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Abstract
A 130-day human female fetus with the Arnold-Chiari malformation and thoracolumbar
myeloschisis revealed evidence of neuroectodermal-mesodermal spatial dyssynchrony.
The rhombencephalon and the cervico-medullary junction appear most affected. The phylogenetic
and ontogenetic development of the transition zone between brain and spinal cord is
reviewed. It is hypothesized that the etiologic event responsible for the Arnold-Chiari
malformation is the caudal “displacement” of the site of initial fusion of the neural
folds. This is believed to result in the posterior displacement of the cervico-medullary
junction and myeloschisis (the Arnold-Chiari malformation, type II).
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Article info
Publication history
Accepted:
November 23,
1981
Received:
October 13,
1981
Footnotes
☆Supported in part by a Medical Services Grant from the March of Dimes-Birth Defects Foundation.
Identification
Copyright
© 1982 Published by Elsevier Inc.