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. |