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College
of
Medicine
–
‫الطب‬
‫كلية‬
Prof. Mujahid Khan
College
of
Medicine
–
‫الطب‬
‫كلية‬
 The nervous system develops from the
neural plate
 It is a thickened, slipper shaped area of
embryonic ectoderm
 The neural tube differentiates into the CNS
 The neural crest gives rise to cells that form
most of the PNS and ANS, consisting of
cranial, spinal and autonomic ganglia
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
 Neurulation begins during the early part of
the fourth week
 The cranial (upper) two thirds of the neural
plate and tube represent the future brain
 The caudal (lower) one third of neural plate
and tube represents the future spinal cord
College
of
Medicine
–
‫الطب‬
‫كلية‬
 The lateral walls of the neural tube thicken
 Gradually reducing the size of the neural
canal until only a minute central canal of
the spinal cord is present
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
 These neuroepithelial cells give rise to all
neurons and macroglial cells in the spinal
cord
 Soon a marginal zone composed of the
outer parts of the neuroepithelial cells
becomes recognizable
 This zone becomes the white matter of the
spinal cord
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
 The primordial supporting cells of the central
nervous system, glioblasts or spongioblast
differentiate from neuroepithelial cells
 This occurs after neuroblast formation has ceased
 Some glioblasts become astroblasts and later
astrocytes
 Other cells become oligodendroblasts and later
oligodendrocytes
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
 Proliferation and differentiation of
neuroepithelial cells in the developing spinal
cord produce thick walls but thin roof and
floor plates
 Differential thickening of the lateral walls of
the spinal cord soon produces a shallow
longitudinal groove on each side called sulcus
limitans
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
 Sulcus limitans separates the dorsal part the alar
plate from the ventral part, the basal plate
 The alar and basal plates produce longitudinal
bulges extending through most of the length of
developing spinal cord
 The alar and basal plates are later associated with
afferent and efferent functions respectively
College
of
Medicine
–
‫الطب‬
‫كلية‬
 Cell bodies in the alar plates form the
dorsal gray columns that extend the length
of the spinal cord
 In transverse sections of the cord, these
columns are the dorsal gray horns
 Neurons in these columns constitute
afferent nuclei
 Groups of these nuclei form the dorsal gray
column
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
 As the basal plates enlarge, they bulge
ventrally on each side of the median plane
 As this occurs, the ventral median septum
forms and a deep longitudinal groove, the
ventral median fissure develops on the
ventral surface of the spinal cord
College
of
Medicine
–
‫الطب‬
‫كلية‬
 Myelin sheath in the spinal cord begin to
form during the late fetal period
 Is continue to form during the first
postnatal year
 The myelin sheaths surrounding nerve
fibers within the spinal cord are formed by
oligodendrocytes
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
 The plasma membrane of oligodendrocytes
wrap around the axon
 The myelin sheaths around the axons of
peripheral nerve fibers are formed by the
plasma membranes of neurolemma
(Schwann) cells
 Neurolemma or Schwann cells are
analogous to oligodendrocytes
 These cells are derived from neural crest
cells
College
of
Medicine
–
‫الطب‬
‫كلية‬
 Paraxial mesoderm differentiates and begins
to divide into cuboidal bodies called somites
by the end of 3rd week
 These blocks of mesoderm are located on
each side of developing neural tube
 About 38 pairs of somites form during the
somite period of human development (20-30
days)
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
Each somite differentiates into two parts:
 The ventromedial part is sclerotome
 Its cells form the vertebrae and ribs
 The dorsolateral part is the dermomyotome
 Cells from myotome form myoblasts
 Cells from dermatome form the dermis
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
 During the precartilaginous or mesenchymal
stage, mesenchymal cells are found in three
main areas:
 Around the notochord
 Surrounding the neural tube
 In the body wall
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
 In a frontal section of a 4 week embryo, the
sclerotomes appear as paired condensations
of mesenchymal cells around the notochord
 Each sclerotome consists of loose cells
cranially and packed cells caudally
College
of
Medicine
–
‫الطب‬
‫كلية‬
 Some packed cells move cranially, where
they form the intervertebral disc
 The remaining densely packed cells fuse
with the loose cells of the immediately
caudal sclerotome to form the
mesenchymal centrum
 Centrum is a primordium of the body of a
vertebra
College
of
Medicine
–
‫الطب‬
‫كلية‬
 Thus each centrum develops from two
adjacent sclerotomes and becomes an
intersegmental structure
 The nerves lie in close relationship to the IV
discs
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
 The notochord degenerates and disappears where
it is surrounded by the developing vertebral bodies
 Between the vertebrae, the notochord expands to
form the gelatinous center of the intervertebral
disc called nucleus pulposus
 The nucleus later surrounded by circularly arranged
fibers that form the anulus fibrosus
College
of
Medicine
–
‫الطب‬
‫كلية‬
 The nucleus pulposus and anulus fibrosus
together constitute the IV disc
 The mesenchymal cells (connective tissues),
surrounding the neural tube, form the
vertebral arch
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
 During the sixth week chondrification centers
appear in each mesenchymal vertebra
College
of
Medicine
–
‫الطب‬
‫كلية‬
 Ossification of typical vertebrae begins during
the embryonic period
 It usually ends by the twenty-fifth year
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
Three primary centers are present by the end
of the embryonic period:
 One in the centrum
 One in each half of the vertebral arch
 Ossification becomes evident in the vertebral
arches during the eighth week
College
of
Medicine
–
‫الطب‬
‫كلية‬
 At birth each vertebra consists of three
bony parts connected by cartilage
 The bony halves of the vertebral arch
usually fuse during the first 3 to 5 years
 The arches first unite in the lumber region
 This union progresses cranially
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
 These articulations permit the vertebral
arches to grow as the spinal cord enlarges
 These joints disappear when the vertebral
arch fuses with the centrum during the third
to sixth years
College
of
Medicine
–
‫الطب‬
‫كلية‬
Five secondary ossification centers appear
in the vertebrae after puberty:
 One for the tip of the spinous process
 One for the tip of each transverse process
 One on the superior and one on the inferior
rim of the vertebral body
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
 All secondary centers unite with the rest of
the vertebra around 25 years of age
College
of
Medicine
–
‫الطب‬
‫كلية‬
 Failure of fusion of the halves of the vertebral
arches result in major defect called spina bifida
 It occurs more frequently in girls than boys
 Most cases are open and covered by a thin
membrane
 The closed spina bifida or spina bifida occulta is
covered by a thick membrane of skin
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬
 It occurs in L5 or S1 vertebrae in about 10%
of otherwise normal people
 In its most minor form, the only evidence of
its presence may be a small dimple with a
tuft of hair arising from it
 It usually produces no clinical symptom
College
of
Medicine
–
‫الطب‬
‫كلية‬
 It is a severe type of spina bifida
 It involves protrusion of the spinal cord
and/or meninges through the defect in the
vertebral arches
 It is called cystic because of a cyst like sac
associated with these anomalies
 It occurs about once in every 1000 births
College
of
Medicine
–
‫الطب‬
‫كلية‬
College
of
Medicine
–
‫الطب‬
‫كلية‬

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16804592.ppt