Computer ranking of the sequence of appearance of 100 features of the brain and related structures in staged human embryos during the first 5 weeks of development

A three-dimensional analysis of cranial nerve development in human embryos

To increase our understanding of the etiology of specific neurological disorders (e.g., Duane syndrome, glossoptosis in Pierre Robin sequence), proper knowledge of anatomy and embryology of cranial nerves is necessary. We investigated cranial nerve development, studied histological sections of human embryos, and quantitatively analyzed the 3D reconstructions. A total of 28 sectioned and histologically stained human embryos (Carnegie stage [CS] 10 to 23 [21–60 days of development]) were completely digitalized by manual annotation using Amira software. Two specimens per stage were analyzed. Moreover, quantitative volume measurements were performed to assess relative growth of the cranial nerves. A chronologic overview of the morphologic development of each of the 12 cranial nerves, from neural tube to target organ, was provided. Most cranial nerves start developing at CS 12 to 13 (26–32 days of development) and will reach their target organ in stage 17 to 18 (41–46 days). In comparison to the rest of the developing brain, a trend could be identified in which relative growth of the cranial nerves increases at early stages, peaks at CS 17 and slowly decreases afterwards. The development of cranial nerves in human embryos is presented in a comprehensive 3D fashion. An interactive 3D‐PDF is provided to illuminate the development of the cranial nerves in human embryos for educational purposes. This is the first time that volume measurements of cranial nerves in the human embryonic period have been presented.

Brain development, infant communication, and empathy disorders: Intrinsic factors in child mental health

Disorders of emotion, communication, and learning in early childhood are considered in light of evidence on human brain growth from embryo stages. We cite microbehavioral evidence indicating that infants are born able to express the internal activity of their brains, including dynamic “motive states” that drive learning. Infant expressions stimulate the development of imitative and reciprocal relations with corresponding dynamic brain states of caregivers. The infant's mind must have an “innate self-with-other representation” of the inter-mind correspondence and reciprocity of feelings that can be generated with an adult.

Primordial motive systems appear in subcortical and limbic systems of the embryo before the cerebral cortex. These are presumed to continue to guide the growth of a child's brain after birth. We propose that an “intrinsic motive formation” is assembled prenatally and is ready at birth to share emotion with caregivers for regulation of the child's cortical development, on which cultural cognition and learning depend.

The intrinsic potentiality for “intersubjectivity” can be disorganized if the epigenetic program for the infant's brain fails. Indeed, many psychological disorders of childhood can be traced to faults in early stages of brain development when core motive systems form.

From superior adaptation and function to brain dysfunction--the neglect of epigenetic factors

With optimal pregnancy conditions (natural, enriched diet which includes fish) African (Digo) infants are 3-4 weeks ahead of European/American infants in sensorimotor terms at birth, and during the first year. Infants of semi-aquatic sea-gypsies swim before they walk, and have superior visual acuity compared with us. With adverse pregnancy behaviour (fear of fat, a trend to dieting), neglecting the need for brain fat to secure normal brain development and function, we run a risk of dysfunction--death. Sudden Infant Death Syndrome victims have depressed birth weight, lower levels of marine fat in brainstem than controls, and >80 suffer multiple hypoxic episodes prior to death. Depressed birth weight (more than 10% below mean) is seen in learning and behaviour disorders, and a trend towards weights of less than 3kg is increasing, which supports a rise in antenatal sub optimality. Given marine fat deficiency in pregnancy and infancy, neurons starved for fuel could delay myelination and maturation in the latest developed Frontal Lobes. The phylogenetic oldest Lateral Frontal Lobe System (feed-back mechanism etc.) derived from olfactory bulb-amygdala, which crosses in Anterior Commisure is probably spared, while the Medial Frontal Lobe System derived from Hippocampus-Cingulum and crosses in Corpus Callosum (delayed response task) is most likely affected. The rise in infantile autism (intact vision and hearing) with deficit in delayed response task only, could suggest a deficit in the Medial Frontal Lobe System. The human species is unique; 70% of total energy to the foetus goes to development of the brain, which mainly consists of marine fat. It undergoes pervasive regressive events, before birth, in infancy and at puberty. Minimal retraction of neuronal arborisation is advantageous. Attributable to adverse pregnancy childrearing practice, excessive retraction is likely prenatally and in infancy. Pubertal age affects the fundamental property of nervous tissue, excitability: excessive excitatory drive is seen in early, and a deficiency in late puberty. It is postulated that with adequate marine fat, there is probably no risk of psychopathology at the extremes, whereas a deficiency could lead to paroxysmal (subcortical) dysfunction in early puberty, and breakdown of cortical circuitry and cognitive dysfunctions in late puberty. The post-pubertal psychoses, schizophrenia and manic-depressive psychosis at the extremes of the pubertal age continuum, with contrasting excitability and biological treatment, are probably the result of continuous dietary deficiency, which has inactivated the expression of genes for myelin development and oligodendrocyte-related genes in their production of myelin. The beneficial effect of marine fat in both disorders, in other CNS disorders as well as in developmental dyslexia (DD) and ADHD among others, supports our usual diet is persistently deficient. We have neglected the similarity of our great brain to other mammals, and our marine heritage. Given the amount of marine fat needed to secure normal brain development and function is not known, nor the present dietary level, it seems unduly conjectural to postulate that a dietary deficiency in marine fat is causing brain dysfunction and death. However, all observations point in the same direction: our diet focusing on protein mainly, is deficient, the deficiency is most pronounced in maternal nutrition and in infancy.

3D reconstruction of the cardiovascular and central nervous system of a human embryo Carnegie-stage 15--case report

A human embryo at Carnegie stage 15 was serially sectioned and 3D computer aided reconstructions were made to demonstrate the cardiovascular system and cranial structures and to study developmental variations at this stage. The development of the heart and pharyngeal arteries was according to the existing literature. Differences were found in the development of the arterial circle of Willis and the central nervous system. The cranial venous system seemed to show great variability. Whereas the telencephalon was not developed according to the stage, the development of the hypophysis had occurred prior to stage 15. From the results we conclude that there are remarkable individual differences in embryological differentiation of structures which have to be taken into account during staging of human embryos.

Congenital malformations of the human brainstem

Congenital disorders of the brainstem often result in multiple severe neurodevelopmental problems. With the advent of magnetic resonance imaging and discovery of genes directing brainstem formation, a more coherent clinical picture of these disorders is emerging. Proper evaluation, management, and counseling for these disorders rests on the clinician having a framework through which to approach them.

Role of the notochord in the development of cephalic structures in normal and anencephalic human fetuses

Normal and anencephalic human conceptuses were analysed histologically to investigate the role of differentiation of the intracranial notochord and its relation to the formation of the basichondrocranium. We have examined 16 normal embryos and fetuses and 4 anencephalic fetuses. Each developmental stage of formation of the normal basichondrocranium presented specific morphological changes during the course of notochord depletion. In contrast with normal specimens, anencephalic fetuses presented malformations of the basichondrocranium which were always related to an abnormal position of the notochord. Macroscopical differences between craniorachischisis and cranioschisis in fetuses with anencephaly correlated with the existence of two histologically different degrees of malformation. In fetuses with craniorachischisis we found severe disturbances in the shape, position and ossification of the basichondrocranium and in the course of the intracranial notochord. In fetuses with cranioschisis the described disturbances of the basichondrocranium and intracranial notochord were mild. In addition, marked differences in affection of the central nervous system and the hypophysis were observed. These findings suggest different periods of dysmorphogenesis. Our results underline the importance of the chordal mesoderm in the differentiation for the formation of cephalic structures in Man.

The human rhombencephalon at the end of the embryonic period proper

The human rhombencephalon at 8 postovulatory weeks (stage 23) is described and illustrated for the first time with the aid of silver-impregnated sections and graphic reconstructions. The motor and sensory trigeminal nuclei were among those studied, and the latter was found to be almost contiguous to the dentate nucleus. Fibers to the principal sensory nucleus join the mesencephalic trigeminal tract, which also seems to be connected with the motor fibers. Fine fibers from the sensory root join the tractus solitarius, which appears to receive connections from the facial, glossopharyngeal, and vagal nerves. Main and accessory abducent nuclei are evident. A part (the Kappenkern des Facialisknies) of the nucleus funiculi teretis is particularly prominent. The presence of the pyramidal decussation during the embryonic period is noted for the first time. The arrangement of nuclei and tracts at 8 weeks is shown to be closely similar to that present in the newborn, and it is likely that the rapid growth of the rhombencephalon during the embryonic period proper is associated with correspondingly early functional activity.

The human brain at stages 21-23, with particular reference to the cerebral cortical plate and to the development of the cerebellum

The development of the human brain during the eighth embryonic week was studied in serial sections of 22 embryos, and graphic reconstructions were prepared. The cortical plate appears in stage 21 in the area of the future insula and is an excellent feature for staging. The internal capsule contains neocortical fibres. Its three main outlets begin to be present in stage 22 and lead to epithalamus, to dorsal thalamus, and to mesencephalon. At this time a well developed lateral olfactory tract can be seen. The anterior commissure appears in stage 23. A clear developmental relationship between claustrum and olfactory area is described for the first time in human embryos. The optic tract reaches the ventral area of the lateral geniculate body. Scattered fibres of the lateral lemniscus reach at least as far as the caudal mesencephalon, in which superior and inferior colliculi can be distinguished at stage 23; two caudal Blindsäcke containing ventricular recesses form in stage 23. The cerebellum is still present as a plate, but its internal bulge is considerably enlarged. It possesses radially- and tangentially-arranged cells; the latter form the external germinal layer. The dentate nucleus, as well as the inferior and superior cerebellar peduncles and some of the cerebellar commissures, are present. Compared with the highly developed and probably already functional remainder of the hindbrain, the cerebellar plate shows far less differentiation. Two caudal migratory streams (marginal and submarginal) are present and represent the corpus pontobulbare. The decussation of the pyramids appears in stage 23. This article concludes the study of the developing human brain during the embryonic period, from stage 8 to stage 23. The series was based on 340 serially-sectioned embryos and graphic reconstructions from 89 brains. No comparable investigation of the fetal brain is available.

The human brain at stages 18-20, including the choroid plexuses and the amygdaloid and septal nuclei

The development of the human brain during the seventh embryonic week was studied in serial sections of 88 embryos, and graphic reconstructions were prepared. From stages 18 to 20 the cerebral hemispheres expand rapidly and become more and more distinct entities. The longitudinal fissure between them occupies approximately half of their rostrocaudal extent. In stage 20 they have progressed so far in organization that functional aspects (based on synapses in the primordial plexiform layer) are of importance. An advanced differentiation is also present in the amygdaloid body, which has at least four individual nuclei, and in the forebrain septum, which shows the nucleus of the diagonal band and the medial septal nucleus. This has a bearing on recent experimental studies that document the fundamental role of the septal nuclei with regard to behavioural and cognitive functions. Fibre connections between septal nuclei and hippocampus have appeared. A definitive internal capsule, however, is not yet present. The main connections with diencephalon and other parts of the brain are chiefly by fibres to or from the amygdaloid body by way of the lateral forebrain bundle. The olfactory areas are connected with the habenular nuclei by a well developed stria medullaris thalami. Globus pallidus externus, entopeduncular nucleus, and subthalamic nucleus are prominent features in the subthalamus. The main nucleus of the oculomotor nerve shows a dorsolateral and a ventromedial portion. The rhombic lip is mitotically active in all parts of the rhombencephalon, and seems to participate significantly in the formation of the intermediate layer of the cerebellum and of the cochlear nuclei. The sensory nucleus of the trigeminal nerve has appeared. In the cerebellum the cell layer thought to contain the future Purkinje cells develops. The cerebellar plate is organized into external and internal bulges, and is now connected with mid- and hindbrain through fibre bundles. The area thought to be the dentate nucleus and the supposed floccular region are especially rich in fibres. The accessory olivary nucleus appears in stage 19, and accessory nuclei of the abducent and hypoglossal nerves are evident in stage 20. The choroid plexuses of the fourth and lateral ventricles have appeared. In view of their advanced features, the study of embryos of stages 19-21 becomes increasingly relevant to questions of tissue transplantation.

Genetic and developmental defects of the mouse corpus callosum

Among adult BALB mice fewer than 20% usually have a small or absent corpus callosum (CC) and inheritance is polygenic. In the fetus at the time when the CC normally forms, however, almost all BALB mice show a distinct bulge in the interhemispheric fissure and grossly retarded commissure formation, and inheritance appears to result from two autosomal loci, provided the overall maturity of fetuses is equated. Most fetuses recover from the early defect when the CC axons manage to cross over the hippocampal commissure, and thus there is developmental compensation for a genetic defect rather than arrested midline development. The pattern of interhemispheric connections when the adult CC is very small is topographically normal in most respects, despite the unusual paths of the axons. The proportion of mice which fail to recover completely can be doubled by certain features of the maternal environment, and the severity of defects in adults can also be exacerbated by new genetic mutations which create new BALB substrains. The behavioral consequences of absent CC in mice are not known, nor have electrophysiological patterns been examined. The mouse provides an important model for prenatal ontogeny and cortical organization in human CC agenesis, because these data are not readily available for the human condition.

The human brain at stage 16, including the initial evagination of the neurohypophysis

Thirty-nine sectioned embryos of stage 16 were studied. Up to this stage the amygdaloid body is derived entirely from the medial eminence, which was purely diencephalic in stage 14, but now extends also to the telencephalon. The area of the future olfactory bulb is indicated by the presence of olfactory fibres entering the brain wall; the future olfactory tubercle is characterized by cellular islands. The presence of the hippocampal thickening and various histological features make it possible to outline the main, future cortical areas already at this early stage: archi-, paleo-, and neopallium. Hippocampus and area dentata correspond to the areas identified by Hines (1922) and Bartelmez and Dekaban (1962) but not to those identified by Humphrey (1966). The interventricular foramen is wide. The cerebral hemispheres grow rostrally and dorsally, thereby forming the beginning of the longitudinal fissure. Apart from the commissure of the superior colliculi, which began to appear in advanced embryos of stage 14, fibres of the posterior commissure are now present in some specimens. The neurohypophysis is apparent in fewer than half of the embryos. The marginal ridge (zona limitans intrathalamica) separates the dorsal from the ventral thalamus. Cranial nerve 3 emerges from M2. M1 has become shorter. Important pathways are beginning: the olfactory route by the olfactory fibres and the medial forebrain bundle; the vestibular by vestibulocerebellar and vestibulospinal fibres; gustatory by chorda tympani, nervus intermedius, and tractus solitarius. Fibres of the cochlear nerve are noted. The first parasympathetic ganglia, submandibular and ciliary, are identifiable. Asymmetry of the cerebral hemispheres was noted in one specimen.

The development of the human brain, including the longitudinal zoning in the diencephalon at stage 15

Twenty-six embryos (6-11 mm) of stage 15 (approximately 33 days) were studied in detail and graphic reconstructions of three of them were prepared. Characteristic features of this stage include closed lens vesicles, presence of nasal pits, and retinal pigment. The neuromeric pattern is still visible. Each cerebral hemisphere is limited by the torus hemisphericus internally and by the di-telencephalic sulcus externally. The medial (diencephalic) eminence of the basal nuclei (previously misinterpreted by others as the lateral) had appeared in stage 14, and the lateral eminence, which is telencephalic, is now distinguishable. The amygdaloid body in stages 14 and 15 is derived from the medial eminence. The hippocampal thickening is identifiable in the dorsomedial part of the cerebral hemisphere. Medial and basal forebrain bundles are developing. The olfactory eminence is visible. Future olfactory bulb and tubercle possess an intermediate layer. The wall of the diencephalon presents five longitudinal zones: epithalamus, dorsal thalamus, ventral thalamus, subthalamus, and hypothalamus. The primordium of the epiphysis cerebri is beginning in the more advanced embryos. The sulcus limitans ends rostrally at the midbrain (M1) and is not continuous with the hypothalamic sulcus. Hence the alar/basal distinction does not arise in the forebrain. In the roof of the midbrain (M2) the mesencephalic evagination already noticed at stage 14 is characteristic. It is suggested that it may function as a temporary circumventricular organ. The precursors of some new tracts are identifiable: habenulo-interpeduncular, medial tectobulbar, and mamillotegmental fibres. Commissures include the supramamillary, that of the superior colliculi, and (in some embryos) the first fibres of the posterior commissure. Nuclei include the habenular, mamillary, and probably subthalamic. The cerebellum, the beginning of which was already noted at stages 13 and 14, consists of (1) a rostral part that arises from the alar plate of the isthmic segment and will form the superior medullary velum and part of the corpus cerebelli; and (2) a caudal part that develops from rhombomere 1. The involvement of the isthmic segment, first elucidated with stage 14, has not been observed in previous reports. All cranial nerves except the olfactory and optic are present in the more advanced embryos.

Computer ranking of the sequence of appearance of 40 features of the brain and related structures in staged human embryos during the seventh week of development

The sequence of events in the development of the brain in human embryos, already published for stages 8-17, is here continued for stages 18 and 19. With the aid of a computerized bubble-sort algorithm, 58 individual embryos were ranked in ascending order of the features present. The increasing structural complexity provided 40 new features in these two stages. The chief characteristics of stage 18 (approximately 44 postovulatory days) are rapidly growing basal nuclei; appearance of the extraventricular bulge of the cerebellum (flocculus), of the superior cerebellar peduncle, and of follicles in the epiphysis cerebri; and the presence of vomeronasal organ and ganglion, of the bucconasal membrane, and of isolated semicircular ducts. The main features of stage 19 (approximately 48 days) are the cochlear nuclei, the ganglion of the nervus terminalis, nuclei of the prosencephalic septum, the appearance of the subcommissural organ, the presence of villi in the choroid plexuses of the fourth and lateral ventricles, and the stria medullaris thalami.

The development of the human brain from a closed neural tube at stage 13

Twenty-five embryos of stage 13 (28 days) were studied in detail and graphic reconstructions of seven of them were prepared. Thirty or more somitic pairs are present, and the maximum is possibly 39. The notochord is almost entirely separated from the neural tube and the alimentary epithelium, and its rostral tip is closely related to the adenohypophysial pocket. Caudal to the cloacal membrane, the caudal eminence is the site of secondary neurulation. The eminence, which usually contains isolated somites, is the area where new notochord, hindgut, and neural tube are forming. The neural cord develops into neural tube without the intermediate phase of a neural plate (secondary neurulation). Canalization is regular and the lumen is continuous with the central canal. The neural tube is now a closed system, filled with what may be termed "ependymal fluid." The brain is widening in a dorsoventral direction. Neuromeres are still detectable. The following features are distinguishable: infundibular area of D2, chiasmatic plate of D1, "adult" lamina terminalis, and commissural plate (at levels of nasal plates). The beginning of the synencephalon of D2 can be discerned. The retinal and lens discs are being defined. The mesencephalic flexure continues to diminish. The midbrain possesses a sulcus limitans, and the tegmentum may show the medial longitudinal fasciculus. The isthmic segment is clearly separated from rhombomere 1. Lateral and ventral longitudinal fasciculi are usually present in the hindbrain, and the common afferent tract is beginning. Somatic and visceral efferent fibres are seen in certain nerves: 6, 12; 5, 7, 9-11. The first indication of the cerebellum may be visible in the alar lamina of rhombomere 1. The terminal-vomeronasal crest appears. Various cranial ganglia (e.g., vestibular, superior ganglia of 9, 10) are forming. The trigeminal ganglion may show its three major divisions. Epipharyngeal placodes of pharyngeal arches 2 to 5 contribute to cranial ganglia 7, 9, and 10. The spinal neural crest is becoming segregated, and the spinal ganglia are in series with the somites. Ventral spinal roots are beginning to develop.

The first appearance of the future cerebral hemispheres in the human embryo at stage 14

Thirty-five embryos of stage 14 (32 days) were studied in detail and graphic reconstructions of four of them were prepared. Characteristic features of this stage include the beginning formation of the future cerebral hemispheres and the cerebellar plates. The ventral boundary between telencephalon medium and diencephalon is the preoptic recess. Although a velum transversum is not yet distinguishable as a dorsal boundary, its site is indicated by a change in the thickness of the roof of the forebrain. As the cerebral vesicles (future hemispheres) begin to evaginate, a di-telencephalic sulcus and a corresponding lateral ventricle and ventricular ridge (torus hemisphericus) develop. The telencephalic wall is mainly ventricular layer but three areas show advanced differentiation: olfactory area, future amygdaloid body (which lies at first mainly in the diencephalon), and primordium of the hippocampus. The telencephalon is growing in length, and the forebrain now occupies almost one quarter of the total length of the brain. The two neuromeres of the diencephalon are no longer as clearly delineated. The floor of D1 presents a thickened chiasmatic plate; that of D2 includes the infundibulum, which is closely related to the adenohypophysial pouch. The ventricular surface of D1 presents elevations for the dorsal and ventral thalami, separated by the sulcus medius. Other features of the diencephalon include the ventricular eminence (medial ventricular ridge) of the basal nuclei and the hypothalamic cell cord, from which the preopticohypothalamotegmental tract arises. The roof of D2 contains the evaginating part of the synencephalon. The mesencephalic angle continues to diminish. Two neuromeres, M1 and M2, are still distinguishable. The oculomotor nucleus emits nerve fibres, as does also the trochlear nucleus, which lies in the isthmic segment. Some extracerebral oculomotor fibres are present, but decussating and extracerebral trochlear fibres have not yet appeared. In the region of the tectum, two nuclei are discernible, and will form the medial tectobulbar tract and the mesencephalic root of the trigeminal nerve, respectively. The medial longitudinal fasciculus is present. A "median ventricular formation" is sometimes found in the mesencephalic roof. The cerebellum is the widest part of the brain. Two neuromeres (isthmic segment and Rh1) are involved in its formation. Most of the cerebellar plate has differentiated an intermediate layer, and the future rhombic lip is discernible. Indications of an efferent fibre system are present. In addition to the cerebellum, the rhombencephalon includes Rh1 to Rh7, and RhD.(ABSTRACT TRUNCATED AT 400 WORDS)

Computer ranking of the sequence of appearance of 73 features of the brain and related structures in staged human embryos during the sixth week of development

The sequence of events in the development of the brain in human embryos, already published for stages 8-15, is here continued for stages 16 and 17. With the aid of a computerized bubble-sort algorithm, 71 individual embryos were ranked in ascending order of the features present. Whereas these numbered 100 in the previous study, the increasing structural complexity gave 27 new features in the two stages now under investigation. The chief characteristics of stage 16 (approximately 37 postovulatory days) are protruding basal nuclei, the caudal olfactory elevation (olfactory tubercle), the tectobulbar tracts, and ascending fibers to the cerebellum. The main features of stage 17 (approximately 41 postovulatory days) are the cortical nucleus of the amygdaloid body, an intermediate layer in the tectum mesencephali, the posterior commissure, and the habenulo-interpeduncular tract. In addition, a typical feature at stage 17 is the crescentic shape of the lens cavity.

The development of the human brain and the closure of the rostral neuropore at stage 11

Twenty embryos of stage 11 (24 days) were studied in detail and graphic reconstructions of twelve of them were prepared. The characteristic feature of this stage is 13-20 pairs of somites. The notochord sensu stricto appears first during this stage, and its rostral and caudal parts differ in origin. Rostrally, the notochordal plate is being transformed into the notochord in a caudorostral direction. The caudal part, however, arises from the axial condensation in the caudal eminence in a rostrocaudal direction. The caudal eminence (or end bud) represents the former primitive streak. The somites are increasing in number at a mean rate of 6.6 h per pair. The rostral neuropore closes towards the end of stage 11. The closure is basically bidirectional, being more rapid in the roof region and producing the embryonic lamina terminalis and future commissural plate in the basal region. The caudal neuropore is constantly open. The brain comprises telencephalon medium (represented by the embryonic lamina terminalis) and a series of neuromeres: 2 for the forebrain (D1 and D2), 1 for the midbrain, and 6-7 for the hindbrain (RhA-C; RhD is not clearly delineated). The forebrain still occupies a small proportion of the total brain, whereas the spinal part of the neural tube is lengthening rapidly. Some occlusion of the lumen of the neural tube was noted in 4 embryos, all of which had an open rostral neuropore. Hence there is at present no evidence that occlusion plays a role in expansion of the human brain. The marginal (primordial plexiform) layer is appearing, particularly in rhombomere D and in the spinal portion of the neural tube. The neural crest is still forming from both the (open) neural groove and the (closed) neural tube, and exclusively from both neural (including optic) and (mainly) otic ectoderm. The optic sulcus is now prominent, and its wall becomes transformed into the optic vesicle towards the end of stage 11. At this time also, an optic sheath derived from mesencephalic crest and optic crest is present. The mitotic figures of the optic neural crest are exceptional in being situated in the external part of the neural epithelium. The otic pit is becoming deeper, and its wall is giving rise to neural crest that is partly added to the faciovestibulocochlear ganglion and partly forms an otic sheath. The nasal plate does not yet give off neural crest.

The human larynx at the end of the embryonic period proper. 2. The laryngeal cavity and the innervation of its lining

The laryngeal cavity was studied in eight serially sectioned embryos of stage 23 and in three early fetuses, and graphic reconstructions were prepared. After the isolation of the tracheal from the pharyngeal cavity during stages 16 through 22, a communication (not necessarily the pharyngotracheal duct) appears again during stage 23. At this time (8 postovulatory weeks) the laryngeal cavity comprises 1) the coronal and parts of the sagittal clefts of the vestibule (uniting later at the laryngeal inlet); 2) the ventricles, which are not yet completely formed; and 3) the subglottic cavity, which appeared already in earlier stages. The characteristic events of stage 23 are the dissolution of the epithelial lamina and the development of the ventricles. The disruption of the epithelial lamina is an active process that comprises rearrangement and growth, but not loss of cells. The ventricles, which begin as solid outgrowths in stage 20, do not represent fifth pharyngeal pouches. They now point toward the middle of the still paired thyroid laminae and are not at the level of the future glottis, which lies more caudally. In the absence of the median part of the soft palate, the nasopharynx communicates widely with the oral cavity. The epithelium of the respiratory tube, including the larynx, resembles that of the pharynx and esophagus in being pseudostratified columnar and showing a clear basement membrane. It is ciliated over that part of the epiglottis that surmounts the arytenoid swellings, and also over the tip and back of the latter. The transitional area between the laryngopharynx and the esophagus is already innervated by the recurrent laryngeal nerve. Nerve fibers have not yet reached the epithelium of the coronal cleft and the ventricles, but fibers are present near the sagittal cleft of the vestibule. The sensory innervation of the pharynx and larynx has been followed and plotted for the first time in an embryo, and previously unrecorded silver-impregnated receptors have been observed.