front matter 1

(Michael S) #1
ated axons from the ventral corticospinal tract (see p. 198
in Ranson and Clark, 1959). Prior to this time, axons in
the ventral corticospinal tract are present, but they may not
have grown decussating collaterals.

The gray matter in the myelin stained sections
shows heavy fascicles of myelinated fi bers penetrating the
dorsal horn from above and medially where it joins the
intermediate gray. There is a large subgelatinosal plexus
of myelinated fi bers in the myelin stained sections. Fine
fascicles of myelinated fi bers are also scattered throughout
the ventral horn, only labeled in the lumbar enlargement
where there is a high ratio of gray matter to white matter.
Many of these myelinated axons are from the large neu-
rons in the dorsal root ganglion penetrating the dorsal horn
from above and below (in the subgelatinosal plexus), arbo-
rizing in the intermediate gray (especially around Clarke’s
column), and in the ventral horn. Other myelinated axons
are from the motoneurons in the ventral horn that later
organize into fascicles to form the ventral rootlets of spinal
nerves. The intraspinal tract is one of the earliest myelin-
ating; see the dense reactive glia in this tract at GW26
(Plates 47, 49, and 51 ).

Plate 92 is a survey of matched myelin stained and

cell body stained sections from Y23-60, a specimen in the


Yakovlev Collection with a crown rump length of 410 mm.


All sections are shown at the same scale. The boxes enclos-


ing each section list the approximate level and the total area


(post-fi xation) of the section in square millimeters (mm^2 ).


Full-page normal contrast photographs of each specimen


are in Plates 93A-102A. Low contrast photographs with


superimposed labels and outlines of structural details are


in Plates 93B-102B. In this specimen, the myelin stained


and cell body stained sections were preserved on separate


large glass plates without consecutive section numbers. In


addition, some sections were fl ipped over before they were


placed on the plates. Sixteen myelin stained sections and


16 cell body stained sections were photographed ranging


from upper cervical to lumbar enlargement levels. The 32


photographic prints were intuitively arranged in order from


upper cervical to lumbar levels, using internal features such


as the reduced size of the corticospinal tracts from rostral


to caudal levels. Then, myelin and cell body stained sec-


tions were matched and 6 different levels are analyzed.


Only myelin stained sections are illustrated at the cervical


enlargement and upper lumbar levels because there are no


matching cell body stained sections.


As in the previous specimens, the cross-sectional

area of a myelin stained section is smaller than the match-


ing cell body stained section with the exception of the


upper thoracic level. At that level, the cell body and myelin


stained sections are not perfectly matched; the cell body


stained section is probably 3 to 4 sections below the myelin


stained section. Using the total areas of the myelin-stained


sections, the cervical enlargement has the largest cross-sec-


tional area, being larger than the lumbar enlargement by


20%; the two thoracic levels have smaller cross-sectional


areas, averaging 74% smaller than the cervical enlargement


and 45% smaller than the lumbar enlargement.


Myelination in this specimen has two different char-

acteristics (Table V B-1) than in the 4-day-old infant. First,


there are myelination gradients in two fi ber tracts. (1) The


lateral corticospinal tract has a gradient of medial (dense)


to lateral (sparse) reactive glia at cervical levels; myelin-


ated fi bers will fi rst appear medially and last laterally (see


Chapter 9, Figures 9-25 through 9-32 in Altman and Bayer,


2001). (2) There is some indication of a myelination gra-


dient in the spinocephalic tracts at both cervical levels,


because the outer fi bers appear to myelinate later than the


inner fi bers (those closer to the intraspinal tracts). Second,


the ventral commissure, which is either myelinating or is


myelinated at GW37 and the 4-day-old infant, appears to


be less advanced in this specimen, especially at cervical


levels. That is probably due to the crossing of unmyelin-


Part V: The Early Postnatal Period (continued)


B. Matched myelin and cell body stained sections in the spinal cord of a 4-week-old


infant


Name

Myelination

Reactive glia

Proliferating glia

DORSAL FUNICULUS:

DORSAL ROOT
VENTRAL ROOT

LATERAL and VENTRAL
FUNICULI:

dorsal root col. zone Myelinated --- Sparse

Myelinated

Myelinated

fas. gracilis Myelinated --- Sparse
fas. cuneatus Myelinated --- Sparse

intraspinal tract Myelinated --- Sparse
spinocephalic tract Gradient†† Gradient†† Sparse

spinocerebellar tracts Myelinated --- Sparse

med. long. fasiculus Many fibers --- Sparse
vestibulospinal tract Some fibers --- Sparse

dorsal root bif. zone Many fibers* Sparse

---

Sparse•

---

---

---

ven. commissure Myelinated** --- Sparse

Lissauer's tract --- None Sparse

lat. cortricospinal tract --- Gradient† Sparse
ven. cortricospinal tract --- Sparse Sparse

Table V B-1: Glia types and concentration


in the white matter in a 4-week-old infant



  • dense band in a sparse field in Plate 102



  • intermingled in a bed of nonreactive glia
    † dense to sparse at cervical and thoracic levels,
    sparse at remaining levels
    ** some unmyelinated fibers at cervical levels
    ††at cervical levels: myelinating internally, reactive
    glia externally; at other levels: myelinated or myelinating

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