Development of the Nervous System & Clinical Correalates in Padiatrics - Part 2 Flashcards Preview

Child Health week 1 > Development of the Nervous System & Clinical Correalates in Padiatrics - Part 2 > Flashcards

Flashcards in Development of the Nervous System & Clinical Correalates in Padiatrics - Part 2 Deck (11)
Loading flashcards...
1

In general terms what is the overall role of the prenatal and then postnatal periods in brain development ?

  • Prenatal - serves to establish the core components of the CNS
  • Postnatal - the mature organisation of the brain

2

How does enrichment and deprivation affect brain development ?

Basically in postnatal kids if an eye is blocked for some reason it can cause the bands or coloums representing the deprived eye to shrink and also alter patterns organisation within the primary visual cortex. This can result in poor vision in the affected eye or blindness i think. 

3

What are some of the things that can cause defects and affect development ?

  • Faulty genes, chemical messaging and glial guides
  • Intrauterine insults
  • Extrauterine insult and exposures
  • Timing

4

What is anencephaly ?

A severe congenital condition in which a large part of the skull is absent along with the cerebral hemispheres of the brain.

5

What is spina bifida ?

A congenital defect of the spine in which part of the spinal cord and its meninges are exposed through a gap in the backbone. It often causes paralysis of the lower limbs, and sometimes learning difficulties

6

What is holoprosencephaly?

 Disorder in which the prosencephalon (the forebrain of the embryo) fails to develop into two hemispheres. 

7

What condition is shown here ?

Holoprosencephaly

8

What are some of the disorders of myelination ?

  • Hypomyelination
  • Dysmyelination
  • Demyelination

9

What does the PLP1 gene do?

Encodes for the predominant myelin protein present in the CNS. Responsible for compaction, stabilization, and maintenance of myelin sheaths, oligodendrocyte development and axonal survival.

10

What can mutations in the PLP1 gene result in ?

Can cause a spectrum of disorders:

Pelizaeus –Merzbacher the most severe:

  • Presents in infancy or early childhood with nystagmus, hypotonia, and cognitive impairment
  • Progresses to severe spasticity and ataxia.
  • Life span is shortened.

Spastic paraparesis 2 - manifests as spastic paraparesis with or without CNS involvement and usually normal life span.

11

Can malnutrition affect brain growth and development ?

Yes!

  • Impact on brain growth and volume
  • Impact on myelination
  • Lack of energy and deprivation > lack of post natal stimulation and experiences