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Universlty of Manitoba, ln Partîal Fulfiìlment - MSpace at the ...

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22<br />

suggest¡ng th<strong>at</strong> dysreph¡sm resul ts from di i<strong>at</strong>ion and rupture <strong>of</strong> a<br />

previous ly closed neura l tube.<br />

Gardner maintains th<strong>at</strong> dil<strong>at</strong>ion <strong>of</strong> <strong>the</strong> closed neural tube could<br />

êccount for hydrocepha I us, encepha locel e, hydromye I i a, syr ì ngomye loce I e<br />

and <strong>the</strong> Arnold-chiarl malform<strong>at</strong>îon. Dil<strong>at</strong>ion and rupture <strong>of</strong> <strong>the</strong> neural<br />

tube,followed by varying degrees <strong>of</strong> heal ing could account for exencephaly"<br />

anencephaly, mye I omen i ngoce I e , meningocele, spína bifìda occulta, distem<strong>at</strong>omyelia,<br />

anterior spina bifida and various neuro-enteric connections.<br />

2.4.4 AbnormAL-:Lrain G rowth<br />

Because <strong>of</strong> <strong>the</strong> íntact hindbrain and well developed eyes and craníal<br />

nerves' several authors have argued th<strong>at</strong> anencephaly results from degener<strong>at</strong>Îon<br />

with¡n a fully-formed braïn.<br />

Frazer (1921-22) suggested th<strong>at</strong> ¡nadequ<strong>at</strong>e flexion <strong>of</strong> <strong>the</strong> enlarging<br />

braîn shears <strong>of</strong>f <strong>the</strong> major arteries <strong>at</strong> <strong>the</strong> base <strong>of</strong> <strong>the</strong> brain, producing<br />

ischemic necrosîs and sloughing <strong>of</strong> brain tissue and <strong>the</strong> ovérlyíng cranial<br />

vault.<br />

2.\.5 Ab¡orEl *spinal Fl ex ion<br />

Browne (1934; 1967) maintained th<strong>at</strong> a variety <strong>of</strong> malform<strong>at</strong>íons,<br />

including spina bifida, were produced by embryoníc compress-ion in uteto-<br />

He suggested th<strong>at</strong> rtundue sp<strong>at</strong>ial pressurerr might cause hyperflexion<br />

<strong>of</strong> <strong>the</strong> primitive trunk and trinterfere w¡th <strong>the</strong> fusing oi <strong>the</strong> ridge<br />

which should form <strong>the</strong> spinal canalr'.<br />

2.\.6 Primary Vqscular Defects_<br />

Anencephalîcs typically show a dÍsorganîzed network <strong>of</strong> sinusoîds<br />

and anomalous pêttern <strong>of</strong> larger vessels ãt <strong>the</strong> exposed brain surface,<br />

combined with rel<strong>at</strong>ively normal development <strong>of</strong> brainstem and midbraín.

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