Table 1

Normal brain development.

Stage 1: Dorsal induction: Formation and closure of the neural tube
- Occurs at 3-5 weeks of gestation
- Three phases: neurulation, canalization, retrogressive differentiation
- Malformations of dorsal induction: anencephaly, exencephaly, cephaloceles, Arnold-Chiari malformations and spinal dysraphism
Stage 2: Ventral induction: Formation of the brain segments and face
- Occurs at 5-10 weeks of gestation
-Three vesicles (prosencephalon, mesencephalon, and rhombencephalon) form the cerebral hemispheres/thalamus, midbrain, and cerebellum/brain stem respectively.
- Development of face
- Malformations of ventral induction: holoprosencephaly, Dandy-Walker malformation, cerebellar hypoplasia/dysplasia, Joubert syndrome, rhombencephalosynapsis, optic dysplasia, pituitary abnormalities and facial anomalies.
Stage 3: Migration and histogenesis
- Occurs at 2-5 months of gestation
- Neuronal migration from germinal matrix to the cortex
- Cortical organization
- Failure of migration: abnormal gyration patterns (heterotopias, simplified gyria, polymicrogyria), schizencephaly, corpus callosum agenesis/hypoplasia.
- Failure of histogenesis: aqueductal stenosis, arachnoid cysts, megalencephaly, micoencephaly, neurocutaneous syndromes, congenital vascular malformation, and congenital neoplasms of the brain.
Stage 4: Myelination
- Begins at 6 months of gestation; matures by 3 years.
- Myelination proceeds from caudal to rostral, from posterior to anterior regions; and from central to peripheral locations.
- Failure: leukodystrophies, metabolic disorders.