
the head end) and caudally (toward the tail end) until the
whole dorsal surface of the tube is fused. Finally, the rostral
and caudal ends of the neural tube close on day 24 and day 26,
respectively. This process of forming the neural tube is known
as primary neurulation (Figure 2.1).
The adult spinal cord can be divided into five regions,
from the neck down: cervical, thoracic, lumbar, sacral, and
coccygeal. The cervical, thoracic, and lumbar segments of the
spinal cord develop from the neural tube. The sacral and
coccygeal segments, on the other hand, develop from the
caudal eminence, a cell mass located caudal to the neural
tube. It appears around day 20 and grows larger, then forms
a cavity before it joins the neural tube. This process, called
secondary neurulation, is completed by day 42.
As the neural tube closes, cells separate from the upper
edges, or crests, of the neural folds to form the neural crest.
From the neural crest, parts of the
peripheral nervous system
will develop. (The peripheral nervous system includes all the
nerves and neurons outside the brain and spinal cord.) Cells
from the neural crest move to a position on either side of the
neural tube. Sensory neurons, the
adrenal medulla,peripheral
neurons and glia of the
autonomic nervous system, along
with the two inner layers of the protective lining, or
meninges,
that cover the brain, all develop from neural crest cells.
The outer layer of the meningeal covering of the brain
forms from the mesoderm.
By the sixth week after conception, the nervous system
has already developed to its basic form. The major structures
are all recognizable by the tenth week. All brain structures
are present in an immature form by the end of the first
trimester (first three months). During the first three months
of fetal development, the vertebral column and spinal cord
grow at about the same rate. The nerves from the spinal cord
exit directly through openings in the vertebral column called
intervertebral foramina.After this point, however, the vertebral
column grows faster than the spinal cord. This leaves a space
called the
lumbar cistern in the lower part of the vertebral
25
CH.YBW.Ner.C02.Final.q 11/30/04 12:07 PM Page 25