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    O Desenvolvimento

    do Sistema Nervoso

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    Funo

    receber informaes sobre as variaes externas e

    internas e produzir respostas a essas variaes

    atravs dos msculos e glndulas. a memria, que corresponde a capacidade de

    armazenar informaes e depois resgat-las, o

    aprendizado, o intelecto, o pensamento e a

    personalidade.

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    Organizao do Sistema NervosoSistema Nervoso

    Sistema Nervoso Central Sistema Nervoso Perifrico

    Encfalo Medula espinhal Diviso Aferente Diviso Eferente

    NeurniosSensitivos

    Somticos

    NeurniosSensitivos

    Viscerais

    SistemaNervoso

    Autnomo

    SistemaNervoso

    Somtico

    Parte Simptica Parte Parassimptica

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    Organizao do Sistema Nervoso

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    Estrutura de um neurnio:

    Corpo Celular

    Ncleos

    Centros

    Gnglios

    Componentes do Sistema Nervoso

    Neurnios:

    Unidade Morfofuncional do SN

    No se multiplicam aps o nascimento, exceto os neurnios do bulbo

    olfatrio, cerebelo e epitfalo olfatrio.

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    Neurnio

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    Pregas neurais

    Sulco neuralTubo neural

    O Tubo neural Se diferencia em

    SNC, que consiste em encfalo e

    Medula espinal

    A Crista neural d origem s

    clulas formadoras da maior parte

    do SNP e SNA, constitudos pelos

    gnglios cranianos, espinhais e

    autnomos.

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    Fechamento do

    tubo neural em

    ambos os sentidos

    Neurporo ceflico 25 dia

    Neurporo caudal

    27 dia

    Cristas neurais

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    A, Dorsal view of an embryo of

    about 23 days,

    B, Lateral view of an embryo ofabout 24 days, showing the

    forebrain prominence and

    closing of the rostralneuropore.

    C, Diagrammatic sagittal

    section of this embryo, showing

    the transitory communicationof the neural canal with theamniotic cavity (arrows).

    D, Lateral view of an embryo of

    about 27 days. Note that the

    neuropores shown in B are

    closed.

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    Seco diagramtica sagital de embrio mostrando a comunicao

    transitria do canal neural com a cavidade amnitica (setas)

    A abertura ceflica o neurporo rostral, ou anterior, se fecha em tornodo 25 dia, o neurporo caudal, ou posterior, se fecha dois dias maistarde.

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    As paredes do tubo neural se espessam, formando oencfalo e a medula espinhal.

    O canal neural do tubo neural converte-se no sistemaventricular do encfalo e no canal central da medulaespinhal.

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    Histognese dasClulas do SNC

    After further

    development the

    multipolar neuroblast(lower left) becomes a

    nerve cell or neuron.

    Neuroepithelial cellsgive rise to all neuronsand macroglial cells.

    Microglial cells are

    derived frommesenchymal cellsthat invade the

    developing nervous

    system with the blood

    vessels

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    Tubo Neural

    Extremidade ceflica

    Hemisfrios cerebrais

    encfalo

    Anterior ou prosencfalo Mdio ou mesencfalo Posterior ou rombencfalo

    Mesencfalo adulto

    (tegumento, teto e

    pednculosceflicos

    Ponte, cerebelo e medula

    (bulbo)

    Tele e diencfalo

    tlamo e hipotlamo

    Meta e mielencfalo

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    telencfalo diencfalo mesencfalo metencfalo mieloencfalo

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    ENCFALO

    VESCULAS ENCEFLICAS PRIMITIVAS

    (1)O prosencfaloou encfalo anterior

    (2)O mesencfaloou encfalo mdio

    (3)O rombencfaloou encfalo posterior

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    Diagrammatic sketches of the brain vesicles, indicating the adult derivatives of their walls and

    cavities. *The rostral part of the third ventricle forms from the cavity of the telencephalon; most

    of this ventricle is derived from the cavity of the diencephalon.

    Vesculas pticas

    Torna-se cada vez mais delgado

    Organizao do sistema nervoso

    A partir da 6semana

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    Vista lateral das vesculas enceflicase parte alta da medula espinhal de

    embrio de quatro semanas

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    A, Schematic lateral view of an

    embryo of about 28 days, showing

    the three primary brain

    vesicles: forebrain,midbrain, and hindbrain. Twoflexures demarcate the primary

    divisions of the brain. B,

    Transverse section of this embryo,

    showing the neural tube that will

    develop into the spinal cord in thisregion. The spinal ganglia derived

    from the neural crest are also

    shown. C, Schematic lateral view

    of the central nervous system of a

    6-week embryo, showing the

    secondary brain vesicles and

    pontine flexure. The flexure (bend)occurs as the brain grows rapidly.

    O dobramento na 4 semana

    importante para a modelagem do

    sistema nervoso

    Flexura cervical

    Flexura ceflica

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    FLEXURAS ENCEFLICAS

    Flexura Cervical:Entre o rombencfalo e a medula espinal

    Flexura Ceflica:No mesencfalo

    Flexura Pontina: Entre o metencfalo e o mielencflo

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    Esquema mostrando a formao das flexurasceflicas, cervical e pontina

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    Rombencfalo

    Podem ser claramente distinguidas as placas alar ebasal, separadas pelo sulco limitante.

    Contm ncleos

    motores

    Mielencfalo

    Colunas de ncleos (agregadosde corpos celulares neuronais noencfalo) viscerais aferentes(indo p/ o encfalo) eeferentes (saindo do encfalo).

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    XII- (Hipoglosso)- MotorXI- Acessrio (Motor); X-vago(misto)IX-Glossofarngeo(misto).

    A placa do teto do mielencfalo, est constituda por uma nica camada declulas ependimrias, recobertas externamente pela pia-mter(mesnquimavascular). Essas estruturas constituem o plexo coride, produtor do lquido

    cefalorraquidiano.

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    Colculos superiores

    Colculos inferiores

    Centros de Reflexosauditivos

    Centro deReflexos visuaisOs Colculos formam-se por

    intensa proliferao de clulasdo manto que migram para zona

    marginal

    Os ncleos do III nervo craniano oculomotor- a partir das placasbasais, localizam-se ao nvel dos

    colculos superiores

    Os ncleos do IV nervo craniano-troclear a partir das placasbasais, localizam-se ao nvel doscolculos inferiores

    Mesencfalo

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    Vista externa do encfalono fim da quinta semana

    Hemisfrios

    cerebrais crescem

    e cobrem

    diencfalo,

    mesencfalo e

    rombencfalo

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    A, Sketch of the developing brain at the end of the

    fifth week. C Sagittal sections of the hindbrain at

    6 and 17 weeks, respectively, showing successive

    stages in the development of the pons andcerebellum.

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    Formao da medula espinhal

    O tero caudal da placa e do tubo neural representa a futuramedula espinhal.

    Diagrama ilustrando o desenvolvimento da medula espinhal

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    Formao das Meninges da Medula Espinhal

    A dura-mter do mesnquima mesodermaque envolve o tubo neural.

    As Leptomeninges pia-mter e a aracnideoriginam-se das clulas das cristas neurais.

    Durante a quinta semana, comea a formar-se um

    fluido cerebro

    espinhal (FCS, lquor), que podeconstituir um meio nutritivo para as clulas epiteliais

    dos tecidos neurais.

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    Sistema

    Nervoso

    Perifrico

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    Pregas neurais

    Sulco neuralTubo neural

    O Tubo neural Se diferencia em

    SNC, que consiste em encfalo e

    Medula espinal

    A Crista neural d origem s

    clulas formadoras da maior partedo SNP e SNA, constitudos pelos

    gnglios cranianos, espinhais e

    autnomos.

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    Diagrams showing some

    derivatives of the neural

    crest.

    Neural crest cells also

    differentiate into the cellsin the afferent ganglia of

    cranial nerves and many

    other structures The

    formation of a spinal

    nerve is also illustrated.

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    Os nervos cranianos podem ser subdivididos com base em suaf i b i l i

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    funo ou em sua origem embriolgica.

    motor

    Sensitivo

    O vago misto,

    predominantementemotor

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    Anomalias

    Congnitas do

    Sistema Nervoso

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    3 a cada mil nascimentos

    Geralmente devido a fatores multifatoriais

    Tipos

    Estruturais

    Distrbios na organizao das clulas

    Erros de metabolismo

    Diagnosticados por alto nvel de alfa-fetoprotena no lquido

    amnitico ou por ultrasson

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    Schematic illustrations

    explaining the

    embryological basis ofNTDs. Meroanencephaly -

    partial absence of the

    brain - results from

    defective closure of the

    rostral neuropore, and

    meningomyelocele results

    from defective closure of

    the caudal neuropore.

    Defeitos de fechamento

    do tubo neural

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    female child with a hairy patch in

    the lumbosacral region, indicating

    the site of a spina bifida occulta

    Photographs of infants with spina bifida

    cystica. A, Spina bifida with

    meningomyelocele in the lumbar region.

    B, Spina bifida with myeloschisis in the

    lumbar region. Note the nerve

    involvement has affected the lower limbs.

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    Photograph of the back of a newborn with a large lumbar meningomyelocele. The

    neural tube defect (NTD) is covered with a thin membrane. (Courtesy of Dr. AE

    Chudley, Section of Genetics and Metabolism, Department of Pediatrics and Child

    Health, Children's Hospital and University of Manitoba, Winnipeg, Manitoba,

    Canada.).

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    Photograph of a 19-week female fetus showing an open

    spinal defect in the lumbosacral region (spina bifida with

    meningomyelocele). (Courtesy of Dr. Joseph R. Siebert,

    Children's Hospital and Regional Medical Center, Seattle,

    Washington.).

    A, Photograph of a human embryo of about 30 days. The

    white arrow indicates the site of the NTD resulting from

    failure of closure of the caudal neuropore. Normally this

    neuropore is closed by day 28. B, Photomicrograph of a

    transverse section through the NTD. The black arrow

    indicates an abnormal fold of neural tissue extending over

    the left side of the embryo. It appears that this overgrown

    neural fold has prevented closure of the neural tube.

    Meningoencefalocele

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    Schematic drawings illustrating cranium bifidum (bony defect in cranium) and various types of

    herniation of the brain and/or meninges. A, Sketch of the head of a newborn infant with a large

    protrusion from the occipital region of the cranium. The upper red circle indicates a cranial

    defect at the posterior fontanelle. The lower red circle indicates a cranial defect near the

    foramen magnum. B, Meningocele consisting of a protrusion of the cranial meninges that is

    filled with cerebrospinal fluid (CSF). C, Meningoencephalocele consisting of a protrusion of part

    of the cerebellum that is covered by meninges and skin. D, Meningohydroencephalocele

    consisting of a protrusion of part of the occipital lobe that contains part of the posterior horn of alateral ventricle.

    Meningoencefalocele

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    Photograph of an infant with a large meningoencephalocele in the occipital area.

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    Sonogram of a normal fetus at 12 weeks' gestation (left) and a fetus at 14 weeks'

    gestation showing acrania and meroanencephaly (right).

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    Photograph of an infant with

    microcephaly, showing the typical

    normal-sized face and small calvaria.

    Microcefalia condio

    relativamente incomum

    Subdesenvolvimento do

    encfalo e do crnio

    Pode resultar de fechamentoprematuro das suturas

    cranianas

    Etiologia geralmente incerta

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    , Photograph of an infant with hydrocephalus and bilateral cleft palate. B and C, Photographs showing the

    brain of a 10-year-old child who had developed hydrocephalus in utero as a result of aqueduct stenosis. The