Fetal CNS Flashcards

(41 cards)

1
Q

What is brachycephaly?

A

Short, broad head due to premature suture fusion

Commonly seen in certain craniosynostosis conditions.

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2
Q

What is dolichocephaly

A

Long, narrow head

Often associated with certain developmental conditions.

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3
Q

What is macrocephaly?

A

An overly large head

Defined as head circumference more than two standard deviations above average for age.

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4
Q

What is microcephaly?

A

A condition in which a baby’s head is smaller than expected for the baby’s age

Possible causes: Zika virus, rubella, Down syndrome, craniosynostosis, and bacterial menigintis

Can result from various factors including maternal infections and genetic disorders.

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5
Q

What is meningocele?

A

A defect of the posterior elements of the spine with extrusion of meninges and cerebrospinal fluid (CSF) without the involvement of neural elements

A type of spina bifida.

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6
Q

What is myelomeningocele

A

Protrusion of a sac from a spinal defect that contains the spinal cord and meninges

It is the most serious type of spina bifida.

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7
Q

What is a neuropore?

A

Either the rostral or caudal end of the neural tube

Important in the process of neurulation.

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8
Q

What is neurulation?

A

The process by which the neural tube is formed

Critical for proper CNS development.

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9
Q

What does ‘rostral’ mean?

A

Toward the cephalic or head end

Used in anatomical terminology.

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10
Q

What are somites?

A

Embryonic stages of vertebrates

They play a role in the development of the vertebral column and associated structures.

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11
Q

What is the vermis?

A

Central portion of the cerebellum between the hemispheres

Important for coordination and balance.

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12
Q

What are the stages of neurulation?

A
  • Neural plate
  • Neural groove
  • Neural folds
  • Neural tube final stage

These stages are essential for CNS development.

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13
Q

What happens during the fusion of the neural tube?

A

Begins in the mid-portion of the embryo and proceeds rostrally and caudally

The rostral end closes on Day 25 and the caudal end on Day 27.

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14
Q

What structures make up the CNS and how common are CNS abnormalities?

A
  1. Brain and spinal cord
  2. 1–2 per 1,000 births (or 1 in 100 by some sources)
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15
Q

What are the closure days for the rostral and caudal neuropores?

A

Rostral: Day 25, Caudal: Day 27

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16
Q

What happens if the neural tube fails to close?

A

Neural Tube Defects (NTDs) occur

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17
Q

List the three primary vesicles formed after the closure of the rostral neuropore

A
  • Prosencephalon (forebrain)
  • Mesencephalon (midbrain)
  • Rhombencephalon (hindbrain)
18
Q

What brain structures develop from the Prosencephalon?

A

Cerebral hemispheres, lateral ventricles, thalamus

19
Q

What brain structures develop from the Mesencephalon?

A

cerebral peduncles, corpora quadrigemina

20
Q

What brain structures develop from the Rhombencephalon?

Yellow Arrows = Lateral Ventricles Thin Arrow = Rhombencephalon Embryonic Intracranial Anatomy
A

pons, cerebellum, medulla

21
Q

List the five embryonic brain vesicles?

A

Forebrain: Telencephalon and Diencephalon
Midbrain: Mesencephalon
Hindbrain: Metencephalon and Myelencephalon

These structures evolve from the primary vesicles.

22
Q

What is the Diencephalon?

A

Located between the cerebrum and midbrain, consists of thalamus (“interbrain”) and hypothalamus

1 = Cavum Septi Pellucidi 2 = 3rd Ventricle 3 = Atrium of Lateral Ventricle 4 = Thalamus

The Diencephalon plays a key role in sensory and regulatory functions.

23
Q

What is the function of the corpus callosum?

A

Large bundle of 200+ million myelinated nerve fibers that connects the left and right cerebral hemispheres.

1. Biparietal diameter (BPD) 2. Cavum Septum Pellucidum (CSP) 3. Thalami 4. Hypoechoic skull sutures 5. Third ventricle 6. Choroid Plexus 7. Posterior lateral ventricles 8. Corpus callosum
24
Q

What is the Cavum Septum Pellucidum (CSP), and why is it significant?

A
  • It’s a thin membrane connecting the corpus callosum to the columns of the fornix and separating the lateral ventricles
  • Its absence may indicate agenesis of the corpus callosum.
25
What does the tentorium cerebelli separate?
Extension of the dura mater that separates the cerebellum from the inferior portion of the occipital lobes | "Tent of the Cerebellum"
26
What is the falx cerebri?
A dural fold that divides the cerebral hemispheres
27
What key structures are located in the midbrain region of the fetal brain?
* Cerebral peduncles * Corpora quadrigemina * The 4th ventricle.
28
What structures make up the hindbrain in fetal brain development?
The pons, cerebellum, and medulla oblongata. ## Footnote Openings in the subarachnoid space filled with CSF **Cisterna magna appears anechoic**
29
Hindbrain continued... image identification
* 1 = Cervical Spinal Cord * 2 = Medulla Oblongata * 3 = Pons * 4 = Cerebellum * 5 = Cisterna magna
30
How does Cisterna magna appear?
CSF-filled, appears anechoic
31
What is the main role of cerebrospinal fluid (CSF)?
Cushions the brain, removes waste, allows the brain to float
32
What is considered an abnormal measurement for the lateral ventricles?
Greater than 10 mm ## Footnote Normal is <7mm
33
Where is the choroid plexus located and what does it do?
In the lateral ventricles; it produces cerebrospinal fluid (CSF) ## Footnote Composed of capillary network, pia mater, and choroid epithelial cells.
34
When is the third ventricle typically visible on ultrasound?
When dilated due to conditions like **hydrocephalus**
35
What does absence of the Cavum Septi Pellucidi (CSP) indicate?
Possible agenesis of the corpus callosum
36
What does the Circle of Willis do?
Allows for proper blood flow from the arteries to both the front and back hemispheres of the brain (The arteries that stem off from the **circle of Willis** supply much of the blood to the brain) ## Footnote Important for preventing neurological deficits in case of arterial occlusion.
37
By what week are spinal ossification centers visible?
By 16 weeks gestation
38
Normal anatomy of spinal cord continued...image identification
39
What is spina bifida?
**Incomplete closure** of the spinal column ## Footnote Associated with conditions like myelomeningoceles and **Chiari II malformation.**
40
What is the difference between meningocele and myelomeningocele?
* Meningocele: meninges protrude * Myelomeningocele: spinal cord + meninges protrude **(most severe)**
41
What are common symptoms of myelomeningocele?
Bowel/bladder issues, leg paralysis or sensory loss