Development and teratology of the nervous system Anna Mac Gillavry Danylevska 22.5.2023 Neural tube development T. W. Sadler, Langman‘s medical embryology, 14th edition Neural tube development T. W. Sadler, Langman‘s medical embryology, 14th edition Histogenesis of the neural tube T. W. Sadler, Langman‘s medical embryology, 14th edition Histogenesis of the neural tube T. W. Sadler, Langman‘s medical embryology, 14th edition Development of the brain mesencephalon rhombencephalon prosencephalon developing spinal cord eye cup developing heart nerves of pharyngeal arches diencephalon mesencephalon metencephalon myelenencephalon telencephalon Development of the brain T. W. Sadler, Langman‘s medical embryology, 14th edition T. W. Sadler, Langman‘s medical embryology, 14th edition Development of the spinal cord Neural tube defects (NTDs) - Spina bifida: spina bifida occulta – defect of vertebral arches covered with skin and usually does not affect the neural tissue – 10 % of population; meningocele; meningomyelocele - Rachischisis - Hydrocephaly due to Arnold-Chiari malformation Neural tube defects (NTDs) T. W. Sadler, Langman‘s medical embryology, 14th edition Cranial defects - Schisencephaly - Holoprosencephaly (HPE) – 1 in 15000 (1 in 250 early miscarriage) - Meningocele, meningoencephalocele, meningohydroencepahlocele – 1 in 12000 - Exencephaly: anencephaly (=meroencaphaly – 2-4 times more common in female foetuses), craniorachischisis – polyhydramnios - Hydrocephaly – in most cases due to obstruction of the aqeduct of Sylvius (aqueductal stenosis) - Microcephaly The leading cause of intellectual disability is maternal alcohol abuse!