axonal retraction Muscle fiber types Myelination Growing into deficit Cell migration • Neurons that divide are located next to the ventricles • Where is the gray matter (soma) in the cerebral cortex? • Neurons will either migrate by: – Sending out processes – Follow radial glia • Neurons differentiate once they reach their location • Location can determine differentiation Growth cone • When neurons migrate or send out a process • Growth cone – process – Samples environment • Moves toward attractants • Moves away from other chemicals – When growth cone reaches its target • Vesicles are produced • Synapse forms Neuronal death • The nervous system tends to overproduce neurons, which then compete for a limited number of targets • Neurons which do not make connections with other neurons or are not active tend to die • Motor neurons in spinal cord Axonal retraction • During innervation of muscles • Initially more than one motor neuron innervates each muscle fiber • During development, axons retract so that only one motor neuron innervates each muscle fiber Muscle fiber types • Muscle fibers can be slow-twitch or fast twitch • The muscle fiber type is dependent on the nerves, not the muscle • If we change the nerve, we can change the muscle fiber type Myelination • Begins 4th fetal month • Most myelination completed by end of third year of life • Myelination occurs at different rates in different systems – Lower motor neurons – by 1 month – Projections from motor cortex to spinal cord – 2 years (Babinski reflex) Growing into Deficit • There may be neurological problems that may not be immediately noticed • These impairments will become observed as the impaired systems become functional • For example, balance or lower extremity impairments may not be observed until a child begins to try to stand and walk Brain Development Postpartum • At birth, 400 grams • Increases in brain weight – – – – – Myelination Number of processes First 3 years, 3-fold increase in weight Brain growth then slows down 11 years old – 1400 grams (1100-1700) Brain weight with age and gender • Brain weight fairly constant till 50’s, then slow decline in overall weight • Men: larger brain by weight • Women: larger brain by weight of brain/weight of body Critical Periods • Times during development that are crucial for normal development and outcomes • Occur when – Neurons are dividing – Neurons competing for connections • Motor neurons :: number of limbs • Examples in humans – Vision – Language Disorders of Development • Neural tube disorders – A neuropore does not close correctly • Normal development depends on cells making contact with the proper types of other cells • Usual structures may not develop, or may develop incorrectly Caudal Neuropore • Failure to close – spina bifida – Vertebrae do not form normally – Associated with inadequate folic acid intake by mother – Several types (page 92) • Dr. Emmel in Systems Screening I Rostral Neuropore • Failure to close – Failure of forebrain to develop correctly • Often brainstem is present – Skull does not form over incomplete brain – Most fetuses die before birth • Otherwise, usually die within a week of birth Arnold-Chiari Syndrome • Developmental abnormality of hindbrain • Two types Arnold-Chiari Type I • Herniation of cerebellar tonsils through the foramen magnum • Medulla and pons often small • Often have no symptoms – Often begin in adolescence and early adulthood • Headache induced by coughing, sneezing, straining • Possible hydrocephalus (block CSF flow) • Cranial nerve dysfunction Arnold-Chiari Type I - Treatment • If deficits are stable, no treatment • If deficits are progressing, the bone that is compressing the hind brain can be removed Arnold-Chiari Type II • Signs present in infancy • Usually associated with meningomyelocele • Malformation of brainstem and cerebellum – Extend through foramen magnum Arnold-Chiari Type II • • • • • Progressive hydrocephaly Paralysis of sternocleidomastoid muscles Deafness Weakness in lateral eye movements Weakness in facial muscles Fetal Alcohol or Cocaine Exposure • Fetus exposed in utero • Fetal Alcohol Syndrome Fetal Alcohol Syndrome Fetal Cocaine Exposure • Effect depends on stage of development • Disrupts neuronal proliferation • Interferes with neurodevelopmental processes • Effects more subtle than those of alcohol • Also affected by low socioeconomic status, use of other illegal drugs, smoking, poor maternal nutrition, and STD Cerebral Palsy • Non-progressive and permanent • Injury to developing brain – Prenatal, postnatal, or at time of birth • Defined by motor and postural impairments, though may also have sensory and cognitive impairments • Growing into deficit is common Types of Cerebral Palsy • • • • Spastic Athetoid Ataxic Mixed Spastic Cerebral Palsy • Damaged neurons next to ventricles – Axons of neurons in cerebral cortex • Toe Walking • Scissor gait Athetoid Cerebral Palsy • Damage in basal ganglia • Slow, writhing movements of extremities and/or trunk Ataxic Cerebral Palsy • • • • Damage to cerebellum Lack of coordination Weakness Shaking movements (tremor) during movements Mixed Cerebral Palsy • Combination of above types of cerebral palsy