MIEMCAL Gift of Robert S. Stone, M.D. TEXT-BOOK OF EMBRYOLOGY BY FREDERICK RANDOLPH BAILEY, A. M., M. D. FORMERLY ADJUNCT PROFESSOR OF HISTOLOGY AND EMBRYOLOGY, COLLEGE OF PHYSICIANS AND SURGEONS (MEDICAL DEPARTMENT OF COLUMBIA UNIVERSITY) AXD ADAM MARION MILLER, A. M. PROFESSOR OF ANATOMY, LONG ISLAND COLLEGE HOSPITAL AND AFFILIATED INSTITUTIONS WITH FIVE HUNDRED AND FIFTEEN ILLUSTRATIONS NEW YORK WILLIAM WOOD AND COMPAJSTY MDCCCCXVIII COPYRIGHT, 1916, BY WILLIAM WOOD & COMPANY. PREFACE TO THE THIRD EDITION In the present edition the general plan of the book, as outlined in the preface to the first edition, remains unchanged with the exception that Practical Suggestions at the end of each chapter and the Appendix dealing with general technic are omitted. Certain changes have been made in the text and illustrations. Several chapters have been rewritten in the light of recent studies, numerous changes have been made throughout the book in view of the advances made in the science, and a number of new illustrations supplant the old. The writers wish to thank Mr. Adolph Elwyn for the revision of the. chapters on Maturation and Fertilization. THE AUTHORS. JULY 24, 1916. iii 81530 PREFACE TO THE FIRST EDITION The Text-book, as originally planned, is an outgrowth of the course in Embryology given at the Medical Department of Columbia University. It was intended primarily to present to the student of medicine the most important facts of development, at the same time emphasizing those features which bear directly upon other branches of medicine. As the work took form, it seemed best to broaden its scope and make it of greater value to the general student of embryology and allied sciences. With the opinion that illustrations convey a much clearer conception of structural features than verbal description, alone, the writers have made free use of figures. The plan of adding brief "Practical Suggestions" at the end of each chapter has been so thoroughly satisfactory in the Text-book of Histology, especially in connection with laboratory work, that it has been adopted here. These "suggestions" are not intended to be complete descriptions of embryological technic, but are for the purpose of furnishing the laboratory worker with cer- tain of the more essential practical hints for studying the structures described in the chapter. To avoid frequent repetition, some of the best methods of procuring, handling, and preparing embryological material, and some of the more important formulae are given in the Appendix, which is intended to be used mainly for the carrying out of the "Practical Suggestions." The development of the Germ Layers has been treated rather elaborately from a comparative standpoint, because this has been found the most satisfac- tory method of teaching the subject. In the chapter on the Nervous System the aim has been to give a general conception of the subject, which, if once mastered by the student, will give him an insight into the structure and significance of the nervous system that will bring this difficult subject more fully within his grasp. In Part II (Organogenesis) , at the end of each chapter there is given a brief description of certain developmental anomalies which may occur in connection VI PREFACE. with the organs described in the chapter. In Chapter XIX (Teratogenesis) the nature and origin of the more complex anomalies and monsters are dis- cussed, and also the causes underlying the origin of malformations. The writers wish to thank Dr. Oliver S. Strong for his painstaking work on the chapter on the Nervous System. Dr. Strong in turn wishes to acknowledge his indebtedness to Dr. Adolf Meyer for important ideas underlying the treat- ment of his subject, and also for many valuable details. He expresses his thanks also to Professors C. J. Herrick, H. von W. Schulte and G. L. Streeter for helpful criticisms and suggestions. The writers would also express their thanks to Dr. H. McE. Knower for helpful criticisms on Part I and the chapter on Teratogenesis; to Dr. Edward Learning for making the photo- graphs reproduced in the text; to the American Journal of Anatomy for the loan of plates; and to Messrs. William Wood & Company for their uniform courtesy and kindness. FREDERICK RANDOLPH BAILEY. APRIL i, 1909. ADAM MARION MILLER. CONTENTS PART I.-GENERAL DEVELOPMENT CHAPTER I THE CELL AND CELL PROLIFERATION i The Cell . i Cell Division 3 Amitosis . 3 Mitosis 4 References for Further Study 9 CHAPTER II THE GERM CELLS OVTJM AND SPERMATOZOON 10 The Ovum i o The Spermatozoon 13 References for Further Study 15 CHAPTER III MATURATION 17 Spermatogenesis Maturation of the Sperm 17 Maturation of the Ovum 21 Significance of Mitosis and Maturation 25 Sex Determination 27 Ovulation and Menstruation 29 References for Further Study 32 CHAPTER IV FERTILIZATION 33 Significance of Fertilization 38 References for Further Study 39 CHAPTER V CLEAVAGE (SEGMENTATION) 40 Forms of Cleavage 40 Holoblastic Cleavage 41 Equal 41 Unequal 42 vii Viii CONTENTS Meroblastic Cleavage 44 Superficial 44 Discoidal 45 References for Further Study 50 CHAPTER VI GERM LAYERS 51 The Two Primary Germ Layers Formation of the Gastrula 51 Gastrulation in Amphioxus 51 Gastrulation in Amphibians 52 Gastrulation in Reptiles and Birds 57 Gastrulation in Mammals 63 Formation of the Middle Germ Layer Mesoderm 68 Mesoderm Formation in Amphioxus 68 Mesoderm Formation in Amphibians 72 Mesoderm Formation in Reptiles and Birds 74 Mesoderm Formation in Mammals 81 The Germ Layers in Man . 85 References for Further Study 92 CHAPTER VII FCETAL MEMBRANES 95 Foetal Membranes in Birds and Reptiles 95 The Amnion 95 The Yolk Sac 99 The Allantois . 102 The Chorion or Serosa 103 Foetal Membranes in Mammals 103 Amnion, Chorion, Yolk Sac, Allantois, Umbilical Cord 104 Further Development of the Chorion. 107 The Fcetal Membranes in Man in The Amnion m The Yolk Sac 113 The Allantois 114 The Chorion and Decidua 115 The Decidua Parietalis 119 The Decidua Capsularis 119 The Decidua Basalis 120 The Umbilical Cord 128 The Expulsion of the Placenta and Membranes 130 Anomalies !3o References for Further Study 131 CONTENTS ix CHAPTER VIII THE DEVELOPMENT OF THE EXTERNAL FORM OF THE BODY 133 Branchial Arches Face Neck 145 The Extremities 149 Age and Length of Embryos 151 Normal, Abnormal and Pathological Embryos 154 References for Further Study 155 PART II.-ORGANOGENESIS CHAPTER IX THE DEVELOPMENT OF CONNECTIVE TISSUES AND THE SKELETAL SYSTEM . . 161 Histogenesis 163 Fibers and Fibrils 166 Adipose Tissue 167 Cartilage 168 Osseous Tissue 169 Intramembranous Ossification 169 Intracartilaginous Ossification ' 172 The Development of the Skeletal System 178 The Axial Skeleton 178 The Notochord 178 The Vertebrae 179 The Ribs 184 The Sternum 185 The Head Skeleton 186 Ossification of the Chondrocranium 190 Membrane Bones of the Skull 192 Bones Derived from the Branchial Arches 194 The Appendicular Skeleton 198 Development of Joints 205 Anomalies 209 References for Further Study 213 CHAPTER X THE DEVELOPMENT OF THE VASCULAR SYSTEM 216 The Blood Vascular System 216 Principles of Vasculogenesis 224 The Heart 227 The Septa 233 The Valves 236 Changes after Birth 237 The Arteries 240 The Veins 250 X CONTENTS Histogenesis of the Blood Cells. . . .' 267 The Lymph Vascular System 273 The Lymph Glands 280 The Spleen 283 Glomus Coccygeum 285 Anomalies 285 References for Further Study 290 CHAPTER XI THE DEVELOPMENT OF THE MUSCULAR SYSTEM 293 The Skeletal Musculature 293 Muscles of the Trunk 295 Muscles of the Head 300 Muscles of the Extremities 303 Histogenesis of Striated Voluntary Muscle Tissue 307 The Visceral Musculature 311 Histogenesis of Heart Muscle 311 Histogenesis of Smooth Muscle 312 Anomalies 313 References for Further Study 314 CHAPTER XII THE DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS . .311 The Mouth 317 The Tongue 320 The Teeth 322 The Salivary Glands 327 The Pharynx 329 The Branchial Epithelial Bodies 331 The (Esophagus and Stomach 335 The Intestine 337 Histogenesis of the Gastrointestinal Tract 342 The Development of the Liver 345 Histogenesis of the Liver 349 The Development of the Pancreas 350 Histogenesis of the Pancreas 353 Anomalies 354 References for Further Study 358 CHAPTER XIII THE DEVELOPMENT OF THE RESPIRATORY SYSTEM 360 The Larynx 361 The Trachea 363 CONTENTS XI The Lungs 364 Changes in the Lungs at Birth . 367 Anomalies 368 References for Further Study 369 CHAPTER XIV THE DEVELOPMENT OF THE CCELOM, THE PERICARDIUM, PLEUROPERITONEUM, DIAPHRAGM AND MESENTERIES 370 The Pericardial Cavity, Pleural Cavities and Diaphragm 371 The Pericardium and Pleura 378 The Omentum and Mesentery 378 The Greater Omentum and Omental Bursa 378 The Lesser Omentum 379 The Mesenteries 380 The Peritoneum 382 Anomalies 382 References for Further Study 383 CHAPTER XV THE DEVELOPMENT OF THE UROGENITAL SYSTEM 384 The Pronephros 384 The Mesonephros 386 The Kidney (Metanephros) 391 The Ureter, Renal Pelvis, and Straight Renal Tubules 391 The Convoluted Renal Tubules and Glomeruli 393 The Renal Pyramids and Renal Columns 397 Changes in the Position of the Kidneys 399 The Urinary Bladder, Urethra, and Urogenital Sinus 400 The Genital Glands 403 The Germinal Epithelium and Genital Ridge 403 Differentiation of the Genital Glands 405 The Ovary 406 The Testicle 411 Determination of Sex 412 The Ducts of the Genital Glands and the Atrophy of the Meso- nephroi 413 In the Female 413 Oviduct 414 Uterus and Vagina 415 In the Male 416 Changes hi the Positions of the Genital Glands and the Development of their Ligaments 417 Descent of the Testicles 419 Descent of the Ovaries 422 Xll CONTENTS The External Genital Organs 423 The Development of the Suprarenal Glands 426 The Cortical Substance 427 The Medullary Substance 427 Anomalies 429 References for Further Study 435 CHAPTER XVI THE DEVELOPMENT OF THE INTEGUMENTARY SYSTEM 437 The Skin 437 The Nails 439 The Hair ,, 440 The Glands of the Skin 442 The Mammary Glands 442 Anomalies 444 References for Further Study 446 CHAPTER XVII THE NERVOUS SYSTEM 447 General Considerations 447 General Plan of the Vertebrate Nervous System 450 Spinal Cord and Nerves 457 The Epichordal Segmental Brain and Nerves 459 The Cerebellum 466 The Mid-Brain Roof 467 The Prosencephalon 467 General Development of the Human Nervous System During the First Month 472 Histogenesis of the Nervous System 478 Epithelial Stage Cell Proliferation 479 Early Differentiation of the Nerve Elements 483 Differentiation of the Peripheral Neurones of the Cord andj Epi- chordal Segmental Brain 486 Efferent Peripheral Neurones 486 Afferent Peripheral and Sympathetic Neurones 489 Development of the Lower (Intersegmental) Intermediate Neurones. 502 Further Differentiation of the Neural Tube . . . . . . . 506 The Spinal Cord 506 The Epichordal Segmental Brain ..512 The Cerebellum 525 Corpora Quadrigemina 530 The Diencephalon 53! CONTENTS Xlll The Telencephalon (Rhinencephalon, Corpora Striata and Pallium) . 538 Rhinencephalon 540 Corpora Striata and Pallium 541 The Archipallium 546 The Neopallium 552 Anomalies 560 References for Further Study 561 CHAPTER XVIII THE ORGANS OF SPECIAL SENSE 563 The Eye 563 The Lens 565 The Optic Cup 569 The Retina 570 The Chorioid and Sclera 575 The Vitreous 575 The Optic Nerve 576 The Ciliary Body, Iris, Cornea, Anterior Chamber 577 The Eyelids 578 The Nose . 579 The Ear 582 The Inner Ear 582 The Acoustic Nerve 588 The Middle Ear 589 The Outer Ear 590 Anomalies 591 References for Further Study 592 CHAPTER XIX TERATOGENESIS 593 Malformations Involving More Than One Individual 593 Classification, Description, Origin 593 Symmetrical Duplicity 594 Origin of Symmetrical Duplicity 599 Asymmetrical Duplicity 600 Origin of Asymmetrical (Parasitic) Duplicity 602 Malformations Involving One Individual 604 Description, Origin 604 Defects in the Region of Neural tube 604 Origin of Malformations in the Region of Neural Tube .... 607 Defects in Regions of the Face and Neck, and their Origin . . 608 Defects in the Thoracic and Abdominal Regions, and their Origin 610 XIV CONTENTS Causes Underlying the Origin of Monsters 612 The Production of Duplicate (Polysomatous) Monsters 613 The Production of Monsters in Single Embryos 614 The Significance of the Foregoing in Explaining the Production of Human Monsters 615 References for Further Study 615 INTRODUCTION While Embryology as a science is of comparatively recent date, recorded observations upon the development of the foetus date back as far as 1600 when Fabricius ab Aquapendente published an article entitled "De Formato Fcetu." Four years later the same author added some further observations under the title, " De Formatione Foetus.' 1 Harvey (1651), using a simple lens, studied and described the chick embryo of two days' incubation. Harvey's idea was that the ovum consisted of fluid in which the embryo appeared by spontaneous generation. Regnier de Graaf (1677) described the ovarian follicle (Graafian follicle), and in the same year was announced the discovery by Von Loewenhoek of the spermatozoon. These and other embryologists of this period held what is now known as the prejormation theory. According to this theory, the adult form exists in miniature in the egg or germ, development being merely an enlarging and unfolding of preformed parts. With the discovery of the spermatozoon the " pref ormationists " were divided into two schools, one hold- ing that the ovum was the container of the miniature individual (ovists), the other according this function to the spermatozoon (animalculists). According to the ovists, the ovum needed merely the stimulation of the spermatozoon to cause its contained individual to undergo development, whereas the animalcu- lists looked upon the spermatozoon as the essential embryo-container, the ovum serving merely as a suitable food-supply or growing-place. Nearly a hundred years of almost no further progress in embryological knowledge came to a close with the publication of Wolff's important article, "Theoria Generationis," in 1759. Wolff's theory was theory pure and simple, with very little basis on then known facts, but it was significant as being ap- parently the first clear statement of the doctrine of epigenesis. The two es- sential points in Wolff's theory were: (i) that the embryo was not preformed; that is, did not exist in miniature in the germ, but developed from a more or less unformed germ substance; (2) that union of male and female substances was necessary to initiate development. The details of Wolff's theory were wrong in that he looked upon the ovum as a structureless substance and upon the seminal fluid and not upon the spermatozoon as the male fecundative agent. Dollinger and his two pupils, von Baer and Pander, were the next to make important contributions to Embryology. Von Baer's publication in 1829 was of extreme significance in the development of embryological knowledge, for XV xvi INTRODUCTION. in it we have the first definite description of the primary germ layers as well as the first accurate differentiation between the Graafian follicle and the ovum. It will be remembered that the cell was not as yet recognized as the unit of organic structure. Only comparatively gross Embryology was thus possible. With the recognition of the cell as the basis of animal structure (Schleiden and Schwann, 1839) the entire field of histogenesis was opened to the embryologist; the ovum became known as a typical cell, while a little later (Kolliker, Reichert and others, about 1840) was established the function of the spermatozoon and the fact that it also was a modified cell structure. From this time we may consider the two fundamental facts of Histology and of Embryology, respectively, as firmly fixed beyond controversy; for Histology, the fact that the body consists wholly of cells and cell derivatives; for Embryology, the fact that all of these cells and cell derivatives develop from a single original cell^the fertilized ovum. The adult body being thus composed of an enormous number of cells, vary- ing in structure and in function, forming the different tissues and organs, and these cells having all developed from the single fertilized germ cell, it is the province of Embryology to trace this development from the union of male and female germ cells to the cessation of developmental life. While Embryology thus properly begins with the fertilized ovum, that is, with the first cell of the new individual, certain preliminary considerations are essential to the proper understanding of this cell and its future development. These are the structure of the ovum and of the spermatozoon and their de- velopment preparatory to union. Also, as it is with cells and cell activities that Embryology has largely to deal, it is necessary to consider the structure of the typical animal cell and the processes by which cells undergo division or proliferation. While the subject of this work is distinctly human Embryology, it is neither possible nor advisable to confine our study wholly to human material. It is not possible, for the reason that material for the study of the earliest stages in the human embryo (first 12 days) is entirely wanting, while human embryos of under 20 days are extremely rare. Again, even later stages in human develop- ment are often best understood by comparison with similar stages in lower forms. For practical study by the student, human material for all even of the later stages is rarely available, so that recourse must frequently be had to material from lower animals. Such study is, however, usually thoroughly satisfactory if the student has sufficient knowledge of comparative anatomy, and the deductions regarding human development, from the study of development in lower forms, are rarely in error ~ PART I. GENERAL DEVELOPMENT. A TEXT-BOOK OF EMBRYOLOGY CHAPTER I. THE CELL AND CELL PROLIFERATION. THE CELL. The Typical Animal Cell (Fig. i) is a small definitely restricted mass of protoplasm. It contains or has at some period of its development contained two specially differentiated bodies, the nucleus and the centrosome. It may be limited by a more or less definite cell membrane. Of the ultimate structure of living protoplasm our knowledge is extremely small. It is of an albuminous nature, coagulated by heat and by many chemical reagents. It varies both in structure and in chemical composition in different cells and is probably best considered, not as a definite structure either chemically or morphologically, but as the material basis of life activities. Protoplasm can usually be resolved into a formed part, spongioplasm, which takes the form of a reticulum, a feltwork, or fibrillae, and an unformed homogeneous element, hyaloplasm, which fills in the meshes of the reticulum or forms the perifibrillar substance. Various protoplasmic inclusions are frequently found in cells. To these the term metaplasm (paraplasm, deutoplasm) has been applied. Among them may be mentioned plastids, fat droplets, pigment granules and various excretory and secretory substances. The NUCLEUS is usually separated from the rest of the protoplasm by a nuclear membrane. Within the nucleus the nuclear membrane is continuous with a nuclear reticulum which consists of two parts: a chromatic part chroma- tin, and an achromatic part linin. At nodal points of the network there are frequently considerable accumulations of chromatin to- form net knots (false nucleoli or karyosomes). Filling the meshes of the nuclear reticulum is a fluid or semifluid substance, the nucleoplasm or karyoplasm. The structure of the nucleus is thus seen to correspond closely to the structure of the surrounding protoplasm. This is especially evident in those cells in which there is no limiting nuclear membrane, the nuclear reticulum and the cytoreticulum being ccntinuous, the nucleoplasm and cytoplasm mingling. This condition, true TEXT-BOOK OF EMBRYOLOGY. only for some resting cells, is always present in cells which are undergoing mitotic division. In addition to the net knots are the truenucleoli or plasmosomes. These are spheroidal bodies which lie free in the meshes of the nuclear reticulum. They vary in number in different cells and sometimes in the same cell in different conditions of activity. They stain intensely with basic dyes. The function of the nucleolus is not known. It has been regarded by some as material in process of constructive metabolism, by others as a waste product. The nucleus is typically spherical. Its shape may or may not be modified by the shape of the cell body. Nuclei may assume very irregular shapes, as in polymorphonuclear leucocytes, or they may be lobulated, as in some of the Cell membrane " Metaplasm 1 granules J Karyosome or ) net knot j Hyaloplasm Spongioplasm Linin network Nucleoplasm Aster (attraction-sphere) Centriole ","' Plastids (metaplasm) Chromatin network Nuclear membrane Nucleolus Vacuole FIG. i. Diagram of a typical cell. Bailey. large cells of bone marrow; or a cell may have a number of nuclei. The shape of the nucleus may vary considerably within comparatively short periods of time. Such nuclei have been described as having amceboid movement. The size of the nucleus also appears to be independent of the size of the cell body, some large cells having small nuclei, while some small cells are almost completely filled by their nuclei. The nucleus tends to lie near the center of the cell, yet may be eccentric to any degree and appears to be suspended in the cytoplasm in such a way that its location within the cell may change. In some of the lowest forms no true nuclear structure exists, scattered granules of chromatin consti- tuting the rudimentary nucleus, generally called a diffuse nucleus. As the nucleus is an essential element in all reproduction, it follows that all cells have been nucleated at some time in their developmental history, and that the adult nonnucleated condition of some cells (e.g., respiratory epithelium) is indicative of their having passed beyond the age of reproductive power. If the nucleus be removed from a living cell, the cytoplasm does not necessarily THE CELL AND CELL PROLIFERATION. 3 die, but may live for some time and show active motile powers. Such a de- nucleated cell has, however, lost two of its most important functions: (i) its power of constructive metabolism; that is, of taking up nutritive material from without and building this up into its own peculiar structure the power of repair; and (2) the power of reproduction. For these reasons the nucleus has been considered as especially presiding over these two cell functions. The CEXTROSOME is a structure found in the cytoplasm near the nucleus, less commonly within the nucleus. It consists typically of a minute central granule, the centriole, a relatively clear surrounding area, the centrosphere, and, radiating from this, the delicate rays which constitute the aster or attraction sphere (Fig. i). On account of the behavior of the centrosome in relation to cell division, it is usually looked upon as the dynamic center of the cell. In the simplest forms of animal life a single cell, such as has been described above, constitutes the entire individual, and as such is capable of performing the functions which are recognized as characteristic of living organisms metab- olism, irritability, motion, reproduction and special functions. The develop- mental history of such an individual is extremely simple. The nucleus under- goes division and this is accompanied or followed by division of the cytoplasm. The single cell thus becomes two cells, similar in all respects to the parent cell. In all higher, that is multicellular animals, however, the different functions are distributed specifically to different cells and these cells are specifically differentiated morphologically for the performance of these different functions. There is, therefore, not the simple division of a parent cell to form two similar daughter cells, each constituting an individual, but a differentiation from the single original germ cell, the fertilized ovum, of many different kinds of cells, and their specialization to form the various tissues and organs which constitute the adult body. CELL DIVISION. In the development of the embryo, cell division of course succeeds fertiliza- tion. A proper understanding, however, of the changes which take place in the ovum and in the spermatozoon previous to fertilization requires the con- sideration of cell division at this point. Two types of cell division are recognized : (i) direct cell division or amitosis and (2) indirect cell division or mitosis. (i) Amitosis (Fig. 2). In this form of cell division there is no formation of spin die or of chromosomes (see Mitosis, p. 4), the nucleus retaining itsreticular structure during division. There is first a constriction of the nucleus, followed by complete division into two daughter nuclei. During the division of the nucleus a constriction appears in the cytoplasm. This increases until the cytoplasm is divided into two separate masses (daughter cells), each containing TEXT-BOOK OF EMBRYOLOGY. a nucleus. This form of cell division, which was considered by Remak and his associates (1855-1858) as the only method by which cells proliferated, is now known to be of rare occurrence. Flemming goes so far as to state that in the higher animals amitosis never occurs as a normal physiological process in ac- tively dividing cells, but is rather to be considered as a degeneration phenomenon occurring in cells whose reproductive powers are on the wane. It frequently results in nuclear division only, the cytoplasm remaining undivided, thus giving rise to multinuclear cells. It is a common method of cell division in the Protozoa. (2) Mitosis. In this form of cell division the cell passes through a series of complicated changes. These changes occur as a continuous process, but for clearness of description it is convenient to arbitrarily subdivide the process into a number of phases. These are known as the prophase, the metaphase, the anaphase, and the telophase. Of these the prophase in- cludes the changes preparatory to division of the nucleus; the metaphase, the actual separation of the nuclear elements; the anaphase, their arrangement to form the two daughter nuclei; the telophase, the division of the cytoplasm to form two daughter cells and the reconstruction of the two daughter nuclei. PROPHASE (Fig. 3). In actively divid- FIG. 2. Epithelial cells from ovary of ing cells the centrosome, or, more specific- cockroach, showing nuclei dividing ami- n ,, _, . , toticaiiy. Wheeler. ally, the centnole, may be double (Fig. 3, A), having undergone division as early, fre- quently, as the anaphase of the preceding division (p. 6). Each centnole is surrounded by a clear area, the centrosphere, from which radiate the delicate astral rays, the whole being known as the attraction sphere (Fig. 3, B, C, D). Connecting the two centrosomes are other delicate fibrils forming a structure known as the central or achromatic spindle (Fig. 3, B, better developed in C and D). The two centrioles with their surrounding centrospheres, astral rays and connecting spindle, constitute the amphiaster. If the resting cell contains only one centriole, division of the centnole with formation of the amphiaster is usually the first phenomenon of mitosis, the connecting central spindle fibers appearing as the centrioles move apart. During or following the formation of the. amphiaster, important changes occur in the nucleus. It increases somewhat in size and the reticulum charac- teristic of the resting nucleus becomes converted into a single long thread THE CELL AND CELL PROLIFERATION. 5 (spireme thread) arranged in a closed skein closed spireme (Fig. 3, B). This soon becomes more loosely arranged, the thread at the same time becoming shorter and thicker and frequently broken, forming the open spireme. During the formation of the spireme Jhe nucleolus and nuclear membrane usually disappear, the nucleoplasm thus becoming continuous with the cytoplasm. The spireme now lies with the amphiaster in the general cell protoplasm. The morphological change from reticulum to spireme is apparently accom- FIG. 3. Diagrams of successive stages of mitosis. Wilson. A, Resting cell with reticular nucleus and true nucleus; c, two centrioles the single preceding one having divided in anticipation of the division of nucleus and cell body. B, Early prophase. Chromatin forming a continuous thread closed spireme; nucleolus still present; a, centrioles surrounded by astral rays and connected by achromatic spindle. C, Later prophase. Spireme has segmented to form chromosomes; astral rays and achromatic spindle larger and more distinct; nuclear membrane less distinct. D, End of prophase; ep, chromosomes arranged in equatorial plane of spindle. Wl^/ panied by changes of a chemical nature, as the spireme thread stains much more intensely than do the strands of the reticulum. The next step is the transverse division of the spireme thread into a number of segments (Fig. 3, C). These are usually at first rod-shaped, and are known as chromosomes. They may remain rod-shaped or the rods may become bent to form U's or Vs. Some chromosomes are spheroidal. The most remarkable feature of the breaking up of the spireme thread to form 6 TEXT-BOOK OF EMBRYOLOGY. chromosomes is that the number of segments into which the thread divides, while differing for different species of plants and animals, is fixed and definite for each particular species. For example, in Ascaris megalocephala a very convenient type for study on account of its simplicity the number of chro- mosomes is 4, in the mouse 20. In man the number is not known with cer- tainty, the most authoritative estimate being 24. There are thus at this stage present in the cytoplasm, two distinct though closely related structures the amphiaster and the chromosomes. These together constitute the mitotic figure. As the chromosomes form they become arranged in the equator of the central spindle, along what is known as the equatorial plane (Fig. 3, D). When, as is frequently the case, the chromosomes are U-shaped, the closed ends of the loops lie toward the center, the open ends radiating. Three sets of fibers can now be distinguished in connection with the centrosomes (Fig. 3, C, D) : (i) the fibers of the central spindle connecting the two centrosomes; (2) the polar rays which radiate from the centriole toward the periphery of the cell; (3) the mantle fibers which pass from the centrosomes to the chromosomes. The mitotic figure is at this stage known as the monaster, and its complete formation marks the end of the prophase. METAPHASE. The essential feature of the metaphase is the longitudinal splitting of each chromosome into exactly similar halves (Fig. 4, E), each half containing an equal amount of the chromatin of the parent chromosome. In the case of U- or V-shaped chromosomes, the splitting begins at the crown and extends to the open ends. The latter often remain united for a time, giving the appearance of rings or loops. The significance of this equal longi- tudinal splitting of the chromosomes is apparent when one considers that through this means an exactly equal part of each chromosome and thus exactly equivalent parts of the chromatin of the parent nucleus are distributed to the nucleus of each daughter cell. ANAPHASE. Actual division of the chromosomes having taken place, the next step is their separation to form the daughter nuclei. In separating, the daughter chromosomes pass along the fibers of the central spindle (Fig. 4, F), apparently under the guidance of the mantle fibers, each group toward its respective centrosome, around which the chromosomes finally become arranged (Fig. 4, G), thus forming two daughter stars. The mitotic figure is now known as the diaster. In actively dividing cells it is common for the centriole to undergo division at this stage, thus making four centrioles in the cell. (Fig. 4, F, G.) TELOPHASE (Fig. 4, H). This is marked by division of the cytoplasm, usually in the equatorial plane of the achromatic spindle, and the reconstruction of the two daughter nuclei. Each new cell now contains a nucleus, a centrosome THE CELL AND CELL PROLIFERATION. with its aster (or two centrioles with asters) and one-half the achromatic spindle. The resting nucleus is formed by a reverse of the series of changes described as occurring in the prophase, the chromosomes uniting end to end to form a skein or spireme, lateral buds appearing which anastomose, thus giving rise to the reticulum of the resting nucleus. The nucleolus reappears as mysteriously as it disappeared during the prophase and the nuclear membrane is reformed. FIG. 4. Diagrams of successive stages of mitosis. Wilson. E, Metaphase. Longitudinal splitting of chromosomes to form daughter chromosomes, ep; n, cast-off nucleolus. F, Anaphase. Daughter chromosomes passing along fibers of achromatic spindle toward centro- somes; centrioles again divided; if, interzonal fibers of central spindle. G, Late anaphase. Chromosomes at ends of spindle; spindle fibers less distinct; thickenings of fibers in equatorial plane indicate beginning of cytoplasmic plate; cell body beginning to divide; nucleolus has disappeared. H, Telophase. Cell body divided; chromatic substance in each daughter nucleus as in resting stage; nuclear membrane and nucleolus has reappeared in each daughter cell. It is to be noted that the number of chromosomes which enter into the forma- tion of the chromatic reticulum of the resting nucleus is the same as the number of chromosomes derived from that nuclear reticulum when the cell prepares for mitotic division. It is thus probable that the chromosomes maintain their in- dividuality even during the resting stage. In plant mitosis the central spindle fibers show minute chromatic thicken- 8 TEXT-BOOK OF EMBRYOLOGY. ings along the plane of future division of the cell, forming what is known as the mid-body or cell-plate. This splits into two layers, between which the division of the cell takes place. The formation of a distinct cell-plate in animal mitosis is rare. In place of this there is a modification of the cytoplasm along the line of future division, sometimes called the cytoplasmic plate. As to what may be called the dynamics of mitosis, there has been much controversy, but comparatively little has been definitely settled. It would appear that in most cases the centrosome is the active agent in initiating, and possibly in further controlling the mitotic process. Boveri, for this reason, refers to the centrosome as the "dynamic center" of the cell. The centriole first divides into two, around each of which an astral system of fibers is formed. The origin of these fibers appears to differ in different cells. Thus, in some cases Infusoria, for example the centrosome lies within the nucleus and the entire mitotic figure apparently develops from nuclear struc- tures. In some of the higher plants both central spindle fibers and asters are formed from the spongioplasm. In still other cases for example, the eggs of Echinoderms part of the figure (the asters) is developed from the cytoplasm, while the fibers of the central spindle are of nuclear origin. It must, however, be admitted that centrosome activity is not absolutely essential to cell division, for there are cases in which division of the chromo- somes occurs without division of the centrosome, while in the higher plants mitosis occurs, although no centrosome can be distinguished at any stage of the process. The behavior of the centrosome before, during and after mitosis varies in different cells. In some cells the centriole is apparently an integral part of the cell, persisting throughout the resting stage. With it may remain more or less of the aster, the whole constituting the already mentioned attraction sphere. In other cells for example, mature egg cells the centriole with its fibrils apparently entirely disappears during the resting stage. In regard to the origin of the chromatic portion of the mitotic figure, no difference of opinion exists, so evidently does it arise, as already noted, from the chromatic portion of the nuclear reticulum. Its destination in the nuclear reticulum of the daughter cells is equally well established. The details of the formation of the chromosomes vary. Thus in some cases there is no single spireme thread, the spireme being segmented from its formation, each segment of course corresponding with a future chromosome. In other cases no spireme whatever is formed, the chromosomes taking origin directly from the nuclear reticulum. In still other cases the spireme while yet a single thread splits longitudinally so that there are two threads present, the transverse divisions into chromosomes taking place subsequently. As to the time required for the mitotic process, considerable variation exists THE CELL AXD CELL PROLIFERATION. 9 The process usually requires from one- half to three-quarters of an hour, but may extend over from two to three hours. Mitosis is naturally most active wherever active growth of tissue is taking place for example, in embryonic tissues, in granulation tissue, in the healing of wounds, in rapidly growing tumors (usually an evidence of malignancy). The earlier generations of cells derived from the fertilized ovum are indifferent cells in the sense that they are capable of development into any type of tissue cells. As differentiation takes place, the cells assume more definite and fixed types. With differentiation, mitosis becomes less and less active and cells become incapable of producing cells of any type other than their own. Finally, the most highly differentiated (specialized) cells for example, muscle cells and nerve cells lose entirely their powers of reproduction, and if destroyed are not replaced by new cells of the same type. What is known as multipolar or pluripolar mitosis occurs in some of the higher plants, less commonly in the rapidly growing connective tissue of healing wounds and in cancer cells. Such atypical mitosis has also been artificially induced in rapidly dividing cells by the injection of chemical substances into the tissues. In multipolar mitosis the centrosome divides into more than two daughter centrosomes and not infrequently results in an unequal distribution, of chromatin to the daughter cells. References for Further Study. BUCHXER, P.: Praktikum der Zellenlehre. Erster Teil, Berlin, 1915. CONKLIX, E. G.: Karyo kinesis and Cytokinesis. Jour. Acad. Nat. Sci. of Philadel- phia, Vol. XII, 1902. HEIDEXHAIX, M.: Plasma und Zelle, Abteilung I, 1907, Abteilung II, 1911. HERTWIG, O.: Die Zelle und die Gewebe. 1908. KELLICOTT, \V. E.: General Embryology, 1913. LILLIE, F. R.: A Contribution towards an Experimental Analysis of the Karyo kinetic Figure. Science, Xew Series, Vol. XXVII, 1908. WILSON, E. B.: The Cell in Development and Inheritance. 26. Ed., 1900. CHAPTER II. THE GERM CELLS OVUM AND SPERMATOZOON It is customary, from the biologist's point of view, to divide the cells of multicellular animals, or metazoa, into two classes: (i) the somatic cells and (2) the germ cells. The somatic cells constitute the various tissues and organs of the body and take part in the general physiological processes during the life of the individual but perish without descendants when the individual dies. The germ cells, on the other hand, are confined to the gonads, or genital glands, play no role in the general economy of the individual; but are so specialized that under proper conditions they give rise to a new individual and thus per- petuate the species. In the entire vertebrate series of animals, and indeed in almost the whole invertebrate series, the development of a new individual can take place only after the union of two germ cells produced by two sexually different and mature individuals. These cells are the egg (ovum, ovium) and the sperm (sperma- tozoon, spermium), the former produced by the female, the latter by the male. They are found in each sex in special glands the ovum in the ovary and the spermatozoon in the testis from which they are detached at definite times during sexual maturity. Prior to their union to form the starting point of a new individual they pass through important preparatory stages which must be considered along with their general characteristics. THE OVUM. With the exception of some neurones, the human ovum (Fig. 5) is the largest cell in the body. It is spherical in shape, measuring from 0.15 mm. to 0.2 mm. in diameter, contains a large spherical nucleus and is surrounded by a relatively thick, transparent membrane. As seen in section in the ovary it has 10 THE SEXUAL ELEMENTS OVUM AND SPERMATOZOON. 11 essentially the structure of a typical cell. Around the ovum and separated from it by a narrow cleft the perivitelline space is the zona pellucida, a rather thick, highly refractive membrane which shows radial striations. These striations are probably due to the presence of minute canals which penetrate the zona. It has been suggested that these canals serve for the passage of nutri- ment to the ovum. Immediately outside of the zona pellucida the epithelial cells of the Graafian follicle are arranged radially in one or two layers. These Zona pellucida FIG. 5. From a section of the ovary of a 1 2-year old girl. The primary oocyte lies in a large mature Graafian follicle and is surrounded by the cells of the "germ hill" (the inner edge of which is shown in the upper left-hand corner of the figure). Photograph. constitute the corona radiata (Fig. 5). Some investigators have described a thin, delicate mtelline membrane between the perivitelline space and the ovum. Others have failed to observe this. The egg protoplasm, originally called the vitellus, differs from the pro- toplasm of most cells hi that it appears somewhat more opaque and coarsely granular. This appearance is due to the fact that the ovum stores up within itself food stuffs. These consist of fatty and albuminous substances which are 12 TEXT-BOOK OF EMBRYOLOGY. later utilized in the growth and increase of the embryonic cells. The food granules deutoplasm are suspended in the cytoplasm. The distribution, however, of these granules in the human ovum is not uniform; a mass of them being found in the center of the cell surrounding the nucleus, while an almost clear zone of cytoplasm forms the periphery of the cell. The nucleus of the ovum occupies a position near the center within the deutoplasm mass, though in the ovum of a mature Graafian follicle it is almost invariably slightly eccentric. It is large proportionately as the ovum is large. Its structure does not differ essentially from that of any other nucleus. There is a distinct nuclear membrane enclosing the usual nuclear structures the nuclear liquid, the network of chromatin, the achromatic network and a single nudeolus or germinal spot (p. 2, Fig. i). In /-^ a fresh human ovum amoeboid movements have been observed in the nucleolus. The \ \ significance of the nucleolus is as little known ^jjSiJfc^ 5| as m anv other cell. K A centrosome, though it may be present, has not been observed in the human ovum. A classification of ova has been made on the basis of the amount and distribution of the yolk; conditions which strongly affect the subsequent processes of development. The term meiolecithal is used to designate ova in which the yolk granules are relatively few (ova of Amphioxus, most Mammals in- cluding man). Mesolecithal ova are those which contain a moderate amount of yolk (Amphibia.) Ova which contain a relatively large amount of yolk are classed as foly- lecithal (Reptiles and Birds). In meiolecithal eggs the yolk granules are as a rule evenly distributed through the cytoplasm. In mesolecithal and polyleci- thal eggs, on the other hand, the yolk is unevenly distributed, giving rise to a condition known as polar differentiation ; the protoplasm is in excess at one pole of the egg and the deutoplasm in excess at the opposite pole. Such ova are spoken of as telolecithal. The frog's egg is a familiar example of this differ- entiation, the dark side of the egg indicating an excess of cytoplasm. Inasmuch as deutoplasm is generally heavier than cytoplasm, an egg with polar differ- entiation, if left free to revolve, as in water, will assume a definite position with the protoplasmic or animal pole above and the deutoplasmic or vegeta- tive pole below. An exception to this is found, however, in the pelagic teleost eggs, which float with the deutoplasmic pole upward. FIG. 6. Semidiagrammatic representa- tion of ovum of frog (Rana sylvatica). The dark shading represents the cyto- plasmic pole, the light shading immedi- ately below represents the deutoplasmic pole. The light shading around the ovum represents the gelatinous sub- stance (secondary egg membrane). THE SEXUAL ELEMENTS OVUM AND SPERMATOZOON. 13 In the hen's egg the cytoplasm and deutoplasm are distinct and separate with no mingling of the two substances (Fig. 7). While still in-the ovary, the egg consists of the yellow yolk in the form of an enormously large cell sur- rounded by the zona pellucida, upon which lies a small white spot, the so- called germinal disk. The disk is 3 or 4 mm. in diameter and consists of finely granular protoplasm with a somewhat flattened nucleus. This disk Germinal disk (cytoplasm) White yolk Albumen ("white" -^^L K^T~ Shdl Shell membrane (outer layer) Vitelline mm mm* mmmmm \ \\ Chalaza . -' " White yolk ^S^ VB&tMfSj! \f\ II Yellow yolk (deutoplasm) FIG. 7. Diagram of a vertical section through an unfertilized hen's egg. Bonnet. alone gives rise to the embryo proper. All the rest of the mass consisting of a vast number of spherules united by a small amount of cement substance, is simply nutritive material or deutoplasm which is later utilized for the nourish- ment of the embryo. The various structures surrounding the yolk albumen, shell membrane and shell are not strictly speaking parts of the ovum, but are secondary egg membranes secreted by different portions of the oviduct. THE SPERMATOZOON. In marked contrast to the ovum, the spermatozoon is one of the smallest cells of the body, being only about fifty microns in length. The spermatozoon, as seen in the seminal fluid, in any of the sexual passages, or even hi the lumen of a seminiferous tubule, is a true sexual element, since it has passed through certain processes which prepare it for union with the mature ovum. (See Spermatogen- esis, Chap. III.) Like the ovum the spermatozoon is an animal cell of which, however, both cell body and nucleus have undergone important modifications. The flagellate spermatozoon, of which the human spermatozoon is an example (Fig. 8), resembles a tadpole in shape and like the latter swims about by means of the undulatory movements of its long slender flagellum or tail. It consists of (i) a head, (2) a middle-piece or body and (3) a tail. i. THE HEAD. This in the human spermatozoon is from three to five microns long and about half as broad. On side view it appears oval; when 14 TEXT-BOOK OF EMBRYOLOGY. Acrosome Head Body End ring Anterior end knob Posterior end knob Spiral fibers .Sheath of axial thread seen on edge, it is pear-shaped, the small end being directed forward. It consists mainly of nuclear material derived from the nucleus of the parent cell. (See Spermatogenesis.) A thin layer of cytoplasm, the galea capitis or head- cap, envelops the nuclear material, while in front there is a sharp edge known as the apical body or acrosome. In contrast to the nuclear portion of the head, which of course takes a basic stain, the acrosome stains with acid dyes. In some forms the acrosome is much larger than in man and extends forward from the head-cap as a long spear, sometimes barbed the perjoratorium. This process perhaps assists the spermatozoon in clinging to or in burrowing its way into the ovum. Many peculiar types of perfora- toria, for example, lance-shaped, awl- shaped, spoon-shaped, corkscrew-shaped, have been described and have given charac- teristic names to the spermatozoa possessing them. 2. THE BODY in the human sperma- tozoon is cylindrical and about the same length as the head. It consists of a deli- cately fibrillated cord, the axial thread, sur- rounded by a protoplasmic capsule. In some forms (Mammals) a short clear por- tion, the neck, unites the head and body. In the neck there can sometimes be demon- strated an anterior end knob and one or more posterior end knobs to which is attached the axial -filament. In man and in some other forms, delicate fibers spiral fibers wind spirally around that portion of the axial filament which lies within the body. At the posterior end of the body, the axial filament passes through the end disk or end ring. 3. THE TAIL in the human spermatozoon is forty to fifty microns in length; is the direct continuation of the axial thread of the body; and consists of a main segment thirty-five to forty-five microns in length, and a short terminal segment. As in the body, the axial filament is delicately fibrillated. Sur- Main segment of tail Axial thread Capsule Terminal filament FIG. 8. Diagram of a human sperma- tozoon. Meves, Bonnet. THE SEXUAL ELEMENTS OVUM AND SPERMATOZOON. 15 rounding the axial filament is a thin cytoplasmic membrane or capsule continuous with that of the body. In the human spermatozoon it is ap- parently structureless; in other forms it assumes curious shapes as, for example, the so-called membrana undulatoria, or wavy membrane of Amphibia, or the fine membrane of some Insects.^ The terminal segment consists of the axial fila- ment uncovered by any sheath. The significance of the various parts of the spermatozoon can be best understood by reference to spermatogenesis (p. 17). Comparing the spermatozoon with a cell, the head contains the nucleus while the body contains the centrosome. It is these parts of the spermatozoon which are essential to fertilization. The acrosome and the tail may therefore be considered as accessory structures which serve to bring and attach the spermatozoon to the ovum. Within the tubule of the testis the spermatozoa show no evidence of motile power. In the semen, however, which consists mainly of fluid secretions of the accessory sexual glands, they move about freely, as also in the fluids of the female genital tract. Their speed has been estimated at from 1.5 to 3.5 mm. per minute and enables them to swim up through the uterus and oviduct, in spite of the fact that the action of the cilia lining these tracts is against them. The life of the spermatozoon within the female genital tract is not known. Moving spermatozoa have been found there seven to eight days after coitus. In one case reported of removal of the tubes, living spermatozoa were found three and one-half weeks after coitus. References for Further Study. COXKLIX, E. G.: Organ -forming Substances in the Eggs of Ascidians. Biol. Bull., Vol. VIII, 1905. KEIBEL,-F. and MALL, F. P.: Manual of Human Embryology, 1910. Vol. I, Chap. I. WALDEYER, W. : In Hertwig's Handbuch der vergleichenden u. experimentellen Entwick- elungslehre der Wirbeltiere. Bd. I, Teil I, 1903. Also contains extensive bibliography. WILSON, E. B.: The Cell in Development and Inheritance. 2d Ed., 1900. ; CHAPTER III. MATURATION. It was stated in the preceding chapter that the essential condition for the production of a new individual, in practically all the animal kingdom and with- out exception among the Vertebrates, was the union of two sexually different cells. Since the number of chromosomes is constant for all the cells of a species, such a union would cause a doubling of chromosomes unless the latter were reduced to one-half their normal number. Such reduction actually takes place, and forms the essential part of the maturation processes of the germ cells. SPERMATOGENESIS MATURATION OF THE SPERM. The spermatozoa arise from the germinal epithelium of the testis. In the mammal (Fig. 9) this epithelium consists of two kinds of cells: (i) the support- ing cells (of Sertoli) and (2) the spermatogenic cells in various stages of develop- ment. Of the latter the basal layer consists of small round or oval cells which are known as spermatogonia. Internal to these are the larger spermalocytes having large vesicular nuclei with densely staining chromatin. Between these and the lumen of the seminiferous tubule are several layers of small round or oval cells, the spermatids. The spermatids have the reduced number of chromo- somes, and by direct transformation give rise to the mature spermatozoa which may either lie free in the lumen of the tubule or have their heads embedded in the supporting cells (Fig. 9). The way in which the maturation or reduction divisions take place in the higher animals, such as mammals, has not been definitely shown on account of the extreme minuteness of the cells and the difficulty of obtaining suitable material. The following account is based on data obtained from the study of lower forms (amphibia, fishes, insects, Ascaris) whose maturation processes have been demonstrated with great accuracy. Ascaris (Fig. 10) and some of the insects (Fig. 1 7) show the later stages with remarkable clearness. There is no reason to suppose that the maturation processes of the mammalian germ cells differ essentially from those of lower forms. The spermatogonia divide by ordinary mitosis, each daughter cell receiving the full or diploid number of chromosomes. After several generations some of the spermatogonia pass through a period of growth and are then known as primary spermatocytes. During this period important changes take place in 17 18 TEXT-BOOK OF EMBRYOLOGY. the nucleus. The chromatin granules become concentrated into a dense mass in which very little structure is made out (Fig. 10, A). After the period of growth the nucleus assumes again the reticular appearance. Then when the spireme is formed and segmentation occurs, previous to division, only the haploid or one- half the normal number of chromosomes appears. This seems to be due to an actual fusion of chromosomes by pairs, such fusion occurring during the period of growth and being known as synapsis of chromosomes. In some cases the double nature of the chromosomes is still visible while in other cases the fusion is com- plete. The fused chromosomes now prepare for division. However, instead of dividing longi- tudinally into two parts, a double splitting occurs and each chromosome is divided into four elements. Such a quadruple chromosome is termed a tetrad (Fig. 10, E, F, G). Since each tetrad represents a double chromosome, the number of tetrads in any species will be equal to one-half its normal number of chro- mosomes. The tetrads arrange themselves in the equatorial plane of the spindle and cell division begins (Fig. 10, G). Each tetrad is separated into two dyads, and then one dyad from each tetrad goes to each of the two re- sulting daughter cells or secondary spermato- cytes (Fig. 10, H). A new spindle is formed in each of the secondary spermatocytes and the cells divide again, without the return of the nucleus to the resting stage. The dyads go to the equatorial plane. Each dyad is separated into two monads, each daughter cell or spermatid receiving one monad from 1-8, Spermatogonia lying close to the basement membrane and multiplying by ordinary mitosis. 9-16, Spermatogonia during period of growth, resulting in primary spermato- cytes. 17, 18, 19, Primary spermatoscyte dividing. 20, Secondary spermatocytes. 21, Second- ary spermatocytes dividing, resulting in spermatids (22-25). 26-31, Transformation of spermatids into spermatozoa, a few of which are seen fully formed (32). MATURATION. 19 each dyad (Fig. 10, 7, K, L). A primary spermatocyte gives rise therefore to four spermatids in which the number of chromosomes is reduced to one-half the normal (Fig. io,Z). After the last spermatocyte division and the resulting formation of the spermatid, the nucleus of the latter acquires a membrane and intranuclear net- FIG. 10. Reduction of chromosomes in spermatogenesis in Ascaris megalocephala (bivalens). Brauer, Wilson. A G, Successive stages in the division of the primary spermatocyte. The original reticulum undergoes a very early division of the chromatin granules which then form a doubly split spireme (5). This becomes shorter (C), and then breaks in two to form the 2 tetrads (D, in p'rofile, E, on end). F, G, H, First division to form 2 secondary spermatocytes, each receiving. 2 dyads. /, Secondary spermatocyte. /, K t The same dividing. Z,, Two resulting spermatids, each containing 2 single chromosomes. work, thus passing into the resting condition. Without further division the spermatid now becomes transformed into a spermatozoon. This is accomplished by rearrangement and modification of its component structures (Fig. 1 1). The ccntrosome either divides completely, forming two centrosomes, or partially, forming a dumb-bell-shaped body between the nucleus and the surface of the 20 TEXT-BOOK OF EMBRYOLOGY. cell. The nucleus passes to one end of the cell and becomes oval in shape. Its chromatin becomes very compact and is finally lost in the homogeneous chromatin mass which forms the greater part of the head of the spermatozoon. Both centrosomes apparently take part in the formation of the middle piece. The one lying nearer the center becomes disk-shaped and attaches itself to the posterior surface of the head. The more peripheral centrosome also becomes disk-shaped and from the side directed away from the head a long delicate Head Anterior end knob Posterior end knob Head , Anterior end knob Posterior end knob - End ring Nucleus Cytoplasm Proximal centrosome Distal centrosome Tail FIG. ii. Transformation of a spermatid into a spermatozoon (human). Schematic. Meves, Bonnet. thread grows out the axial filament. The central portion of the outer cen- trosome next becomes detached and in Mammals forms a knob-like thickening end knob at the central end of the axial filament. In Amphibians this part of the outer centrosome appears to pass forward and to attach itself to the inner centrosome. In both cases the rest of the outer centrosome in the shape of a ring passes to the posterior limit of the cytoplasm. As the two parts of the posterior centrosome separate, the cytoplasm between them becomes reduced in amount, at the same time giving rise to a delicate spiral thread the spiral MATURATION. 21 filament which winds around the axial filament of the middle piece. Mean- while the axial filament has been growing in length and part of it projects be- yond the limits of the cell. The cytoplasm remaining attached to the anterior part of the filament surrounds it as the sheath of the middle piece. In Mam- mals there appears to be more cytoplasm than is needed for the formation of the sheath of the middle piece, and a large part of it degenerates and is cast aside. The sheath which surrounds the main part of the axial filament appears in some cases at any rate to develop from the filament itself. The galea capitis or delicate film of cytoplasm which covers the head is undoubtedly a remnant of the cytoplasm of the spermatid. The developing spermatozoa lie with their heads directed toward the base- ment membrane, and attached, probably for purposes of nutrition, to the free ends of the Sertoli cells (Fig. 9). Their tails often extend out into the lumen of the tubule. When fully developed they become detached from the Sertoli cells and lie free in the lumen of the tubule. MATURATION OF THE OVUM. The female germ cell, before it is fertilized, goes through a process of matu- ration similar to that of the male germ cell. The result is essentially the same m.pn. FIG. 12. From sections of ova of the mouse, showing three stages in the maturation process. A, Ovum showing prophase of maturation division. /, fat; z.p., zona pellucida. B, Ovum showing maturation spindle with chromatin segments undivided. C, Ovum showing diaster stage of maturation division, formation of ist polar body (p.b.), and sperm nucleus (male pronucleus, m.pn.) just after its entrance. Sobotta. the mature ovum contains a reduced number of chromosomes. There is this difference, however, that while the chromatin elements are distributed equally during the reduction divisions, one cell only retains practically all the cytoplasm and deutoplasm present in the primary oocyte. This cell becomes the func- tional ovum while the other cells are pinched off as minute bodies, containing but little of the cytoplasm, which are known as polar bodies and eventually degenerate and die (Figs. 12 and 13). The early maturation stages of the female sex cell are very similar to those 22 TEXT-BOOK OF EMBRYOLOGY. of the male. The oogonia contain the diploid number of chromosomes and divide by ordinary mitosis. After several generations they pass through a period of growth and are then known as primary oocytes. During the growth period there occurs a condensation of the chromatin, and synapsis of the chro- mosomes probably takes place at this time. The nucleus then resumes its reticular structure. Following this the spireme is formed, preparatory to divi- sion, and segments into the haploid number of chromosomes. From this stage the process varies somewhat in different animals. In Ascaris, whose diploid num- ber of chromosomes is four, both maturation divisions occur after the sperm has entered the egg and lies embedded there as the male pronucleus (Fig. 14). An achromatic spindle forms near the surface of the ovum and the two tetrads go to the equatorial plane (Fig. 14, E). Each tetrad separates into two dyads, and one dyad from each tetrad passes into a small mass of cytoplasm which becomes detached from the egg cell as the first polar body (Fig. 14, F, G, H). FIG. 13. From sections of ova of the mouse, showing the polar bodies (p.b.) and three stages of the male (m.pn.) and female (J.pn.) pronuclei. Sobotta. A new spindle forms without the return of the nucleus to the resting stage, and each dyad divides into two monads. The second polar body is now given off in the same manner as the first. One monad from each dyad passes into a small mass of cytoplasm and is separated from the egg cell (Fig. 14, H, I,'J, K). The maturation process is now complete. The nucleus of the mature ovum contains the haploid number of chromosomes and is ready for union with the male pronucleus. The maturation of the mouse ovum, recently described by Mark and Long, may be taken as an example of mammalian maturation. The diploid number of chromosomes is twenty, but when the growth of the primary oocyte is com- pleted and the cell prepares for division only ten chromosomes are present. Each chromosome is V-shaped and shows the structure of a tetrad. While still in the Graafian follicle the first polar body is given off and lies as a small globule beneath the zona pellucida (Fig. 13, A). The egg cell and the first polar body constitute secondary oocytes, comparable with the secondary sper- MATURATION. 23 matocytes of the male. The egg now leaves the ovary and reaches the oviduct. Jf the ovum is fertilized, another spindle forms and a second polar body is FiG.i4. Maturation of the ovum of Ascaris megalocephala (bivalens). Boveri, Wilson. A, The ovum with the spermatozoon just entering at x* ; the egg nucleus contains 2 tetrads (one not clearly shown), the somatic number of chromosomes being 4. B, Tetrads in profile. C, Tetrads on end. D, E, First spindle forming. F, Tetrads dividing. G, First polar body formed, containing 2 dyads; 2 dyads left in the ovum. H, 7, Dyads rotating in preparation for next division. /, Dyads dividing. K, Each dyad divided into 2 single chromosomes, thus completing the reduction, given off. The nucleus of the mature ovum or female pronucleus, with the haploid number of chromosomes, is now ready for union with the male pronucleus. 24 TEXT-BOOK OF EMBRYOLOGY. Comparing maturation in the male and female sex cells (Fig. 16), it is to be noted that the spermatogonia and oogonia proliferate by ordinary mitosis, maintaining the somatic or diploid number of chromosomes up to a certain period in their life history. They then enter upon a period of growth in size, resulting in primary spermatocytes and primary oocytes (Fig. 16). When these prepare for division the nuclear reticulum in each case resolves itself into the haploid number of chromosomes. During division this reduced number is given to each resulting secondary spermatocyte or oocyte. There is, however, this marked peculiarity about the division of the primary oocyte, that while the division of the nuclear material is equal the division of the cytoplasm is very unequal, most of the latter remaining in one cell, the secondary FiG. 15. From section of ovum (primary oocyte) of the mouse, showing first maturation spindle. Note the 12 chromatin segments, the somatic number of chromosomes being 24. The ovum is surrounded by the zona pellucida (z.p.) and the corona radiata. Sobotta. oocyte proper. The other cell, very small owing to its lack of cytoplasm, is extruded from the oocyte proper as the first polar body (Fig. 16). The same condition obtains in the next division. One cell, the mature ovum, retains most of the cytoplasm, the other being detached as the second polar body (Fig. 16). In some cases the first polar body also divides. Thus the primary oocyte gives rise to three or four cells, each of which has the reduced number of chromo- somes. One of them becomes the mature ovum, the others are cast off as apparently useless and eventually die. The primary spermatocyte, on the other hand, gives rise to four functioning cells which are equal in cytoplasmic as well as in chromatin content (Fig. 16). The apparent difference between maturation of the male and female sex MATURATION. 25 cells the single functional cell in the female as contrasted with four in the male loses some of its character when one notes that in some forms the polar bodies are not so rudimentary as is generally the case. Thus in certain forms one or more of the polar bodies may develop into cells very similar to the mature egg- cell, may be penetrated by spermatozoa, and may even be fertilized and proceed a short distance in segmentation. There is perhaps warrant for considering the polar bodies ar rudimentary or abortive ova. The time of formation of the polar bodies varies in different animals* In a few (Echinoderms) they are formed before the sperm enters the egg. In Oogonia Primary oocyte Secondary oocyte Mature ovum A Spermatogonia . / \ A /\ Proliferation A A t\ l\ /' A A \ Primary spermatocyte A Growth Secondary spermatocyte / (X .... A Spermatid / \ l\ w <\ 1 Prolifera- tion Growth Maturation Trans- formation FIG. 16. Diagrams representing the histogenesis of (a) the female sex cells and (6) the male sex cells. Modified from Boveri. Ascaris they are both formed after the entrance of the sperm. In other forms, like the mouse, the first polar body is formed while the egg is still in the Graafian follicle, the second one after the entrance of the sperm. From the data in the above description it is evident that the phenomena of maturation are essentially similar in the male and female sex cells. In the female two or three of the cells are indeed abortive, probably in order to insure a large amount of food material to the functioning ovum; but the result, the reduction of the number of chromosomes in the mature sex cell to one-half the number characteristic of other cells of the species, is always the same. Significance of Mitosis and Maturation. The earlier investigators regarded maturation merely as a means of reducing the number of chromosomes in the mature germ cells, so as to prevent a dou- 26 TEXT-BOOK OF EMBRYOLOGY. bling of chromatin material at the subsequent fertilization. This, however, seems to be but a minor object of maturation. As a matter of fact, the reduc- tion of the chromatin mass is not one-half but three-quarters and even more. It is also well known that the chromatin mass increases or diminishes under cer- tain conditions during the life history of a cell. The chief significance of maturation is to be considered rather from the standpoint of heredity. Modern biologists believe that the chromatin particles are the bearers of the hereditary qualities of the cell. During mitosis the chro- matin granules arrange themselves in a continuous thread, the spireme, which differs qualitatively in different regions. The chromosomes, which are only segments of the spireme, likewise differ from end to end. In ordinary mitosis these chromosomes split longitudinally, half of each chromosome going to each of the resulting daughter cells. This is an equational division in which the chromatin material is exactly halved. In maturation, however, a synapsis of the chromosomes takes place, the latter fusing in pairs. The chromosomes of each pair are probably separated again in one of the subsequent maturation divisions, the reduction division. If the chromosomes are qualitatively different, then the mature germ cells re- sulting from this division will be of two different kinds, varying more or less in their content of hereditary factors. Experimental evidence confirms this interpretation of maturation. There is another interesting point to be considered. The recent work of cytologists leads to the assumption that the fusion of chromosomes during syn- apsis is not a matter of chance, but takes place in a very definite manner. The chromosomes in the primordial germ cells seem to form a series of homologous pairs the members of which fuse during synapsis. The individual pairs can often be distinguished from other pairs by differences in shape or size. There is much evidence to support the belief that each pair consists of one paternal and one maternal chromosome, which had been brought together at the ante- cedent fertilization. This seems to indicate also, as mentioned on page 7, that the chromosomes retain their identity even when resolved into the chro- matic reticulum of the resting nucleus. The reduction division will separate the fused chromosomes, and the resulting mature germ cells will be either paternal or maternal in their chromatic constitution. The maturation processes there- fore produce a segregation of the paternal and maternal chromosomes. The cytological data described above, which support and in turn are sup- ported by a great mass of experimental evidence, illustrate Mendel's "law of segregation." This law is that "the units contributed by the two parents separate in the germ cells without having had any influence upon each other." For instance, when a mouse with gray coat color is mated with a mouse with black coat color, one parent contributes a unit for gray and the other a unit MATURATION. 27 for black. These units will separate during the maturation of the germ cells, and the resulting spermatozoa and ova will again recover the pure paternal or maternal units. Sex Determination. In the great bulk of cytological and experimental studies of recent years there is abundant evidence for the belief that certain chromosomes play an FIG. 17. Stages in the spermatogenesis of a grasshopper (Stenobothrus viridulus). Meek, i, Spermatogonium in process of division, having 17 chromosomes (8 pairs and one odd). 2, Repre- senting growth period of spermatogonium. 3-6, Division of the primary spermatocytes sixteen of the chromosomes are paired while the "accessory" has no mate and passes as a whole to one of the two secondary spermatocytes. 7-8, Division of the secondary spermatocyte with the odd chromo- some, the latter splitting and giving one-half to each resulting spennatid. x, "Accessory" chromo- some. important part in the determination of sex. In the grasshopper (Stenobothrus viridulus) the somatic number of chromosomes in the male is seventeen and in the female eighteen. Owing to the odd number there is an unusual complica- tion in the maturation of the male germ cell. When synapsis occurs eight pairs 28 TEXT-BOOK OF EMBRYOLOGY. of chromosomes are formed but the odd chromosome, which can usually be distinguished by its appearance, is left without a mate. At the first maturation division this univalent chromosome does not divide but passes as a whole to one of the two resulting cells, thus giving two kinds of secondary spermatocytes (Fig. 17, 4 and 5, x). When the secondary spermatocytes divide, however, the odd chromosome in one of them also divides like the other chromosomes, each of the resulting spermatids receiving one-half (Fig. 17, 7 and 8, x). Thus two kinds of sperms are formed in equal numbers, containing respectively eight and nine chromosomes. The odd chromosome is also known as the accessory or X-chromosome. Germinal epithelium kPll&LUm MV-V- ."*afi granulosum ^s&ss.^ ^*3* ^^P ^^cx -*^Po\ - ~' ~~~. .'- ^ Tunica albuginea x ;->%" V^^i-z'''. s, JPp^ Germ hill Theca folKcu ii with ovum (vascular layer) ^3 iw^ EKIK I WM *; 1 1 VHvfT > i ml Theca folliculi (fibrous layer) - & -" at ; Kf. i'J'i Stratum granulosum /.^'//'^ 1 ../^>- " '. s. i^^ ^s%. tjS&ii , FIG. 1 8. From section of human ovary, showing mature Graafian follicle ready to rupture. Kollmann's Atlas. In the ovum no such complication arises, there being two "accessory" chromosomes which unite in synapsis. All the mature ova will therefore con- tain nine chromosomes. As a result, there are two combinations possible when the male and female sex cells unite : an ovum may be fertilized by a sperm con- taining either eight or nine chromosomes. In the first case the somatic number in the fertilized egg will be seventeen and the egg will develop into a male. In the second case the somatic number will be eighteen and the resulting individual will be a female. In the example given, therefore, the presence or absence of the "accessory" or odd chromosome will determine the nature of the sex produced. The presence of "accessory" chromosomes has been demonstrated in many Invertebrates, especially Insects. Recently they have also been described in MATURATION. 29 several vertebrates such as the rat, fowl, guinea-pig, and even man. In many cases the "accessory" chromosome of the male germ cell has a mate which differs, however, in some way (size, appearance, etc.) and is designated the Y- chromosome. An ovum fertilized by a spermatozoon containing the Y-chro- mosome will give rise to a male ; if fertilized by one containing the X-chromosome the egg will develop into a female. There are many cases, particularly among parthenogenetic forms, where sex cycles arise, which cannot be explained by chromosomal behavior. In these cases nutrition seems to play an important part in determining the sex of the individual. But as to the great majority of forms investigated, the weight of evidence supports the view that the chromosomes are the chief agents in sex determination. OVULATION AND MENSTRUATION. By ovulation is meant the periodic discharge of the ovum from the Graafian follicle and ovary. By menstruation is meant the periodic discharge of blood FIG. 19. Showing ovary opened by longitudinal incision. The ovum has escaped through the tear in the surface of the ovary. The cavity of the follicle is filled with a clot of blood (corpus hacmor- rhagicum) and irregular projections composed of lutein cells. Kollmann's Atlas. from the uterus associated with structural changes in the uterine mucosa. The two phenomena are usually associated although either may occur independently of the other. They normally occur every twenty-eight days. That ovulation and menstruation are not necessarily dependent upon each other and that either may occur without the other has been proved by a number of observations; thus the occurrence of fertilization during lactation when the menstrual func- tion is in abeyance; the occurrence of impregnation in young girls before the 30 TEXT-BOOK OF EMBRYOLOGY. onset of the menstrual periods and in women a number of years after the meno- pause. Leopold reports the examination of twenty-nine pairs of ovaries on successive days after menstruation and the finding of Graafian follicles just ruptured or just ready to rupture on the eighth, twelfth, fifteenth, eighteenth, twentieth and thirty-fifth days. He reports also five cases in which there were no evidences of ovulation during menstruation. At the time of ovulation the mature follicle, which has a diameter of 8 to 12 mm., occupies the entire thickness of the ovarian cortex, its theca being in con- tact with the tunica albuginea (Fig. 18). Thinning of the follicular wall nearest the surface of the ovary, and increase in the amount of the liquor folliculi, thus Point of rupture Lutein cells Corpus haemorrhagicum Blood vessel of theca Cavity of follicle Theca folliculi Ovarian stroma Stratum granulosum FIG. 20. From section of human ovary, showing early stage in formation of corpus luteum. Kollmann's Alias. causing increased intrafollicular pressure, are followed by the rupture of the follicle through the surface of the ovary and the escape of the ovum together with the liquor folliculi and some of the follicular cells. The escaped ovum normally passes into the fimbriated end of the Fallopian tube and so to the uterus. In exceptional cases it may remain in the tube after fertilization and so give rise to a tubal pregnancy, or, falling into the abdominal cavity and becoming there fertilized, to an abdominal pregnancy. Both are known as ectopic gestations. As the ovum escapes from the follicle there is more or less bleeding into the follicle from the torn vessels of the theca. Closure of the opening in the follicle results in a closed cavity containing a blood clot, the corpus hamorrhagicum, MATURATION. 31 (Fig. 19) which then becomes gradually transformed into the corpus luteum. Large cells containing fat droplets and yellow pigment (lutein granules) appear around the blood clot and then increase in number until they replace the clot (Figs. 20 and 21). These cells, which are called lutein cells, are considered by some as derivatives of the connective-tissue cells of the theca folliculi and by others as derivatives of the stratum granulosum of the follicle. The latter view seems the more probable. Ingrowth of strands of connective tissue fol- Point of rupture Connective tissue Connective tissue from theca Theca folliculi Remnant of corpus hsemorrhagicum Blood vessels of theca FIG. 21. From section of human ovary, showing later stage of corpus luteum than Fig. 20. Kollmann's Atlas. lows the development of the lutein cells and gradually this connective tissue replaces the mass of lutein cells which undergo degeneration and absorption. The corpus luteum thus gives way to dense connective tissue, the corpus albicans. This body persists for a long period, gradually retracting to an almost micro- scopic scar. The rapidity with which the changes, both constructive and destructive, take place in the corpus luteum, appears to be largely dependent upon whether the egg which escaped from the follicle is or is not fertilized. If ovulation is 32 TEXT-BOOK OF EMBRYOLOGY. not followed by fertilization the corpus luteum reaches the height of its develop- ment in about twelve days, and within a few weeks has almost wholly disap- peared. If, on the other hand, pregnancy supervenes, the corpus luteum be- comes much larger, does not reach its maximum development until the fifth or sixth month and is still present at the end of pregnancy. The above differences have led to the distinction of the corpus luteum of pregnancy or the true corpus luteum, and the corpus luteum of menstruation, or the false corpus luteum, al- though there are no actual microscopic differences between the two. References for Further Study. BOVERI, T.: Zellstudien. Jena, 1887-1901. BUCHNER, P.: Praktikum der Zellenlehre, Erster Teil, Berlin, 1915. CHILD, C. M.: Studies on the Relation between Amitosis and Mitosis. Biolog. Bull., Vol. XII, Nos. 2, 3, 4; Vol. XIII, No. 3, 1907. CONKLIN, E. G.: The Embryology of Crepidula. Jour, of Morphol., Vol. XIII, 1897. CRAGIN, E. B.: Text-book of Obstetrics, 1915. HERTWIG, R.: Eireife, Befruchtung u. Furchungsprozess. In Hertwig's Handbuch der vergleichenden u. experimentellen Entwickelungslehre der Wirbeltiere. Bd. I, Teil I, 1903. Also contains extensive bibliography. KEIBEL, F. and MALL, F. P.: Manual of Human Embryology. Vol. I, Chap. VII, Philadelphia, 1910. KELLICOTT, W. E.: General Embryology, 1913. LONG, J. A. and MARK, E. L.: The Maturation of the Mouse Ovum. Carnegie Insti- tution, Washington, D. C., 1911. MORGAN, T. H.: Heredity and Sex, 1913. SOBOTTA, J.: Die Befruchtung und Furchung des EiesderMaus. Archiv f. mik. Anato- mie; Bd. XLV, 1895. SOBOTTA, J.: Ueber die Bildung des Corpus luteum beim Meerschweinchen. Anal. Hefte, Bd. XXXII, Heft XCVI, 1906. VON LENHOSSEK, M.: Untersuchungen liber Spermatogenese. Archiv f. mik. Anatomie, Bd. LI, 1898. WILLIAMS, J. W.: Text-book of Obstetrics. New York, 1903. WILSON, E. B.: The Cell in Development and Inheritance. 2d Ed., 1900. WILSON, E. B. : Observation on the Maturation Phenomena in Certain Hemiptera. Jour, of Exper. Zool., Vol. 13, 1912. CHAPTER IV. FERTILIZATION. When the complex maturation processes described in the preceding chapter are completed, the spermatozoon is ready for union with the mature ovum. This union, which forms the starting point of a new individual in all sexual reproduction, is known as fertilization, and the resulting cell is the fertilized oi'iim. The details of the process vary in different animals. Its essence is the entrance of the spermatozoon into the ovum and the union of the nucleus of the spermatozoon with the nucleus of the ovum. At the time of its entrance into the egg, the sperm head is small and its chromatin extremely condensed (Fig. 22, 2). Soon after entering the ovum, however, the sperm head under- goes development into a typical nucleus, the male pronudeus (Figs. 22, 3, and 13, C). This male pronucleus is to all appearances exactly similar in structure to the nucleus of the egg, which latter is now known as the female pronucleus. The chromatin networks in both pronuclei next pass into the spireme stage, the spiremes segmenting into chromosomes of which each pronucleus contains one- half the somatic number. The nuclear membranes meanwhile disappear and the chromosomes lie free in the cytoplasm. During these changes in the pro- nuclei, the amphiaster has formed and the male and the female chromosomes mingle in its equatorial plane (Fig. 22, 5). At this stage no actual differentia- tion can be made between male chromosomes and female chromosomes, the differentiation shown in Fig. 22, 5, being schematic. The picture is now that of the end of the prophase of ordinary mitosis, the somatic number of chromo- somes being arranged in a plane midway between the two centrosomes. With the mingling of male and female chromosomes fertilization proper comes to an end. The further steps are also identical with those of ordinary mitosis. Each chromosome splits longitudinally into two exactly similar parts (Fig. 22, 5), one of which is contributed to each daughter nucleus (Fig. 22, 6), and the cell body divides into two equal parts. (For details of succeeding anaphase and telophase see p. 6.) There thus result from the first division of the fertilized ovum, two cells which are apparently exactly alike and each of which contains exactly the same amount of male and of female chromosome elements (Fig. 22, 6). The amphiaster of the fertilized ovum appears to develop as in ordinary mitosis. As to the origin of the centrosomes, however, much uncertainty still 33 34 TEXT-BOOK OF EMBRYOLOGY. exists. The middle piece of the spermatozoon always enters the ovum with the head. It has already been shown (p. 24) that one or two spermatid centro- somes take part in the formation of the middle piece. Male centrosome ele- ments are therefore undoubtedly carried into the ovum in the middle piece. It Zona pellucida Nucleus ^7=^" Spermatozoon Female s* pronucleus Head of spermatozoon with centrosome Female pronucleus Male pronucleus . Chromosomes of female pronucleus *^ Chromosomes of male pronucleus "Centrosome Centrosome Male pronucleus Female pronucleus Chromosome from female pronucleus rr"I^^ Chromosome from / male pronucleus Centrosome FIG. 22. Diagram of fertilization of the ovum. (The somatic number of chromosomes is 4.) Boveri, Bohm and von Davidoff. is equally well known, for some forms at least, that the centrosome of the ovum disappears just after the extrusion of the second polar body. In a considerable number of forms the development of the centrosome of the fertilized egg from, or in close relation to the middle piece of the spermatozoon has been observed. The details of the process as it occurs in the sea-urchin have been carefully FERTILIZATION. 35 described by Wilson. In cases of this type the tail of the spermatozoon re- mains outside the egg while the head and middle piece, almost immediately FIG. 23. Fertilization of the ovum of Thalassema. Griffin. ^ , Male pronucleus, **, female pronucleus. after entering, turn completely around so that the head points away from the female pronucleus (Fig. 23, a). An aster with its centrosomes next appears, developing from, or in very close relation to the middle piece. The aster and 36 TEXT-BOOK OF EMBRYOLOGY. sperm nucleus now approach the female pronucleus, the aster leading and its rays rapidly extending. On or before reaching the female pronucleus the aster divides into two daughter asters (Fig. 23, b) which separate with the formation of the usual central spindle, while the two pronuclei unite in the equatorial plane and give rise to the chromosomes of the cleavage nucleus (Fig. 23, c and d). In the sea-urchin the polar bodies are extruded before the entrance of the spermatozoon. In cases where the polar bodies are not extruded until after the entrance of the spermatozoon (Ascaris, Fig. 14) the amphiaster forms while waiting for their extrusion, the nuclei joining subsequently. When the sperm head finds the polar bodies already extruded, union of the two pronuclei may take place first, followed by division of the centrosome and the formation of the amphiaster. The coming together of ovum and spermatozoon is apparently determined in some cases by a definite attraction on the part of the ovum toward the sperma- tozoon. This attraction seems to be of a chemical nature, but is often not lim- ited to the attraction of spermatozoa of the same species. Foreign spermatozoa will be attracted and will enter the ovum if they are physically able to do so. The entrance of these spermatozoa may even start the process of cleavage, though such cleavage is usually abnormal and does not progress very far. That this attraction is not dependent upon the integrity of the ovum as an organism is shown by the fact that small pieces of egg cytoplasm free from nuclear ele- ments exert the same attractive force, so that spermatozoa are not only attracted to them, but will actually enter them. In other cases the stimulus for fertiliza- tion is obviously one of contact. The spermatozoa of some Fishes will swim around at random until they touch any object when they become attached and are unable to escape. Fertilization in these cases is therefore a matter of chance favored by the enormous number of sperms produced, and by the special breed- ing habits which insure a close proximity of sperms and eggs. Of eggs which are enclosed by a distinct membrane, the vitelline membrane, some (e.g., those of Amphibians and of Mammals) are permeable to the sper- matozoon at all points; others have a definite point at which the spermatozoon must enter, this being of the nature of a channel through the membrane the micropyle. In some instances a little cone-shaped projection from the surface of the egg, the attraction cone (Fig. 22, i), either precedes or immediately fol- lows the attachment of the spermatozoon to the egg. Instead of a projection there may be a depression at the point of entrance. There seems to be no question that but one spermatozoon has to do with the fertilization of a particular ovum. In Mammals only one spermatozoon normally pierces the vitelline membrane although several may penetrate the zona pellucida (Fig. 22, i) to the peri vitelline space. Should more than one spermatozoon enter such an egg as, for example, in pathological polyspermy FERTILIZATION. 37 the result is an irregular formation of asters and polyasters (Fig. 24) and the early death of the egg either before or soon after a few attempts at cleavage. In some Insects, and in Selachians, Reptiles and Birds, a number of sperma- tozoa normally enter an ovum, but only one goes on to form a male pronucleus. The ovum thus not only exerts an attractive influence toward spermatozoa, but it apparently exerts this influence only until the one requisite to its fertiliza- tion has entered, after which it appears able to protect itself against the further entrance of male elements. As to the means by which this is accomplished little is known, although several theories have been advanced. It may be that when the single spermatozoon necessary to accomplish fertilization has entered the ovum, it sets up within the ovum such changes as to destroy the attractive FIG. 24. Polyspermy in sea-urchin eggs treated with 0.005 P er cen t. nicotine solution. O. and R. Hertwig, Wilson. B, Showing ten sperm nuclei, three of which have conjugated with female pronucleus. C, Later stage showing polyasters formed by union of sperm amphiasters. powers of the ovum toward other spermatozoa, or as even to prevent their entrance. In the case of eggs where the spermatozoon enters through a micro- pyle, it has been suggested that the tail of the first spermatozoon remaining in the opening might effectually block the entrance to other spermatozoa; or the passage of the first spermatozoon might set up such mechanical or chemical changes in the canal as would prevent further access. In most cases of eggs which have no vitelline membrane previous to fertilization, such a membrane is formed immediately after the entrance of the first spermatozoon, a natural inference being that this membrane may prevent the entrance of any more spermatozoa. Biologists, however, are inclined to discredit the view that the fertilization membrane is a protection against polyspermy. Nothing is known in regard to fertilization of the human ovum. It has been shown that in some of the lower Mammals fertilization regularly takes place in the oviduct, and it is reasonable to assume that it occurs in the oviduct in man. That spermatozoa can pass into and even all the way through the ovi- 38 TEXT-BOOK OF EMBRYOLOGY. duct is proved by cases of tubal, abdominal and, rarely, ovarian pregnancies. On the other hand Wyder considers the uterus as the normal site of fertiliza- tion, and some other gynecologists say that fertilization may take place in the uterus. Waldeyer also concludes that fertilization may occur in the uterus. Significance of Fertilization. The meaning of such a widely occurring phenomenon as fertilization has been interpreted differently by different scientists, and the question is still far from definite solution. Its chief importance must be considered probably from a standpoint of inheritance and is intimately associated with the interpretation of the maturation processes of the germ cells (p. 25). There are, however, several views which may be briefly mentioned. The earlier belief that fertilization was a necessary antecedent to cleavage of the ovum has been destroyed by the evidence of recent years. Loeb and others have been able to induce artificial parthenogenesis in forms reproducing normally by sexual reproduction. Thus cleavage has been started by chemical stimulation in the eggs of many Molluscs, Echinoderms, Coelenterates, and even in some of the lower Chordates (Teleosts and Amphibians). By fertilizing pieces of egg-cytoplasm containing no nuclear material, parthenogenesis of the sperm has likewise been produced. While cleavage produced in this manner progresses only a short way, the evidence points to the conclusion that fertiliza- tion is not an absolutely necessary factor in reproduction, although it normally occurs in the great majority of cases. Another view, advocated by Richard Hertwig and others, is that fertilization induces a rejuvenescence of protoplasm. According to this view protoplasm gradually passes into a state of senescence in which its activity is diminished. With the admixture of new protoplasm during fertilization a new period of vigorous activity is initiated. The life cycles of certain Protozoa are brought to the support of this hypothesis. In these Protozoa a long period of reproduc- tion by a series of cell divisions is followed by some form of conjugation. Two individuals come together and an exchange of nuclear material takes place. As a result a new impetus is given to the protoplasmic activity, and each of the conjugants starts again on a long period of reproduction. It is highly probable that the admixture of new protoplasm in fertilization among Metazoa produces a similar invigorating effect. Another interpretation of fertilization is that of Weissman who believed that fertilization or "amphimixis" is important as a source of variation. Since the chromatin of different individuals varies more or less, fertilization will pro- duce new combinations and tend to the production of new forms. However, there is very little evidence that forms which reproduce sexually show more variations than those reproducing by parthenogenesis. FERTILIZATION. 39 References for Further Study. COXKLIN, E. G.: The Embryology of Crepidula. Jour, of Morphol., Vol. XIII, 1897. HARTMAN, C. G.: Studies in the Development of the Opossum. Jour, of M or ph., Vol. XXVII, No. i, 1916. HARPER, E. H.: The Fertilization and Early Development of the Pigeon's Egg. Am. Jour, of Anat., Vol. Ill, No. 4, 1904. HERTWIG, R.: Eireife, Befruchtung u. Furchungsprozess. In Hertwig's Handbuch d. I'ergleich. u. experiment. Eniwickelungslehre der Wirbeltiere, Bd. I, Teil I, 1903. HUBER, G. CARL: The Development of the Albino Rat. Memoirs of the Wistar Insti- tute, No. 5, Philadelphia, 1915. KELLICOTT, W. E.: General Embryology. New York, 1913. KING, H. D.: The Maturation and Fertilization of the Egg of Bufo lentiginosus. Jour. of Morphol., Vol. XVII, 1901. LOEB, J.: Die Chemische Entwicklungserregung des Thierischen Eies. Berlin, 1909. SOBOTTA, J.: Die Befruchtung u. Furchung des Eies der Maus. Arch. f. mik. Anal., Bd. XLV, 1895. WILSON, E. B.: The Cell in Development and Inheritance. 2d Ed., 1900. CHAPTER V. CLEAVAGE (SEGMENTATION) . Following fertilization and the commingling of male and female chromo- somes, there occurs the usual longitudinal splitting of these chromosomes as in ordinary mitosis. One-half of each chromosome now passes toward each centrosome. The result is that one-half of each male chromosome and one- half of each female chromosome enter into the formation of each of the two new daughter nuclei (Fig. 22, 4, 5 and 6). The phenomena which follow are apparently identical with those of ordinary mitosis and result in two similar daughter cells. Each of the latter next undergoes mitotic division. In this manner are formed four cells, eight cells, sixteen cells, and so on. This early multiplication of cells which follows fertilization is known as cleavage or seg- mentation of the ovum, the cells themselves are known as Uastomeres and the cell mass as ihe^momla. Important differences occur in the cleavage of eggs of different forms of animals, due in large measure to the mechanical factors incident to variations in the amount of yolk and its distribution within the egg. Upon this basis the following classification of the forms of cleavage has been made. FORMS OF CLEAVAGE. a. Equal e.g., meiolecithal eggs of Sponges, Echinoderms, some Annelids, some Crustaceans, some Mollusks, Amphioxus, Mammals. b. Unequal e.g., mesolecithal eggs of Cyclostomes, Ganoid Fishes, Ainphibians; usual type in Annelids and Mollusks. a. Superficial e.g., centrolecithal eggs of Arthropods. b. Discoidal e.g., polylecithal eggs of Cephalopods, Bony Fishes, Reptiles, Birds. 40 Holoblastic (complete or total) Meroblastic (incomplete or partial) CLEAVAGE. 41 Holoblastic Cleavage. (A) EQUAL. In this form of cleavage the entire egg divides and the cells resulting from the early cell divisions are of approximately the same size. One of the Echinoderms Synapta presents a beautiful example of this, the sim- plest type of cleavage (Fig. 25). The egg of synapta is meiolecithal, contain- ing very little yolk. The first cleavage is in a vertical plane at right angles to the long axis of the central spindle and divides the egg into halves. The second plane of cleavage is also vertical but is at right angles to the first cleavage plane and results in four equal cells. The third cleavage plane is horizontal, cutting the four cells resulting from the second cleavage into eight equal cells. The fourth cleavage is vertical, the fifth horizontal and so on, regular alternation of FIG. 25. Cleavage of the ovum of Synapta (slightly schematized). Selenka, Wilson. A-E, Successive cleavages to the 32-cell stage. F, Blastula of 128 cells. vertical and horizontal cleavage planes being continued through the ninth set of divisions, resulting in 512 cells. At this point gastrulation begins and the regularity of the cleavage planes is lost. Amphioxus is another classical ex- ample of equal holoblastic cleavage, being classed as such, although after the third cleavage the cells are not of exactly the same size. In Amphioxus the first two cleavage planes are vertical and at right angles, as in Synapta. The third cleavage plane is horizontal, as in Synapta, but the cells lying above the third cleavage plane are smaller than those lying below it. The eight-cell stage 42 TEXT-BOOK OF EMBRYOLOGY. of Amphioxus thus presents four upper smaller cells and four lower larger cells (Fig. 26). The difference in size between the four upper and the four lower blastomeres in Amphioxus finds probable explanation in the distribution of yolk within the egg and the first four blastomeres. The yolk is greater in amount at the lower pole of the cell, thus leaving the greater amount of protoplasm at the upper pole. The nucleus tends to occupy the center of the protoplasmic mass and consequently is nearer the upper pole. Therefore when the spindle forms about the nucleus, the plane bisecting the spindle at right angles will be nearer the upper pole of the cell. This plane corresponding to the division plane of mitosis, the two resulting cells will be unequal in size, the smaller one Micromeres Segmentation cavity Macromeres FIG. 26. Cleavage of the ovum of Amphioxus. Hatschek, Bonnet. 1-5, Lateral views of segmenting cells; 6, section of blastula. lying above and the larger below. Thus is shown one of the effects of yolk distribution. (B) UNEQUAL. A good example of this form of cleavage is found in the common frog's egg (Fig. 27). This egg while containing little yolk when com- pared with such eggs as those of the fowl, contains much more yolk than does the egg of Synapta or of Amphioxus. The frog's egg being a telolecithal egg, the yolk is gathered at one pole, enabling a distinct differentiation to be made between the upper darker protoplasmic or animal pole, and the lower lighter vegetative pole (Fig. 6). The cleavage is complete but the cells which develop at the yolk pole are much larger than those which develop at the protoplasmic pole. The first and second cleavage planes are as in Synapta and Amphioxus, vertical and at right angles to each other. Each of the four cells which result from the second cleavage in the frog consists of a small upper darker protoplas- mic pole and of a larger lower lighter yolk pole (Fig. 27, A). The nuclear CLEAVAGE. 43 elements lying, as they always do, within the protoplasmic portion of the cell, determine the next cleavage plane which is horizontal and lies nearer the proto- plasmic ends of the cells. The result is that the third cleavage gives rise to eight cells, four of which are small protoplasmic cells lying above the line of cleavage, while the other four are large yolk-containing cells which lie below the line of cleavage (Fig. 27, A). This distinction between protoplasmic cells B D H I FIG. 27. Cleavage of the frog's egg. Morgan. A, Eight-cell stage; B, beginning of sixteen-cell stage; C, thirty-two-cell stage; D, forty-eight-cell stage (more regular than usual); E, F, G, later stages; H, I, formation of blastopore. and yolk cells not only persists but tends to become more and more marked as segmentation proceeds, and it soon becomes evident that the cells unencum- bered by yolk have a tendency to segment more rapidly than do their yolk- laden brethren (Fig. 27, C, D, E, F and G). Thus, while the fourth cleavage is vertical in both types of cells, giving rise to eight upper protoplasmic cells and the same number of lower yolk cells, this uniformity of number persists 44 TEXT-BOOK OF EMBRYOLOGY. only up to this point, while beyond this point the protoplasmic cells increase in number much more rapidly than do the yolk cells, so that when the protoplasmic cells number 128, there are still but comparatively few yolk cells. There thus result in total unequal cleavage, cells of two very different sizes each confined to its own part of the segmenting cell mass. Meroblastic Cleavage. (A) SUPERFICIAL. This form of cleavage is seen in the centrolecithal eggs of Arthropods. These eggs consist of a central mass of nutritive yolk sur- c d FIG. 28. Cleavage in hen's egg. Coste. Germinal disk and part of yolk, seen from above. rounded by a comparatively thin layer of protoplasm. The segmentation nucleus lies in the middle of the nutritive yolk where it undergoes the usual mitotic divisions. The resulting daughter nuclei leave the central yolk mass and pass out into the peripheral layer of protoplasm where they apparently CLEAVAGE. 45 determine segmentation of the protoplasm, the number of protoplasmic seg- ments corresponding to the number of nuclei. There is thus formed a super- ficial layer of cells (blastomeres) enclosing the central nutritive yolk. (B) DISCOIDAL. This type of cleavage occurs in eggs which have an ex- cessive amount of yolk and in which the protoplasm is confined to a small super- ficial germ disk. The telolecithal ova of Birds furnish typical examples of this form of cleavage. The first cleavage plane is vertical and divides the proto- plasmic disk into halves. The second cleavage plane is also vertical and at right angles to the first, resulting in four approximately equal cells (Fig. 28, a). The third cleavage plane is also vertical, dividing two of the four cells (Fig. 28, b). The germ disk at the end of the third cleavage consists of six pyramidal cells lying with their apices together in the center of the germ disk, their bases lying peripherally and toward the yolk mass. They are separated from one another at the surface, but are still continuous below and peripherally with the y.s. g.a. s.c. w.y. FIG. 29. From a vertical section through the germ disk of a fresh-laid hen's egg. Duval, Herturig. g.d., Upper layer of germ disk; s.c., segmentation cavity; w.y., white yolk (see Fig. 7); y.s., lower layer of germ disk (yolk cells, merocytes). underlying yolk mass and consequently with each other. The analogy be- tween this condition and that described for the frog's egg is complete with the one exception that in the latter the cleavage furrows cut completely through the yolk cells or the yolk-containing portions of the cells, while in the bird's egg the amount of yolk is so great that the cleavage furrow merely passes a short distance into it without completely dividing it into segments. The fourth cleavage plane is tangential, cutting off the apices of the six pyramidal segments. The germ disk after the fourth cleavage thus consists of six small superficial central cells and six larger cells which surround the small cells and also separate the latter from the underlying yolk. From this point radial and tangential cleavages follow each other without any semblance of regularity. The result is a mass of small cells lying at the center of the disk and surrounded by larger cells (Fig. 28, c, d). The smaller cells are completely separated from the under- lying yolk while the larger cells are for a time continuous with it (Fig. 29). Comparing the unequal holoblastic cleavage of the frog's egg with discoidal 46 TEXT-BOOK OF EMBRYOLOGY. meroblastic cleavage as seen in the eggs of Birds, it becomes immediately evi- dent that the differences between them are explainable entirely by reference to the greater quantity of yolk in the bird's egg. The real activity of segmenta- tion is in both cases confined almost wholly to the protoplasm. In the frog's egg the amount of yolk present is sufficient to impede segmentation in the larger cells but not to prevent it. In the bird's egg the amount of yolk is so great that it cannot be made to undergo complete segmentation. Reviewing the results of cleavage, it is to be noted that in every case there is formed a larger or a smaller group of cells. In the case of equal holoblastic cleavage, these cells are all of the same or of nearly the same size, and constitute Micromeres. mz Macromeres. FIG. 30. From a sagittal section through blastula of frog. Bonnet, mz., Marginal zone. what is known as the morula or mulberry mass (Fig. 25, E). A similar condition obtains in unequal holoblastic cleavage with the one exception, that there is a marked difference in the size of the cells constituting the morula (Fig. 27). In superficial meroblastic cleavage the group of cells forms a layer enclosing the central yolk, the latter being unsegmented but containing some nuclei. In discoidal meroblastic cleavage the group of cells spreads itself over a limited superficial area, while beneath it lies the large mass of unsegmented yolk, con- taining, however, some nuclei (Figs. 28 and 29). In holoblastic cleavage the blastomeres in the interior of the mass become more or less separated during segmentation, a cavity thus being formed within the so-called morula. This cavity increases in size, the cells being pushed centrifugally, and the embryo soon consists of a layer or layers of cells enclosing CLEAVAGE. a cavity, the segmentation cavity. The entire embryo is now known as the blastula. The simplest type of blastula is seen in Amphioxus, where it consists of a nearly spherical segmentation cavity surrounded by a single layer of cells. Some of the cells those which are more ventral and contain the larger amount of yolk are slightly larger than others (Fig. 26, 6). In the eggs of the frog, in which the cells resulting from segmentation show greater inequality in size (due to difference in yolk content), the segmentation cavity is surrounded by several layers of cells. In such a blastula the roof of the cavity is comparatively thin, being composed of small cells containing little yolk, micromeres, while the floor of the cavity is thick, being composed of large FIG. 31. Four stages in cleavage of the ovum of the mouse. Sobotta Small cell marked with x is the polar body. :olk cells, macromeres. So thick is this wall of the vegetative pole of the blastula that the large yolk cells extend into the segmentation cavity compressing it into a crescentic cleft (Fig. 30). In the frog the roof of the segmentation cavity is sharply denned from the floor, due to the fact that the outer layer of cuboidal roof cells is densely pigmented. The rather sharply defined zone of transition between pigmented micromeres and nonpigmented macromeres is known as the marginal zone. In discoidal segmentation, the segmentation cavity is a mere slit between the superficial protoplasmic cells and the underlying unsegmenting yolk with its yolk nuclei (Fig. 29). Comparing it with unequal holoblastic cleavage, these partially divided yolk cells which form the floor of the segmentation cleft in discoidal cleavage are analogous to the large yolk cells which form the floor of the segmentation cavity in the frog. (Compare Figs. 29 and 30.) 48 TEXT-BOOK OF EMBRYOLOGY. In the mammalian ovum, as in the other cases just described, segmentation leads up to the formation of a solid mass of cells the morula. While cleavage here is of the holoblastic equal type, the irregularity is especially marked. In the mouse, for example, the second cleavage is complete in one of the blasto- meres before it has begun in the other, so that a three-celled stage results (Fig. 31). Following this is a four-celled stage. From this time on cleavage continues irregularly until a solid mass is formed, as in the lower forms, which is composed of apparently similar cells (Fig. 32). The next step in mammalian development is a differentiation of the super- ficial layer of the cells of the morula. The result, then, is a single surface layer, the covering layer, surrounding a central mass of polygonal cells (Fig. 33, a). This solid mass of cells is transformed into a vesicle by vacuolization of some of Subzonal space Morula FIG. 32. Morula of rabbit, van Beneden. the inner cells (Fig. 33) and the confluence of these vacuoles to form a cavity. The mammalian ovum at this stage thus consists of two groups of cells and a cavity, an outer group or layer of cuboidal cells, the outer cell layer or covering layer (trophoderm), forming the wall of the cavity, and an inner group of poly- gonal or spheroidal cells, the inner cell mass which at one point is attached to the outer layer of cells (Fig. 33, d). The mistake must not, however, be made of considering the mammalian ovum at this stage as a true blastula. The mammalian ovum apparently does not pass through any true blastula stage. Of the parts just described, the inner cell mass alone is comparable to the blastoderm of birds, while the cavity cor- responds not to the segmentation cavity but to the yolk mass of meroblastic eggs. The vacuolization of the cells of the inner cell mass would thus repre- sent a late and abortive attempt at yolk formation, the actual nutritive yolk being made unnecessary, since the attachment of the ovum to the walls of the uterus provides for direct parental nutrition. In the separation of the cells of the morula into an inner cell mass and an outer covering layer is seen the earliest CLEAVAGE. 49 differentiation into cells (inner cell mass), which are destined to form the embryo proper, and cells (outer cells covering layer) which are to engage in the development of certain accessory structures. Recent studies of opossum ova (Hartman) have shown that in this form the morula stage is absent. During segmentation the blastomeres migrate periph- erally and form a single layer of cells around a central cavity, although a few cells usually remain free within the cavity. At about the 4o-celled stage the majority of the cells forming the wall of the hollow structure (blastocyst) begin 1 FIG. 33. Four stages in the development of the bat. van Beneden. a, Section of morula; b, section of later stage of morula, showing differentiation of outer layer of cells; c, section of still later stage, showing vacuolization of central cells; d, section showing outer layer (trophoderm) and inner cell mass. to diminish in thickness, while a few at one point increase in thickness. The latter proliferate to form a little mass which probably corresponds to the inner cell mass described for the bat. The layer of thin cells forming the major portion of the wall of the blastocyst may be considered as comparable with the covering layer in the bat. The cells in each region are probably lineal descend- ants of one or the other of the two primary blastomeres, although the latter exhibit no distinguishing features; one blastomere gives rise to embryonic structures proper and the other to extraembryonic or accessory structures. 50 TEXT-BOOK OF EMBRYOLOGY. v In the albino rat (Huber) cleavage gives rise to a true morula consisting of from 24 to 32 cells. Subsequent to this there appears among the cells of the morula a crescentic space which gradually enlarges until the cells, being pushed peripherally, form a relatively thin layer around a central cavity. At one point in the wall of this hollow structure (blastocyst, blastodermic vesicle) a little mass of cells constitutes the probable homologue of the inner cell mass which has been described previously. References for Further Study. ASSHETON, R.: The Segmentation of the Ovum of the Sheep, with Observations on the Hypothesis of a Hypoblastic Origin for the Trophoblast. Quart. Jour, of Mic. Science, Vol. XLI, 1898. BLOUNT, M.: The Early Development of the Pigeon's Egg, with Especial Reference to the Supernumerary Sperm Nuclei, the Periblast and the Germ Wall. Biolog. Bull., Vol. XIII, No. 5, 1907. CONKLIN, E. G.: Karyokinesis and Cytokinesis. Jour. Acad. Nat. Sci. of Philadelphia, Vol. XII, 1902. CONKLIN, E. G.: The Embryology of Crepidula. Jour, of MorphoL, Vol. XIII, 1897. EYCLESHYMER, A. C.: The Early Development of Amblystoma, with Observations on Some Other Vertebrates. Jour, of MorphoL, Vol. X, 1895. HARPER, E. H.: The Fertilization and Early Development of the Pigeon's Egg. Am. Jour, of Anat., Vol. Ill, No. 4, 1904. HARTMAN, C. G.: Studies on the Development of the Opossum. Jour, of Morph., Vol. XXVII, 1916. HATSCHEK, B.: Studien iiber Entwickelung des Amphioxus. Arbeiten aus dem zool. Instit. zu Wien, Bd. IV, 1881. HERTWIG, R.: Eireife, Befruchtung u. Furchungsprozess. In Hertwig's Handbuch d. vergleich. u. experiment. Entwickelungslehre der Wirbeltiere, Bd. I, Teil I, 1903. HUBER, G. CARL: The Development of the Albino Rat. Memoirs of the Wistar Institute, No. 5, 1915. LILLIE, F. R.: The Development of the Chick. New York, 1908. MORGAN, T. H.: The Development of the Frog's Egg. New York, 1897. SOBOTTA, J.: Die Befruchtung u. Furchung des Eies der Maus. Arch. f. mik. Anat., Bd. XLV, 1895. VAN BENEDEN, E.: Recherches sur les premiers stades du developpement du Murin (Vespertilio murinus). Anat. Anz., Bd. XVI, 1899. WILSON, E. B.: The Cell in Development and Inheritance. 2d Ed., 1900. CHAPTER VI. GERM LAYERS.* THE TWO PRIMARY GERM LAYERS FORMATION OF THE GASTRULA. Gastrulation in Amphioxus. The changes which immediately follow the formation of the blastula can be observed in their simplest form in Amphioxus, where, it will be remembered, the blastula is a hollow sphere the wall of which consists of a single layer of cells which enclose the segmentation cavity (Fig. 26,6). Gastrulation begins by a flattening of the ventral wall of the blastula (Fig. 34, A). This is followed by a folding in or imagination of the yolk cells which form the ventral wall (Fig. 34, B). These cells press upward into the segmentation cavity which they soon completely obliterate, and come to lie immediately beneath and in contact with the smaller cells which had formed the roof of the cavity (Fig. 34, C). The gastnda, as the embryo is now called, thus consists of two layers of cells which lie in close apposition and enclose the new cavity, the archenteron (ccelen- teron primitive gut) formed by the imagination (Fig. 34, C and D). This cavity remains open externally, the opening being known as the blastopore (Fig. 34, C and D) . These two layers of cells which form the wall of the gastrula are the primary germ layers. The outer layer is known as the ectoderm or epiblastj the inner layer as the entoderm or hypoblast. As seen by reference to Fig. 34, C and D, the two primary germ layers are directly continuous with each other at the blastopore. The most significant feature of the transformation of the blastula into the gastrula is that whereas in the blastula all the cells are essentially similar, differing if at all only in the amount of yolk contained, in the gastrula two dis- tinct types of cells are recognizable. The cells of the outer layer differ from those of the inner layer both structurally and functionally. Thus in some of the lowest forms the gastrula stage is the adult stage. In such the outer cells are protective, react to external stimuli, develop cilia which determine locomotion, etc. The inner cells, on the other hand, are more especially concerned with nutrition, absorbing food, and giving off waste products. Von Baer's apprecia- * For many of the ideas contained in this chapter, especially the correlation of gastrulation and the formation of the mesoderm in different forms, the writers are indebted to Bonnet's excellent de- scription in his "Lehrbuch der Entwickelungsgeschichte." The homologizing of gastrulation in the different forms has been found the most satisfactory method of teaching the subject. At the same time it must be admitted that some of the correlations are not based on actual observations. 51 52 TEXT-BOOK OF EMBRYOLOGY. tion of the significance of this first cell differentiation is evidenced by the fact that he designated the two primary germ layers the "primitive organs" of the body. It should be noted that with the completion of gastrulation certain important landmarks in adult topography have been established. Thus the animal Segmentation cavity Micromeres Segmentation cavity Macromeres Invagination C Archenteron Blastopore Anterior lip of blastopore Blastopore Post, lip of blastopore Ectoderm Entoderm Ectoderm Entoderm FIG. 34. Gastrulation in Amphioxus. Hatschek, Bonnet. (micromere) pole is always the dorsum; the vegetative (macromere) pole always the ventrum; the blastopore, being always caudal, differentiates the tail end from the head end of the embryo. Gastrulation in Amphibians. This is modified as compared with gastrulation in Amphioxus by the presence of a greater amount of yolk. A clear understanding of the modifica- tions which this increased yolk content causes in the gastrulation of Amphibians, GERM LAYERS. 53 as well as of Reptiles and Birds, is essential to a proper appreciation of the process in Mammals. Recalling the amphibian blastula (p. 47), it will be remembered that its roof was formed of smaller protoplasmic cells (micromeres) while its floor con- sisted of a mass of yolk cells which encroached upon the segmentation cavity Micromeres Marginal zone Macromeres FIG. 35. Vertical section through b'.astula of Triton. Hertwig. (Fig. 30). The zone of union between the two kinds of cells is known as the marginal zone. The simplest type of amphibian gastrulation, and the type thus most easily compared with gastrulation in Amphioxus, is exemplified by the water salamander Triton taeniatus. (Compare Figs. 34 and 35.) Ectoderm Entoderm Anterior lip of blastopore Blastopore Posterior lip of blastopore Yolk cells (entoderm) Segmenta- tion cavity FIG. 36. Vertical section through embryo of Triton, showing beginning of gastrulation. Hertwig. In Triton, a slight groove or furrow appearing along a portion of the marginal zone marks the blastopore and the beginning of gastrulation. The upper lip of this groove is formed by the smaller protoplasmic cells, the low r er by the large yolk cells (Fig. 36). The groove next deepens, the micromeres growing in at the dorsal lip to form the roof of the archenteron, while the yolk cells are carried 54 TEXT-BOOK OF EMBRYOLOGY. over the ventral lip to form the floor. The imagination cleft which thus be- comes the archenteron is at first small as compared with the segmentation cavity but rapidly increases in size, until as in Amphioxus, the earlier cavity is finally completely obliterated (Fig. 37). Coincident with the carrying of the yolk cells into the interior of the vesicle and the obliteration of the segmentation cavity, proliferation of the micromeres carries them completely around the yolk cells, so that the entire surface of the gastrula is formed of small cells (Fig. 37). The amphibian gastrula thus consists of a central cavity, the archenteron, communicating with the exterior by means of a small opening, the blastopore, the roof of the cavity being formed by two or more layers of small cells, the floor by the mass of large yolk cells. The outer layer of cells completely sur- rounds the yolk cells except at the blastopore, and constitutes the ectoderm (Fig. 37). The inner layer or entoderm is distinct only in the roof of the cavity. Laterally its cells pass over without any distinct demarcation into the mass of Ectoderm Entoderm (protentoderm) Archenteron Yolk cells (yolk entoderm) Peristomal mesoderm Yolk plug Posterior lip of blastopore Peristomal mesoderm FIG. 37. Vertical section through gastrula of Triton. Hertwlg. yolk cells which form the floor of the cavity. As the ectoderm forms a com- plete outer layer, the only point at which the yolk cells now appear externally is the blastopore, into which they project as the yolk plug (Fig. 37). It is possible in the amphibian gastrula to make the distinction between the entoderm of the roof which has grown in from the surface and is continuous with the surface ectoderm, and the entoderm of the floor which is formed of yolk cells. By those who make this distinction, the former is called the protentoderm t the latter the yolk entoderm (Fig. 37). In the case of the common frog, the eggs of which are so easily obtained that they furnish most satisfactory subjects for study, gastrulation is somewhat less simple than in Triton. As already noted (p. 47) the demarcation between micromeres and macromeres is in the frog very distinct, owing to the dark pig- mentation of the former. This is shown in Fig. 30, as is also the fact that the roof of the segmentation cavity consists of a surface layer of strongly pig- GERM LAYERS. 55 merited cells, and beneath this a layer of less pigmented cells. Fig. 38 shows the beginning of gastrulation, being a slightly earlier stage than the Triton gastrula (Fig. 36). In the frog (also in the toad and salamander) a modification of the comple- tion of gastrulation occurs, which, while apparently unimportant, is considered by some investigators as having significance hi the interpretation of gastrulation in higher forms, especially in Mammals. It is illustrated in Fig. 39. The wedge-shaped mass of yolk cells is pushed in front of the invagination cleft and carried around dorsally just beneath the ectoderm (Fig. 39, ft). This is met hi the medial dorsal plane by yolk cells which have grown up from the floor of the segmentation cavity on the opposite side (Fig. 39, c). What was the segmenta- Cells with much pigment ,^^^^^___ ^^^^^^^ Cells yrith Micromeres -M * ^B 5^ less pigment Macromeres Invagination (blastopore) FIG. 38. From sagittal section of blastula of frog, showing beginning of gastrulation. Bonnet. tion cavity thus becomes divided into a cleft beneath the ectoderm and a cavity surrounded by yolk cells. The cavity is designated by Bonnet the " Erganzungs- hohle" or "completioti cavity" (Fig. 39, c, d t e). With continued enlargement of the invagination cavity, the cleft-like remains of the segmentation cavity beneath the ectoderm becomes obliterated and the "completion cavity" becomes pressed ventrally. The wall between the latter and the invagination cavity thins and finally ruptures so that the two cavities become one. It thus happens that at one stage there are three cavities (Fig. 39, d) (i) the slit-like remains of the segmentation cavity, (2) the invagination cavity and (3) the so-called "completion cavity." The remains of the segmentation cavity is seen by reference to the figures to lie between the ectoderm externally and the protentoderm and yolk entoderm internally. The invagination cavity 56 TEXT-BOOK OF EMBRYOLOGY. is limited mainly by protentoderm, the "completion cavity" by yolk entoderm. The breaking of the partition between the invagination cavity and the "com- pletion cavity'' results in the formation of the archenteron proper or primitive gut, which is thus lined partly by protentoderm and partly by yolk ento- Ectoderra "Wedge" Ectoderm "Wedge" <- Ectoderm - Segment. cav. "Wedge" Blastopore Peristomal mesoderm Blastopore Yolk plug Ectoderm Ectoderm Protentoderm Protentoderm Ant. lip of blastopore Yolk plug Post, lip of blastopore FIG. 39. Successive stages of gastrulation in the frog, showing especially the formation of the protentoderm, yolk entoderm and "completion cavity." Schultze, Bonnet. Com.pl., "Completion plate." derm, the two being from now on called simply entoderm. The somewhat thickened area of yolk cells at the junction of the protentoderm and yolk entoderm is designated by Bonnet, the "Erganzungsplatte" or "completion plate" (Fig. 39, d, e). GERM LAYERS. 57 Gastrulation in Reptiles and Birds. This is further modified by the still greater increase in yolk, yet retains sufficient similarity to the process in Amphibians and Amphioxus to allow of comparison. FIG. 40. Surface view of blastoderm of snake. Hertu'ig. Blastopore is represented by dark transverse band near lower side of figure. In the types of gastrulation thus far described in Amphioxus, Triton and the frog the entire egg is involved in segmentation and gastrulation. Up through these forms there is a progressive increase in the amount of yolk, which Embryonic disk Blastoderm Anterior lip Posterior lip of blastopore Blastopore (crescentic groove) FIG. 41. Surface view of embryonic disk of turtle (Emys taurica). Bonnet. X, The lighter shading represents the opacity due to the growth of the protentoderm (see Fig. 42). in Triton and still more in the frog was seen to modify the gastrulation process. In the reptilian and the avian ovum there is a much greater increase in yolk content, the segmentation being confined to the germ disk and to a small part of 58 TEXT-BOOK OF EMBRYOLOGY. the underlying yolk (p. 56). Just as cleavage in Reptiles and Birds was modified by the presence of the large unsegmenting yolk mass, so, for the same Ectoderm of embryonic disk Blastopore Ectoderm Yolk entoderm Blastopore Ectoderm 'Completion plate" Protentoderm Yolk entoderm Blastopore Peristomal mesoderm Peristomal Blastopore mesoderm "Completion plate" Remnant of protentoderm Blastopore Peristomal mesoderm "Completion plate" Yolk entoderm FIG. 42. From medial vertical sections through embryonic disk of lizard, showing five successive stages in gastrulation. Wenckebach, Bonnet. reason, is gastrulation quite modified, as compared with the simple process seen in Amphioxus. At the same time, however, it is possible to correlate the reptil- ian and avian gastrulation with gastrulation in the lower forms. GERM LAYERS. 59 Area apaca Area pellucida Blastopore ~ (crescentic groove) It will be remembered that in the discoidal cleavage of Birds the blastula consists of a cleft-like segmentation cavity, the roof of which is formed by the proliferating micromeres constituting the germ disk, while the floor is formed by the partially segmenting yolk (Tig. 29). The former corresponds to the micro- meres of the blastula roof in Amphioxus and Amphibians, the latter to the underlying yolk cells. (Compare Figs. 26, 6, 30 and 29.) In Reptiles the beginning of gastrulation is evidenced by the appearance of an opacity just in front of what may now be designated the posterior margin of the disk (Fig. 40). This is due to more rapid proliferation of cells at this point. The opacity soon shows a depression or groove which more or less sharply defines the posterior margin of the disk. It varies in shape in different Rep- . FlG - 43- Surface view of blasto- derm of unincubated hen s egg. tiles. It is frequently crescent-shaped and has Hertwig. been called the crescentic groove (Fig. 41). This groove is the blastopore, and corresponds to the blastoporic invagina- tions of Amphioxus, Triton and the frog. Soon after the formation of the crescentic groove, there appears in front of it an oval opacity which extends forward in the medial line (Fig. 41). This opacity is due to growth of cells forward from the blastopore under the surface cells as seen in Fig. 42 which shows the progress of the invagination in the lizard. These figures should be compared with Figs. 34, 36 and 37, showing the stages of gastrulation in Amphioxus and Triton, and especially with Figs. 38 and 39 showing gastrula- tion in the frog. In Fig. 42, i, the blastopore is seen as a distinct invagination. As in the frog (Fig. 39) the invagination pushes in front of it a wedge-shaped mass of cells which extends forward under the outer layer. These cells are the pro- tentoderm. They form the roof and, with the underlying yolk entoderm, the floor of the new invagination cavity (Fig. 42, 2). As they extend forward they meet with a thickened part of the yolk entoderm, the " Erganzungsplatte " or "completion plate" (Fig. 42, 2, 3, 4 and 5; compare Fig. 39). There are thus present at this stage, just as in the frog, three cavities, (i) the slit-like remains of the segmentation cavity, (2) the invagination cavity and (3) the "completion cavity." Also 5 p.b. a.b. y.c. FIG. 44. From vertical longitudinal section through germ disk of siskin, showing beginning of gastrulation. Duval. a.b., Anterior lip of blastopore; arc., archen- teron; ec., ectoderm; en., entoderm; p.b., posterior lip of blastopore; y., white yolk; y.c., yolk cells (merocytes). 60 TEXT-BOOK OF EMBRYOLOGY. as in the frog (Fig. 39), by a breaking through of the two layers the pro- tentoderm and the yolk entoderm which separate the invagination cavity from the " completion cavity" in Fig. 42, 2, the two cavities are united to form the archenteron or primitive gut (Fig. 42, 3, 4 and 5). The single-layered germ disk has thus become transformed into a two-layered disk consisting of an outer (upper) layer the ectoderm and an inner (lower) layer the entoderm (protentoderm). In Birds the gastrula is formed in a manner quite comparable with its forma- tion in Reptiles. Taking the hen's egg as an example, it will be remembered that the entire segmentation area is confined to the germ disk, and that this con- sists of a superficial layer (roof of segmentation cavity) of small well defined cells (micromeres) beneath which is the cleft-like segmentation cavity, while the floor of this cavity is formed of incompletely segmented yolk (Fig. 29). The beginning of gastrulation is marked by the appearance of a crescentic bar near the posterior margin of the disk. This bar is due to more rapid proliferation of the cells in this region, and in it there appears the crescentic groove or blasto- y.c. a.b. arc. ec. en. FIG. 45. From vertical longitudinal section through two-layered germ disk of nightingale. Hertwig. a.b., anterior lip of blastopore; arc., archenteron; ec., ectoderm; en., entoderm (protentoderm); y.c., yolk cells (merocytes.) pore (Fig. 43). Just as described in lower forms, especially Reptiles, the micromeres invaginate or fold under at this point and grow forward as the protentoderm, and roof in the new cavity formed by the invagination (Fig. 44). The single-layered germ disk is thus transformed into a two-layered disk con- sisting of an outer (upper) layer the ectoderm and an inner (low r er) layer the entoderm (protentoderm). The protentoderm in a sense replaces the original layer of yolk cells in the area where the invagination occurs; the original outer layer (micromeres) becomes the ectoderm, except that portion which is invaginated to form the protentoderm (Fig. 45). This process is comparable with the disappearance of the yolk entoderm in Reptiles (Fig. 42). At the same time the segmentation cavity is obliterated and the new cavity invagination cavity which is in communication with the exterior, appears beneath the protentoderm. (Compare Figs. 42 and 45.) Under the central portion of the germ disk the yolk becomes liquefied, while at the margin of the disk it continues to segment and give rise to large nucleated cells the yolk entoderm. This is known as the area of supplemental GERM LAYERS. 61 cleavage and apparently corresponds to the " Erganzungsplatte " or " com- pletion plate" described in lower forms (p. 56; see also Figs. 39 and 42). The germ disk continues to spread out over the yolk and at the same time the area of liquifying yolk increases. The portion of the disk above the liquified yolk appears translucent on surface view and is known as the area pellucida; the more peripheral part of the disk is less transparent, being more closely attached to the unchanged yolk, and is known as the area opaca. Area opaca Hensen's node Primitive streak Area pellucida "Completion plate' Head process Primitive groove Post. Hp of blastopore FIG. 46. Surface view of embryonic disk of chick. Bonnet. There next appears in front of the crescentic groove and extending from its middle point forward in the medial line, a linear opacity which is known as the primitive streak (Fig. 46). This ends anteriorly in a knob-like expansion Hensen's node. According to Duval, Hertwig, Bonnet and others, the primi- tive streak is formed in the following manner. A notch or indentation appears in the anterior lip of the transverse blastoporic slit (Figs. 43 and 47, A). As Area opaca t Area pellucida Primitive streak Area pellucida Area opaca Primitive streak Blastopore (crescentic groove) FIG. 47. Surface views of blastoderms of Haliplana, showing formation of primitive streak. Schauinsland. the germ disk is constantly spreading in all directions, if the apex of this notch remains fixed, the extension of the disk posteriorly must result in a drawing out of the notch into a longitudinal slit (Fig. 47, B). In other words, the horns of the crescentic slit are pushed together to form a longitudinal slit. And as the two lips of the slit come together they fuse, and the line of fusion is marked by a shallow groove, the primitive groove. At the anterior end of the slit in the region 62 TEXT-BOOK OF EMBRYOLOGY. of Hensen's node, there is a small area where fusion does not occur, thus leaving a small opening which communicates with the cavity of the primitive gut. Since the primitive groove is formed from the original crescentic slit, and the original crescentic slit is the blastopore, the primitive groove may be considered as a modified blastopore in which the only opening is at Hensen's node. The primitive groove lies in the medial line of the primitive streak; and since the primitive groove is a modified blastopore, the two primary germ layers are fused ec. en. arc. Lb. y.p. FIG. 48. From transverse section through Hensen's node germ disk of chick of 2 to 6 hours' incu- bation. Duval. For lettering see FIG. 49. at the lips of the primitive groove (Figs. 48 and 49). To this fusion is due the opacity which constitutes the primitive streak as seen from the surface (Fig. 46). After the formation of the primitive groove and streak there is no longer any specially marked definition of the posterior margin of the germ disk, the entire circumference having a uniform demarcation. Very soon after the formation of the primitive streak a new opacity appears which extends forward in the medial line from Hensen's node (anterior lip of the blastopore). This is known as the head process, or "primitive intestinal en. ec. p.g. FIG. 49. From transverse section through primitive groove germ disk of chick of 2 to 6 hours' incu- bation. Duval. arc., Archenteron; ec., ectoderm; en., entoderm; 7.6., lip of blastopore; p.g. } primitive groove; y. t yolk; y.p., yolk plug. cord" (Bonnet) (Fig. 50). This new opacity is due to growth of cells under the ectoderm, the cells constituting the protentoderm. As a matter of fact, this formation of the protentoderm is a further extension of that same process which began with the crescentic groove (blastopore) invagination and continued during the transformation of the crescentic groove into the primitive streak (still the blastopore). Consequently this whole process from the formation of the crescentic groove up entirely through the formation of the protentoderm, is GERM LAYERS. 63 homologous with the simpler protentoderm formation from the crescentic groove (blastopore) in Reptiles. (Compare Fig. 51 with Fig. 42.) As the protentoderm grows forward in the medial line it apparently replaces the yolk entoderm, so that the roof of the new cavity the archenteron is formed of protentoderm. The area where the protentoderm fuses with the yolk entoderm is, as in Reptiles, the "completion plate." The only real difference between gastrulation in Reptiles and in Birds is that in Birds the crescentic groove (original blastopore) becomes transformed into the primitive groove which remains open only at its anterior end (Hensen's node) , while in Reptiles the blastopore may be of any form, crescentic, round, oval, etc., but does not usually present a longitudinal linear appearance. Thus in the latter case the primitive intestinal invagination (the head process, "primitive _ "Area opaca Area pellucida "Completion plate* Hensen's node Primitive streak Head process FIG. 50. Surface view of chick blastoderm. Bonnet. intestinal cord") grows forward from the original point of invagination near the posterior margin of the disk. Gastrulation in Mammals. Reference to the description of segmentation in the mammalian ovum and its peculiarities (p. 48) makes it evident that these peculiarities must deter- mine further modifications in the development of the germ disk as compared with lower forms. It will be remembered that segmentation in the mamma- lian ovum had been carried to the differentiation of two kinds of cells (p. 48), an outer cell layer (trophoderm) and an inner cell mass (Fig. 33). In lower forms the first cell differentiation came with the formation of the two primary germ layers, the ectoderm and the entoderm, and these with the enclosed cavity constituted the gastrula. The first cell differentiation in Mammals has, how- ever, an entirely different significance, the trophoderm having nothing to do with the formation of the embryo but being destined to give rise to extra- embryonic structures. It is the cells of the inner cell mass or embryonal bud 64 TEXT-BOOK OF EMBRYOLOGY. which give rise to the embryonic structures proper. In other words, the inner cell mass alone is the anlage of the embryo and this at this stage shows no differentiation into germ layers (Fig. 33). The initial step in the formation of the two primary germ layers in the mammalian ovum is the differentia- tion and splitting off of the deeper cells of the inner cell mass (Fig. 52, a). These cells are the primitive entoderm and, as a single layer, soon extend around the vesicle until they completely line it. They lie in apposition to the cells of the trophoderm except where separated from them by the remaining cells of the inner cell mass. While the primitive entoderm is extending around the vesicle, vacuolization of the more superficial cells of the inner cell mass takes place (Fig. 52, b) and results in the formation of a cavity between the over- lying trophoderm and the still remaining cells of the inner cell mass. This cavity is known as the amniotic cavity (Fig. 52, c). Its roof is formed by the tropho- derm, w T hile its floor is formed by the remaining cells of the inner cell mass, which have now become arranged in a distinct layer and constitute the embryonic disk (Fig. 52, c). The latter lies directly upon the primary entoderm and constitutes the surface layer of the embryo the ectoderm. Thus at this stage of develop- ment, the roof of the amniotic cavity is composed of cells which are to give rise to extraembryonic structures, or envelopes, while the floor is composed of the two- layered embryo now consisting of ectoderm and ento- derm. Those investigators who attempt to homologize the early differentiation of cells in Mammals and in lower forms, consider this first formed entoderm in Mammals as identical with the yolk entoderm of lower forms and so designate it, although it does not consist of yolk cells. The protentoderm is formed later (p. 66). Considering as a specific example gastrulation in the dog, it is to be noted that just before gastrulation begins, the embryonic disk of the dog is essentially similar to that of the bat which has been described (see above), with the exception that in the dog the embryonic disk is not roofed in by the amnion. At GERM LAYERS. 65 the stage corresponding to Fig. 52, c, the embryonic disk of the dog presents on surface view a uniform appearance. The first differentiation noticeable in the disk is an opacity at what now becomes defined as the posterior margin of the disk (Fig. 53). As the em- FIG. 52. Sections of blastodermic vesicle of bat, showing (a) formation of the entoderm an 3 (b and c) of the amniotic cavity, van Beneden. bryonic disk increases in size a linear opacity appears extending from the opacity at the posterior margin of the disk forward in the medial line to a point somewhat anterior to the center of the disk. The appearance (Fig. 53) is strikingly similar to that of the chick at the same stage (Fig. 46). The posterior opacity corresponds to the crescentic groove, the linear opacity to the primitive 66 TEXT-BOOK OF EMBRYOLOGY. streak, its anterior club-shaped end to Hensen's node. If we assume the same transformation of the crescentic groove into the primitive groove, the two to- gether corresponding to the blastopore, the condition is quite analogous to that in the chick (p. 61). At a slightly later stage than shown in Fig. 53, a new opacity appears ex- tending forward in the medial line from Hensen's node (Fig. 54, a). This is the head process, and may be considered as homologous with the head process in the chick. (Compare Fig. 54, a, with Fig. 50.) The opacity is due to a plate or cord of cells which grows from the region of Hensen's node forward under the surface layer of cells (ectoderm) (Fig. 55). On the assumption that Hensen's Si Embryonic disk Hensen's node *,'*; FIG. 53. Embryonic disk of dog. Bonnet. The letters and figures on the right (Si-S 4 ) indicate planes of sections shown in Fig. 75. node is the anterior lip of the blastopore, this plate of cells may possibly be con- sidered as homologous with the invaginated cells which form the protentoderm in Reptiles and Birds. (Compare Figs. 42, 51 and 55.) Consequently, since the protentoderm in the lower forms was designated the "primitive intestinal cord" (Urdarmstrang), so in Mammals this invaginated cord of cells maybe called the "primitive intestinal cord" (protentoderm) (Fig. 54). In Reptiles it has been seen that as the protentoderm grows forward under the surface layer (ectoderm) the yolk entoderm for some distance disappears, and the protentoderm fuses with the remaining yolk entoderm in an area known as the completion plate (Fig. 42). In the chick also it has been stated that a similar process occurs (p. 62). In Mammals the yolk entoderm, which GERM LAYERS. 67 Embryonic disk Hensen's node Primitive streak and groove Embryonic disk Completion plate I Head process Prim. int. cord (protentoderm) w Ectoderm Yolk entoderm Ectoderm Si Yolk entoderm Ectoderm Mesoderm Completion plate Medullary folds Yolk entoderm Yolk entoderm Chordal plate (protentoderm) Primitive groove Mesoderm Mesoderm Mesoderm Mesoderm Mesoderm Yolk entoderm FIG. 54. Surface view of embryonic disk of dog and transverse sections of same "Bonnet, a, Disk somewhat further advanced than that in Fig. 53; the letters and figures (Si-S 5 ) indicate planes of sections in b. m. gr., medullary groove. 68 TEXT-BOOK OF EMBRYOLOGY. was present from the time of its differentiation from the inner cell-mass (Fig. 52), apparently disappears or is replaced by the protentoderm, as the latter grows forward under the ectoderm and finally the protentoderm becomes continuous at its anterior border with the yolk entoderm that remains. The area where the two become continuous is the "completion plate" (Fig. 55). The disappearance of the yolk entoderm, or its replacement by protentoderm, occurs, however, only in a linear area; that is, the protentoderm grows forward only as a narrow band of cells which replaces a correspondingly narrow band of Mesoderm Blastopore Embryonic disk Ectoderm Mesoderm Yolk entoderm Chordal plate Completion plate Fro. 55. Medial section of germ disk of bat. van Beneden. yolk entoderm. And since this strip of protentoderm is destined to give rise to the notochord, it is sometimes known as the "chordal plate" (Fig. 54, S 3 ). From the manner of formation of the " chordal plate," it is continuous along each side with the yolk entoderm (Fig. 54, S 2 ). No human ovum showing gastrulation has been observed. What is known of the formation of the germ layers in man is discussed on p. 85. FORMATION OF THE MIDDLE GERM LAYER MESODERM. Mesoderm Formation in Amphioxus. In such a simple type as Amphi- oxus the formation of the middle germ layer is readily observed and there is consequently no question as to the manner in which it arises. In higher forms, however, the origin of the mesoderm has been and still continues to be one of the most difficult of embryological problems. In the two-layered Amphioxus gastrula the mesoderm first appears as two symmetrical evaginations of the entoderm which push out dorso-laterally from the archenteron (Fig. 56, a). That part of the entoderm which lies between the two mesodermic evaginations is composed of somewhat higher cells than those of the developing mesoderm and constitutes the anlage of the notochord (chorda). The lips of the mesodermic evaginations next come together (Fig. 56, b) in such a manner that the mesoderm becomes completely separated from the archenteron (Fig. 56, c). While this separation is taking place, the mesodermic evaginations divide transversely into a number of segments which lie on each side of the medial line and are known as the mesodermic somites primitive segments (Fig. 57). Meanwhile, the chorda anlage is being transformed into the chorda GERM LAYERS. 69 itself. This transformation is initiated by an evagination dorsalward of the entodermic cells which lie between the two mesodermic evaginations (Fig. 56, c), these cells soon becoming constricted off as the solid cord of cells which consti- tute the notochord (Fig. 56, d). With the separation of the chorda, the remain- ing entoderm unites across the medial line and becomes the epithelium (en- toderm) of the primitive intestine. The formation of the mesodermic somites begins near the middle of the embryo and proceeds caudally. There is thus at this stage a row of somites on each side of the medial line, the number of somites Notochord Mesodenn Notochord Entoderm Parietal mesoderm Visceral mesoderm Intestine Entoderm FIG. 56. From transverse sections through Amphioxus embryos, showing successive stages in for- mation of mesoderm, neural tube and notochord. Bonnet. increasing by constant differentiation and pushing forward of more segments (somites) from the caudal unsegmented mesoderm (Fig. 57). While the above described changes have been taking place, those ectodermic cells which lie along the dorsal medial line become higher and form the bottom of a shallow longitudinal groove. This is known as the neural groove, while the folds which bound the groove on each side are known as the neural folds (Fig. 56, a). From the crests of the folds the remaining lower ectodermic cells grow across and meet in the medial line thus forming the surface ectoderm (Fig. 56, b and c). The neural groove next deepens, the neural folds bending dorsally 70 TEXT-BOOK OF EMBRYOLOGY. and toward the medial line where they finally meet, thus converting the groove into a closed canal or tube, the neural tube (Fig. 56, d; see Chap. XVII). As the ectoderm grows over the neural groove and as the latter becomes transformed into the neural tube, there remains anteriorly an opening from the exterior into Anterior (cephalic) end Epidermis (ectoderm) Entoderm Coelom (myocoel) Archenteron Unsegmented mesoderm Posterior (caudal) end FIG. 57. From horizontal section through Amphioxus embryo with 5 primitive segments; seen from dorsal side. Hatschek. The communication between the cavities of the primitive segments (coelom) and the archenteron can be seen in the last 4 segments. the neural tube. This is known as the neuropore (Fig. 58) . Caudally, the neural groove extends over the region of the blastopore and as the groove closes over to form the neural tube, it embraces the blastopore which now becomes closed Neuropore Primitive segment Coelom (myocoel) Intestine Epidermis (ectoderm) Neural tube Anterior ) lip of Posterior j blastopore Unsegmented mesoderm FIG. 58. From vertical section through Amphioxus embryo with 5 primitive segments. Hatschek. externally but opens into the neural tube. This opening, which thus connects the neural tube with the intestine, is known as the neurenteric canal (Fig. 58), and it is a rather remarkable fact that while giving rise to no adult organ, it is found without exception in all Vertebrates which have been studied. GERM LAYERS. 71 The mesodermic somites meanwhile extend their edges ventrally between the ectoderm and the entoderm until they meet and fuse in the midventral line (Figs. 56, d and 59). A transverse constriction next appears which cuts off the ventral extension. The latter is known as the lateral plate, w r hile the remaining dorsal part is still designated the primitive segment. (Compare Fig. 56, d } with Fig. 59)- The primitive segments retain their segmental character. The lateral plates, on the other hand, do not retain their segmented condition but fuse, their cavities uniting to form the primitive body cavity or ccelom, which is the anlage of the large serous cavities of the adult. The outer part of the lateral plate or Neural tube ^ Notochord Epidermis (ectoderm) ^^JS/^>^t^Q"\ m^^^ ' Primitive segment Muscle plate Cutis plate Myocoel Splanchnocoel Parietal mesoderm ~) Mat. plate Entoderm -W^^^H^S/^ Visceral mesoderm J Ventral Subintestinal mesentery vein FIG. 59. Diagram to show differentiation of primitive segment into muscle plate (myotome) and cutis plate and relation of myocoel and splanchnocoel. Bonnet. Compare with Fig. 56, d. parietal mesoderm, with the adjacent ectoderm, forms the somatopleure (Fig. 59). The inner layer of the lateral plate, the visceral mesoderm, with the adjacent entoderm, forms the splanchnopleure (Fig. 59). At the caudal end of the embryo, just in front of the neurenteric canal, there exists at this stage an area where the germ layers have not become differentiated to form special structures. In this area, cell proliferation is especially active and from it cells are derived for the completion of the neutral tube, chorda, somites, intestine, etc. By this means the growth of the embryo in length is provided for (Figs. 57 and 58). The Amphioxus embryo at this stage thus consists of: 1. Ectoderm. Surface ectoderm and neural tube. 2. Mesoderm. Somites; parietal mesoderm and visceral mesoderm enclosing the ccelom. 3. Entoderm. Chorda and wall of primitive intestine. 72 TEXT-BOOK OF EMBRYOLOGY. Mesoderm Formation in Amphibians. In Amphibians the formation of the mesoderm is, like gastrulation, modified by the presence of many large yolk cells. Taking for an example the water salamander (Triton), which furnishes Blastopore Ectoderm Parietal mesoderm Visceral mesoderm Entoderm Primitive gut FIG. 60. From transverse section through Triton embryo at region of blastopore. Hertwig. perhaps the simplest type of mesoderm formation in Amphibians, only in the region of the blastopore does the mesoderm formation conform at all closely to that of Amphioxus. In this region the middle germ layer is seen to consist of two lateral evaginations which push out between the entoderm and ectoderm, Notochord anlage Neural plate Parietal mesoderm Visceral mesoderm Primitive gut Entoderm FIG. 61. From transverse section through Triton embryo in front of blastopore. Hertwig. each containing a cavity, the primitive body cavity (Fig. 60). More cranially the mesoderm grows out laterally between the entoderm and ectoderm, not as two hollow evaginations, but as solid plates of cells which only later separate into two layers and enclose the primitive body cavity (Fig. 61). Hertwig considers GERM LAYERS. 73 mesoderm formation in Triton entirely analogous to its formation in Amphioxus, the solid plate of cells being really two layers enclosing the body cavity, but pressed together by the large amount of yolk. Although the mesoderm de- veloped in the region of the blastopore and that which originates more cranially are continuous in front of the blastopore, it is convenient to designate the former the peristomal, the latter the gastral mesoderm. The separation of the mesoderm into a dorsal segmented part and a ventral unsegmented part containing the body cavity; the formation of the notochord between the two lateral plates of mesoderm by a constricting off of cells from the entoderm; the closure of the primitive intestine beneath the notochord; the development of the neural groove and folds with their final closure to form the neural tube; and the extension of ectoderm over their surface to form the surface ectoderm (epidermis), are processes quite similar to the formation of the same Myocoel Xeural tube Coelom Primitive segment mesoderm Yolk cells (entoderm) FIG. 62. From transverse section through dorsal part of Triton embryo. Hertwig. structures in Amphioxus (Fig. 62). Also as in Amphioxus, the differentia- tion of these structures is more advanced cranially and gradually extends caudally where for some time there exists a growth area in which they are not as yet differentiated. In the frog the formation of the mesoderm is sufficiently different from Amphioxus and Triton to make its correlation somewhat difficult. In the frog apparently all trace of mesodermic evagination is lost. Taking a transverse section through the frog's gastrula at a stage when the blastopore is still circular and widely open (Fig. 39), the mesoderm is seen as a flat plate of cells which blends in the medial line with the protentoderm and ventrally with the yoke entoderm (p. 74, Fig. 63). The mesoderm has here arisen apparently by a splitting off of a layer of cells from the protentoderm, the remaining cells of the protentoderm forming the roof of the primitive gut. Beginning at the sides, the 74 TEXT-BOOK OF EMBRYOLOGY. separation of the mesoderm extends dorsally to the chorda and ventrally, as indicated by arrows in Fig. 63, splitting off the superficial cells of the yolk entoderm until the mesoderm becomes completely separated from the yolk cells. On each side of the notochord the mesoderm shows a shallow longitudinal groove (Fig. 64) which has been interpreted by some as the homologue of the meso- dermic evagination of Amphioxus. This groove does not persist, however, and has nothing to do with the formation of the body cavity. The latter in the frog results not from evagination but from a splitting of the originally solid mesoder- mic plates. It is to be noted, however, that while the ccelom does not originate as an evagination from, and is never connected with, the primitive intestine, the mesoderm itself consists of cells which have split off from the wall of the Chorda anlage f Ectoderm Yolk entoderm Remnant of segmentation cavity FIG. 63. Transverse section of embryo of frog (Rana fusca). Bonnet. The section is taken in front of (anterior to) the blastopore. primitive intestine (entoderm), and that it is within this group of cells that the ccelom finally appears. Of the yolk cells, only the outermost (most peripheral) have to do with the formation of intestinal epithelium, the remainder being ultimately used up for the nutrition of the embryo (Fig. 65). The formation of the neural groove and neural tube from the ectoderm and the separation of the chorda anlage from the rest of the entoderm are much the same as in Triton. Mesoderm Formation in Reptiles and Birds. The actual origin of the mesoderm in these forms is very difficult to determine owing to the pecu- liarities of gastrulation which in turn are due to the greatly increased amount of yolk. In the lower forms it has been seen that the mesoderm is primarily a derivative of the entoderm (Amphioxus, Fig. 56), or of protentoderm and yolk GERM LAYERS. 75 entoderm (frog, Fig. 53). One would expect, a priori, that the mesoderm has a similar origin in the higher forms, even if the entoderm has assumed a differ- ent form on account of the fact that the yolk plays little or no part in the process Ectoderm Mesoderm Chorda anlage Entoderm FIG. 64. Transverse section through dorsal part of embryo of frog (Rana fusca). Ziegler. x, Groove indicating evagination to form mesoderm. of imagination. As a matter of fact, observations do to a certain extent fulfill the expectation, but, on the other hand, it is not possible to trace the earliest steps in its formation with anything like the degree of certainty with which it can be traced in the lower forms. Neural crest Neural canal Primitive segment Notochord Coelom Ventral mesoderm < Yolk cells ? Ectoderm Parietal mesoderm Visceral mesoderm Entoderm FIG. 65. Transverse section through embryo of frog (Rana fusca). Bonnet. Taking the chick again as an example, the mesoderm appears first in the region of the primitive groove (blastopore). Transverse sections through this region show the mesoderm as several layers of small irregular cells interposed laterally between the ectoderm and entoderm. In the medial line, or line of the 76 TEXT-BOOK OF EMBRYOLOGY. primitive groove, all three germ layers are blended into a solid mass of cells (Fig. 66) . On the ground that the primitive groove is the blastopore, the meso- derm here is the peristomal mesoderm, the homologue of the peristomal mesoderm which encircles the blastopore in lower forms (Fig. 37). Primitive groove and folds Ectoderm Ectoderm Mesoderm Entoderm FIG. 66. Transverse sections of blastoderm of chick (21 hours' incubation). Hertwig. a, Section through primitive groove, posterior to Hensen's node. b, Section through Hensen's node. At a somewhat later stage, after the head process appears, sections through the head process also show all three germ layers. Here the ectoderm is a sepa- rate layer; but the entoderm and mesoderm are fused in the medial line; that Head process Neural plate Ectoderm Mesoderm Entoderm Yolk cell - Archenteron Yolk FIG. 67. Transverse section of blastoderm of chick (21 hours' incubation). Hertwig. Section through head process, anterior to Hensen's node. is, in the line of the "primitive intestinal cord." Laterally, the layers are all separate, a cleft existing between the mesoderm and the ectoderm and another between the mesoderm and the entoderm (Fig. 67). Since the mesoderm in the region of the head process is in front of the primitive groove (blastopore) GERM LAYERS. 77 and appears in connection with the " primitive intestinal cord/' it is the gastral mesoderm, the homologue of the gastral mesoderm described in lower forms (Fig. 63). Here also, as in the case of the peristomal mesoderm, the mesoderm is primarily a solid plate of cells. Furthermore, immediately in front of the primitive groove the gastral mesoderm is continuous with the peristomal. At a still later stage the gastral mesoderm is found to be separated from the entoderm, so that the "primitive intestinal cord" (now the notochord) separates the mesoderm of the two sides in the medial line (Fig. 68). Neural plate Xotochord ' Ectoderm ' Mesoderm :-" ' Entoderm "" " Archenteron FIG. 68. Transverse section of blastoderm of chick (40 hours' incubation). Hertwig. Section taken short distance anterior to Hensen's node. Comparing the conditions in sections through the head process in the chick with sections through the body region of the frog (Figs. 63 and 64), a fairly clear homology may be drawn. While in the stages just described in the chick the mesoderm is present and interposed between the ectoderm and entoderm, the crucial point is its actual origin. In the lower forms it originated from the entoderm, that is, from the cells which have been invaginated at the blastopore. In the chick the blasto- pore ; which is crescent-shaped, is transformed into a longitudinal structure Mesoderm Primitive groove _ FIG. 69. Transverse section of blastoderm of chick (10 hours' incubation). Hertwig. Section taken through primitive groove and streak. the primitive groove but still the blastopore. As the crescentic blastopore becomes longitudinal, the two horns come together and fuse (see p. 61), and the line of fusion still represents the area of imagination, where some of the surface cells have grown under the remaining surface cells to form the entoderm (protentoderm) . And it is along this area of invagination that the mesoderm first appears. In very early stages there is an especially active cell proliferation in the thickened layer of cells which represents the primitive streak. This activity gives rise to a mass of cells which lie immediately beneath the primitive 78 TEXT-BOOK OF EMBRYOLOGY. groove and represent the first mesodermal cells (Fig. 69). It is reasonable to assign the origin of these cells to the cells which have been invaginated along the line of the primitive groove (blastopore). These invaginated cells constitute the protentoderm, hence the mesodermal cells may be considered as derivatives of the protentoderm. As proliferation continues, the mesodermal cells spread out between the ectoderm and entoderm (which is here yolk entoderm) (Fig. 70). Finally, the Ectoderm p.gr. Mesoderm Ectoderm Entoderm Yolk FIG. 70. Transverse section of blastoderm of chick (slightly older than that shown in Fig. 69). Hertwig. Section taken through primitive groove (p.gr.) and streak. mesoderm fuses with the yolk entoderm, so that all three germ layers are fused beneath the primitive groove (Fig. 66). The fusion between the mesoderm and yolk entoderm in this region is a secondary matter. That the peristomal mesoderm is a derivative of the invaginated cells is even more clearly demonstrated in Fig. 71, in which the two lips of the blasto- pore have not yet fused. Primitive fold Primitive groove FIG. 71. Transverse section through primitive streak and primitive groove of Diomedea. Schauinsland. In front of the primitive groove, that is, in the region of the head process, the gastral mesoderm is at first seen to be continuous with the "primitive intestinal cord" (Fig. 67); later it becomes separated on each side from the "primitive intestinal cord" (now the notochord). While the actual process has not been observed, it is reasonable to assume that the mesoderm is here also a derivative of the "primitive intestinal cord," and since the latter is produced by the in- vagination (gastrulation, see p. 62) and consists of protentoderm, the gastral GERM LAYERS. 79 mesoderm is a derivative of the protentoderm or invaginated cells. Also, as the invagination is a continuous process from the first formation of the crescentic Ectoderm Neural tube Entoderm Ccfclom FIG. 72. Transverse section of chick embryo (2 days incubation). Photograph. The parietal mesoderm (lying above the ccelom) is not labeled. The two large vessels under the primitive segments are the primitive aortae. Spaces separating germ layers are due to shrinkage. groove up through the formation of the ''primitive intestinal cord" (see p. 62), one can readily understand how the mesoderm is first formed in the line of the primitive groove and continues to be formed progressively forward as the invagi- Area pellucida Area vasculosa Head fold Neural groove Primitive segment Primitive groove FIG. 73. Dorsal view of duck embryo, with two pairs of primitive segments. Bonnet. nation pushes farther and farther forward to form the "primitive intestinal cord." The gastral mesoderm is thus from its beginning continuous with the peristomal mesoderm, the two together forming a single plate of cells. 80 TEXT-BOOK OF EMBRYOLOGY. As described above, the mesoderm of the chick is at first a solid plate of cells. The cavity in the mesoderm the ccelom appears as the result of a splitting of the originally solid mesoderm layer into two sublayers the parietal and the visceral (Fig. 72). At the same time that portion of the mesoderm which lies adjacent to the neural groove on both sides of the medial line becomes differen- tiated into two series of bilaterally symmetrical segments the primitive seg- ments, which are connected with one another by intermediate thinner parts (Figs. 73, 74 and 72). The splitting of the mesoderm to form the ccelom begins some distance from the medial line and progresses both laterally and medially. Neuropore Fore-brain vesicle Head fold Proamnion Mid- and hind- brain vesicles Edge of blastoderm Neural fold Primitive groove FIG. 74. Dorsal view of chick embryo with ten pairs of primitive segments. Bonnet. The ccelom does not, however, reach the primitive segments, for a small solid mass of cells the intermediate cell mass (Fig. 81) always intervenes between the ccelom and the segments. Furthermore, the ccelom from the beginning shows no segmentation. The formation of the neural groove and neural tube from the ectoderm and the separation of the chorda anlage from the entoderm are much the same as in the frog. A decided difference is, however, to be noted in the shape of the chick's blastoderm. Since in this case the yolk plays but a small part in seg- mentation, the germ layers at first lie flat upon the surface of the yolk, the GERM LAYERS. 81 archenteron being a flat cavity between the entoderm and the yolk (Figs. 67, 68 and 69) . The tubular form of the intestine is brought about later in connection with the constriction of the embryo from the yolk sac (p. 136; see also forma- tion of primitive gut, p. 316). Mesoderm Formation in Mammals. In Mammals the same difficulties are met with in determining the origin of the mesoderm as in the chick. At the same time, transverse sections through the developing mammalian blastoderm Si Mesoderm Yolk Completion entoderm plate Pr.int.co. P.gr. Ectoderm I Yolk entoderm Pr.st. FIG. 75. Transverse sections of embryonic disk of dog. Bonnet. Sections of disk shown in Fig. 53. Letters and numbers at right (Sj-S^ indicate plane of sections in Fig. 53. P.gr., Primitive groove; Pr.int.co., primitive intestinal cord; Pr.st., all three germ layers fused in primitive streak. at different stages show conditions which bear much resemblance to those in the chick, and lead toward the conclusion that the processes in the two cases are much alike. Referring back to gastrulation, it will be remembered that on surface view the germ disks of the chick and of the dog were very similar (compare Fig. 46 with Fig. 53, and Fig. 50 with Fig. 54, a). After the formation of the primitive streak in the dog, sections through this region show the mesoderm interposed between the ectoderm and entoderm (here yolk entoderm) and all three germ 82 TEXT-BOOK OF EMBRYOLOGY. layers fused beneath the primitive groove (Fig. 75, S 3 and(S 4 ; compare with Fig. 66). The origin of the mesoderm is probably, as in the chick, to be at- tributed to the invaginated cells (protentoderm) along the line of the primitive groove. The mesodermal cells first appear as a small mass beneath the primi- tive groove (Fig. 76, a) ; they then spread out laterally between the ectoderm and (yolk) entoderm (Fig. 76, b). Beneath the point of origin, that is, along the Primitive streak Entoderm Mesoderm Ectoderm FIG. 76. Transverse sections of embryonic disks of rabbit, (a) Kdlliker, (b) Rabl. a, section through primitive streak of embryo of 6 days and 18 hours; b, section through Hensen's node of embryo of 7 days and 3 hours. line of the primitive groove, they finally fuse with the (yolk) entoderm (Figs. 75, S 3 and S 4 ; compare Figs. 76, a and b, and Figs. 75, S 3 and S 4 with Figs. 69, 70 and 66). In the region of the head process, as in the chick, sections show at first the entoderm and mesoderm fused in the medial line, and the ectoderm as a sepa- rate layer (Fig. 77 and Fig. 75, S 2 ). The entoderm with which the mesoderm is Mesoderm Notochord Ectoderm Entoderm FIG. 77. Transverse section of embryonic disk of rabbit, van Beneden. fused represents the invaginated cells, that is, the protentoderm ("primitive intestinal cord"); and, as in the chick, it seems reasonable to assume that the mesoderm is derived from the " primitive intestinal cord " (protentoderm) and grows out laterally between the ectoderm and entoderm (compare Fig. 75, S 2 with Fig. 67). A little later, in the region of the head process, the mesoderm on each side is GERM LAYERS. 83 found to be separated from the parent tissue ("primitive intestinal cord"), and the latter now represents the anlage of the notochord (compare Fig. 72 with Fig. 78). On the ground that the primitive groove is the blastopore, the mesoderm arising in that region is the peristomal mesoderm; that arising from the "primitive intestinal cord'* in front of the primitive groove is the gastral meso- Mesoderm Ectoderm Neural groove Yolk entoderm Chordal plate FIG. 78. Transverse section of embryonic disk of dog. Bonnet. Section taken near anterior end of head process. derm. The peristomal and gastral portion together constitute a continuous plate of cells interposed between the ectoderm and entoderm, which has been derived from the invaginated cells of the protentoderm. In a few Mammals (sheep, roe, shrew), mesoderm has been seen to arise some distance from the primitive streak and head process (Fig. 79). This has been called the peripheral mesoderm, but it soon unites with the peristomal and gastral. Embryonic disk I Peripheral mesoderm Ectoderm Area of nvagination Nuclei of yolk entoderm FIG. 79. Surface view of embryonic disk of sheep. Bonnet. Disk is at that stage of development when gastrulation begins (in region marked area of imagination). Primarily, the mesoderm is a solid plate of cells with no indication of a body cavity (ccelom). A little later the mesoderm splits into two layers, the parietal and the visceral, between which lies the ccelom (Fig. 81). The splitting does not effect, however, the mesoderm which lies adjacent to the neural groove on both sides of the medial line, for this portion becomes differentiated into two series of bilaterally symmetrical segments the primitive segments (Figs. 80 and 84 TEXT-BOOK OF EMBRYOLOGY. *" Prim, pericard. cavity Anlage / of heart * Tail fold of amnion Telencephalon Diencephalon Mesencephalon Metencephalon Myelencephalon Peripheral limit of coelom IK FIG. 80. Dorsal view of dog embryo with ten pairs of primitive segments. Bonnet, Prim. Intermed seg. cell mass Parietal and visceral mesoderm Ectoderm (epidermis) Chordal Prim, plate aorta Ccelom Entoderm Blood vessels 81. Transverse section of dog embryo with ten pairs of primitive segments. Bonnet. GERM LAYERS. 85 8r). The splitting of the mesoderm begins some distance from the medial line and proceeds both laterally and medially, but does not extend quite to the primitive segments. Thus a solid plate of cells still remains between the ccelom and the segments the intermediate cell mass (Fig. 81). The ccelom shows no segmentation. (Compare Fig. 80 with Fig. 74 and Fig. Si with Fig. 72.) The formation of the neural groove and tube from the ectoderm and the separation of the chorda from the entoderm are processes quite analogous to the development of those same structures in the lower forms. As in the chick, so also in Mammals, the blastoderm is at first spread out flat, forming the roof, so to speak, of the yolk sac. At a later period, in connection with the closure of the gut and the establishment of the external forms of the body, the blastoderm assumes a tubular shape (see p. 136). A comparison of the foregoing description of the formation of the mesoderm in Mammals with the description of the corresponding processes in the chick (p. 75) shows their essential similarity. Strand of mesoderm in exocoelom Entoderm of yolk sac Mesoderm of yolk sac w&ii W ' 'W W ^* Part of exocrelom Trophoderm Mesoderm of chorion Ectoderm of amnion Entoderm Amniotic cavity Embryonic ectoderm Mesoderm Yolk cavity Mesoderm FIG. 82. Section through human chorion, amnion, embryonic disk, and yolk sac. Peters. Compare with Fig. 83. ' The Germ Layers in Man. Of the actual formation of the germ layers in man, practically nothing is known. There are no observations on the segmentation of the ovum, the first differentiation of cells, or the origin of the embryonic disk and germ layers. A very young human ovum, described by Leopold, does not show any structures which can be interpreted as the embryonic disk or any part of it. Another 86 TEXT-BOOK OF EMBRYOLOGY. young ovum described by Peters shows all three germ layers and the flat embry- onic disk. Bryce and Teacher have recently described an ovum, the youngest on record, in which all three germ layers are formed (see Fig. 106; cf. Fig. 83). A section through the ovum described by Peters (Fig. 82) shows the ectoderm as a flat layer of stratified or pseudostratified cells, the margin of which is re- flected dorsally as the lining of thereof of the amniotic cavity (compare Fig. 52, c). Beneath the ectoderm is a layer of cells the mesoderm which is continu- Coagulum Trophoderm | Uterine epithelium :? ft /jaVflK ^f)|Kv^:-5 . ! -.-:'V.V S ,?;' .-/^O Yolk sac ^'^A.^xV^A- -* * *****. *J* 1. 1? - f / Gland Decidua basalis Blood FlG. 83. Section through very young human chorionic vesicle embedded in the uterine mucosa. Peters. The vesicle measured 2.4 x 1.8 mm., the embryo .19 mm. Peters reckoned the age as 3 or 4 days, but later studies of other embryos go to show that the age is much greater; Bryce and Teacher estimate it at 14 to 15 days. ous at its margin with the mesoderm of the roof of the amnion, with mesoderm lining the chorionic vesicle, and also with the mesoderm covering the yolk sac Fig. 83). Beneath the mesoderm of the embryonic disk is a layer of entoderm which also extends ventrally to line the yolk sac. There is here no trace of an invaginated entoderm from which the mesoderm might arise. Graf Spee has described an ovum somewhat older than Peters', in which the embryonic disk shows certain features which are comparable with those in lower Mammals. On surface view (Fig. 84), the primitive groove is especially GERM LAYERS. 87 prominent and the opening at its anterior end, corresponding to Hensen's node, is usually well marked. The line of the head process is strongly marked by a deep groove the neural groove (compare Fig. 84 with Fig. 54, a). A longitudinal section in the medial line of this disk (Fig. 85) shows a re- markable similarity to a corresponding section of the bat's disk (Fig. 55). The ectoderm consists of a single layer of columnar cells interrupted only at the opening of the blastopore (anterior end of the primitive groove). The entoderm (chorda anlage) also consists of a single layer of cells which is continuous at the blastopore with the ectoderm. In the region of the primitive groove the per- Yolk sac A nun on Neural groove Chorion FIG. 84. Dorsal view of human embryo, two millimeters in length, with yolk sac. von Spee, Kollmann. The amnion is opened dorsally. istomal mesoderm is present. The embryonic disk forms the roof, so to speak, of the yolk sac. A transverse section (Fig. 86) through the primitive groove shows all three germ layers fused in the medial line, but separated laterally. In this case there is a striking resemblance to the condition seen in a corresponding section of the rabbit's disk (Fig. 87). Apart from the embryonic disk, the conditions are very similar to those in Peters' ovum (compare Figs. 85 and 82). The unusual feature in both these embrvos is the enormous extent of the 88 TEXT-BOOK OF EMBRYOLOGY. mesoderm. In Graf Spec's ovum both longitudinal and transverse sections would suggest the same origin for the intraembryonic mesoderm as in lower Chorionic villi Mesoderm of yolk sac Blood vessel FIG. 85. Medial section of human embryo shown in Fig. 84. von Spee, Kottmann. Mammals, but the extent of the extraembryonic mesoderm, at this early stage of the embryonic disk, would indicate a departure from the conditions seen in the lower Mammals. In other words, it scarcely seems possible that the Ecto- Mesoderm derm Primitive groove ^*\ a ^ .jj',3 -^f^p ., uterine epithelium; gl., uterine gland; 11. z., necrotic zone of decidua (uterine mucosa); P.e., point of entrance of the ovum; tro., svncvtmm (plasmodium, plasmodi-trophoderm); tro. 1 , masses of vacuolating syncytium invading capillaries. The cavity of the blastodermic vesicle is completely filled by mesoderm, and embedded therein are the amniotic and entodermic (yolk) vesicles, portions of the several parts have been observed. The natural pro- The decidua parietalis is the changed mucosa of the entire uterus with the exception of that portion to which the ovum is attached. The decidua basalis is that portion of the mucosa to which the ovum is attached and which later becomes the maternal part of the placenta. The decidua reflexa is either the 118 TEXT-BOOK OF EMBRYOLOGY. extension of the mucosa over the ovum or that part of the mucosa under which the ovum buries itself (Fig. 107). It will be remembered that surrounding the entire young ovum is the chorion and that this membrane consists of two layers, an outer ectoderm (trophoderm) and an inner mesoderm. In the youngest known human embryo the chorion is Decidua parietalis Decidua capsularis Decidua basalis ] Chorion frondosum I Placenta FIG. 107. Semidiagramatic sagittal section of human uterus containing an embryo of about five weeks. Allen Thompson. a, Ventral (anterior) surface; c, cervix uteri; ch, chorian; g, outer limit of decidua; m, muscularis; p, dorsal (posterior) surface. a shaggy membrane, its entire surface being covered with small projections or villi. Later these villi disappear from all of the chorion except that part of it which becomes attached to the uterine mucosa and forms the foetal part of the placenta. The latter is known as the chorion frondosum, while the smooth remainder of the chorion is known as the chorion lave. There are thus to be considered: 1. The decidua parietalis. 2. The decidua capsularis. 3. The decidua basalis 4. The chorion frondosum forming the placenta. FCETAL MEMBRANES. 119 The Decidua Parietalis. The changes in the uterine mucosa which result in the formation of the decidua parietalis are similar to, though more extensive than, the changes which take place during the earlier stages of men- struation. There is congestion of the stroma with proliferation of the con- nective tissue elements and increase in the length, breadth and tortuosity of the glands. These changes result as in menstruation in thickening of the mucosa so that at the height of its development the decidua parietalis has a thickness of about i cm. It extends to the internal os where it ends abruptly, there being no decidua formed in the cervix. In the superficial part of the mucosa the glands wholly or almost wholly disappear and their place is taken by the proliferating connective tissue of the stroma. The result is a layer of comparatively dense connective tissue the compact layer. Beneath this layer are found remains of the uterine glands in the shape of widely open, somewhat tortuous spaces which extend for the most part parallel to the muscularis. Some of these glandular remains retain part of their epithelium. Lying in the proliferating stroma, these spaces give to this layer the structure which has led to its being designated the spongy layer. During the latter half of pregnancy the decidua parietalis becomes greatly thinned, due apparently to pressure from the growing embryo with its mem- branes. With this thinning, the few remaining glands of the compact layer disappear. The character of the spongy layer changes, the glands collapsing or being reduced to elongated, narrow spaces parallel to the muscularis. The entire tissue also becomes much less vascular than in early pregnancy. If the fcetal membranes are in situ the compact layer is in contact with the ectodermic (epithelial) layer of the chorion. Next to this lies the mesodermic (connective tissue) layer of the chorion. Delicate adhesions connect the mesodermic tissue of the chorion with the mesodermic layer of the amnion. Covering the latter is the amniotic ectoderm (epithelium). The Decidua Capsularis. Early in its development this has essentially the same structure as the decidua parietalis. Its older or more common name, decidua reflexa, indicates the earlier idea that this portion of the decidua repre- sents a growing around or reflection of the uterine mucosa upon the attached ovum. Peters, after examining the very early ovum which bears his name, came to the apparently warranted conclusion that instead of the uterine mucosa growing out around the ovum, the ovum buries itself in the mucosa, and that by the time the ovum had reached the size of the one he examined (i mm.), it was almost entirely covered over by the mucosa (Fig. 83). See also Fig. 106. In Peters' ovum a coagulum consisting of blood cells, other cast off cells and fibrin marked the point at which the ovum probably entered the stroma. Later this is replaced by connective tissue and for a considerable time the point is marked by an area of scar tissue. 120 TEXT-BOOK OF EMBRYOLOGY. By about the fifth month the rapidly growing embryo with its membranes has filled the uterine cavity, and the decidua capsularis, now a very thin trans- parent membrane, is everywhere pressed against the decidua parietalis. It ultimately either disappears (Minot) or blends with the decidua parietalis (Leopold, Bonnet). The Decidua Basalis. As the decidua basalis is that part of the mucosa to which the chorion frondosum is attached, it is convenient to consider the two structures together. Decidua "Fastening" villi Terminal villi Vein Chorion FIG. 108. Isolated villi from chorion frondosum of a human embryo of eight weeks. Kollmann's Atlas. At a very early stage, villi develop over the entire surface of the chorion (Fig. 106). Very soon, however, the villi begin to increase in number and in size over the region of the attachment of the ovum and to disappear from the remainder of the chorion, thus leading to the already mentioned distinction between the chorion frondosum and the chorion laeve (p. 118). THE CHORION FRONDOSUM or fcetal portion of the placenta consists of two layers which are not, however, sharply separated. 1. The compact layer. This lies next to the amnion and consists of con- nective tissue. At first the latter is of the more cellular embryonal type. Later it resembles adult fibrous tissue. 2. The villous layer. The chorionic villi, when they first appear, are short FCETAL MEMBRANES. 121 simple projections from the epithelial layer of the chorion and consist wholly of epithelium. Very soon, however, two changes take place in these projec- tions. They branch dichotomously giving rise to secondary and tertiary villi, forming tree-like structures (Fig. 108). At the same time mesoderm grows into each villus so that the central part of the originally solid epithelial villus is replaced by connective tissue, which thus forms a core or axis. This connective tissue core is at first free from blood vessels, but toward the end of the third week terminals of the umbilical (allantoic) vessels grow out into the connective tissue and the villus becomes vascular. Each villus now consists of a core of vascular mesodermic tissue (embryonal connective tissue) covered over by trophoderm Syncytium Cellular layer (of Langhans) Blood vessels Mesoderm (core of villus) Intervillous space FIG. 109. Section of proximal end of villus from chorion frondosum of human embryo of two months. Photograph. In the space above the villus is a mass of cells such as are invariably found among or attached to the villi (see text, page 126). (epithelium). At first the epithelium of the villus consists of distinctly outlined cells. Very soon, however, the epithelium shows a differentiation into two layers. The inner layer lying next to the mesoderm is called the layer of Langhans or cyto-trophoderm. Its cell boundaries are distinct and its nuclei frequently show mitosis. The outer covering layer consists of cells the bodies of which have fused to form a syncytium the syncytial layer or plasmodi- trophoderm. This is a layer of densely stained protoplasm of uneven thickness (Figs. 109 and no). It contains small nuclei which take a dark stain. As this layer is constantly growing, and as these nuclei do not show mitosis, it has been suggested that they probably multiply by direct division. 122 TEXT-BOOK OF EMBRYOLOGY. At an early stage large masses of cells appear among the villi, sometimes being attached to the villi (Figs. 109 and in). The origin of these masses is not known with certainty. They may represent thickenings of the syncytium in which the cell boundaries have reappeared, or they may represent outgrowths from Langhans' layer. In some cases the cells are small with darkly staining nuclei, in other cases large and homogeneous with large vesicular nuclei. Large multinuclear cells, or giant cells, with homogeneous cytoplasm, also appear. In some cases they apparently lie free in the intervillous spaces although Hofbauer's cell Capillary FIG. no. Transverse section of chorion villus from human embryo of two months, showing meso- dermal core of villus and surrounding cellular layer (cyto-trophoderm) and syncytium (plas- modi-trophoderm). Hofbauer's cell is an example of large cells found in the villi, but the significance of which is not known. From retouched photograph. Grosser. it is claimed by some investigators that they merely represent sections of tips of the syncytial masses. A structure known as canalized fibrin (which takes a brilliant eosin stain) begins to develop in the earlier months of preg- nancy and gradually increases in amount during the later stages. It is found in relation with the large cell masses among the villi and is probably a degen- eration product of these masses. In the later months of pregnancy the covering layer of the villi loses its distinctly epithelial character, the cyto-trophoderm or cellular layer disappearing and the plasmodi-trophoderm or syncytial layer becoming reduced to a thin FCETAL MEMBRANES. 123 homogeneous membrane. At points in this membrane are knob-like projections composed of darkly staining nuclei. These are known as nuclear groups, or proliferation islands, and probably represent the proximal portions of the large cell masses already described (compare Figs, no and 112). Certain of the uterine stroma cells increase greatly in size and become the deddual cells. These are large cells 30 to 100 microns and vary in shape. Late in pregnancy they acquire a brownish color and give this color to the superficial layer of the decidua parietalis. Each cell usually contains a single "Giant" cell Syncytium Canalized fibrin Syncytium Trophoderm mass FIG. in. Section of chorion of human embryo of one month (9 mm.). Grosser. large nucleus. Some contain two or three nuclei. A few are frequently multinuclear. Some of the chorionic villi float freely in the blood spaces of the maternal placenta floating 'uilli; others are attached to the maternal tissue fastening villi. The villi are separated into larger and smaller groups or lobules by the growth of connective tissue septa from the maternal placenta down into the decidua basalis. These are known as placental septa, while the groups of chorionic villi are known as cotyledons (Figs. 113 and 115). Both decidual cells and chorionic villi are important from a diagnostic 124 TEXT-BOOK OF EMBRYOLOGY. standpoint, as the finding of them in curettings or in a uterine discharge may be accepted as proof of pregnancy. During the early months of pregnancy first four months the decidua basalis has essentially the same structure as the decidua parietalis. Its surface epithelium disappears very early, perhaps even before the attachment of the ovum. The glandular elements and the connective tissue undergo the same changes as in the decidua parietalis and here also result in the differentiation of a compact layer and a spongy layer. Both layers are much thinner than in the decidua parietalis. As already noted, connective tissue septa pass from the superficial layer of the decidua basalis down into the fcetal placenta subdividing the latter into cotyle- dons. At the margin of the placenta the decidua basalis passes over into the Remnant of syncytium Capillaries Remnant of syncytium y* Capillary JSfcS^ai Nuclear group FIG. 112. Transverse sections of chorionic villi at the end of pregnancy. Schaper. thicker decidua parietalis and here the chorion is firmly attached to the decidua basalis. There still remains to be considered what may be called the border zone between the decidua basalis and the chorion frondosum. The whole purpose of the placenta is the interchange of materials between the maternal and fcetal circulation. It is in the border zone that this interchange takes place. The entire structure of this zone is for this function, while all the rest of the placenta serves to transport the blood to and from this area. We have considered on the maternal side the structure of the superficial (compact) layer of the decidua basalis (p. 119), on the fcetal side the structures of the villous layer of the chorion frondosum (p. 120). Unfortunately, this border zone has an extremely com- plicated structure which is difficult of interpretation in the usual microscopic section. This has led to much confusion in description and many differences of opinion as to actual structure. We can here consider only the more generally FCETAL MEMBRANES. 125 accepted facts, referring the student to special articles on the subject for further details. In the fully developed placenta, the chorionic villi lie either free (floating villi) or attached to the decidua (fastening villi) in what are known as inter- villous spaces (Fig. 113). In sections the villi are, on account of their structure, 126 TEXT-BOOK OF EMBRYOLOGY. Blood vessel Base of villus in section ^ : -lv ; USi-ii^I:^ \ Uterine glards ^ = j^^_.' ? !?? I r ! r' j Base of decidua ,Muscular coat of uterus FlG. 114. Vertical section through wall of uterus and placenta in situ; about seven months' development. Minot. FCETAL MEMBRANES. 127 cut in all directions, many sections of villi being entirely free from their basal connections. The villi thus present the appearance of projections, peninsulas, or islands lying in spaces filled with blood (Fig. 114). Branches from the arteries of the uterine muscularis enter the decidua basa- lis. They take very tortuous courses through the latter and in it lose their con- nective tissue and muscular coats, and, while of considerably larger diameter than most capillaries, become reduced to endothelial tubes. These follow the intervillous (placental) septa in which they branch and from which they finally open directly into the intervillous spaces along the edges of the cotyledons. The maternal blood is thus poured into the intervillous spaces at their peri- phery. After flowing through them it passes into veins which leave the intervillous spaces near the center of the cotyledons (Fig. 113). Chorion laeve +.. Decidua parietalis' r" Decidua basalis Cotyledon (lob'e) Cotyledon (lobe) FIG. 115. Placenta at birth, seen from the uterine side. Bonnet. The relation of these spaces to the maternal blood vessels is not easy to make out in ordinary sections, but many observations have established the fact that both arteries and veins open directly into the spaces. The entire system of intervillous spaces may thus be considered as a part of, or an appendage to, the maternal vascular system, the maternal blood flowing from the arteries into these spaces and returning from these spaces to the mother through the veins. The fcetal blood, on the other hand, circulates in the capillaries of the connective tissue of the villi separated from the maternal blood of the intervillous spaces by the epithelial villous covering already described (p. 121). It is between the maternal blood of the intervillous spaces and the foetal blood in the villous capillaries that the interchange of material takes place. Both the maternal and fcetal vascular systems are clcsed systems so that no blood can pass directly 128 TEXT-BOOK OF EMBRYOLOGY. from mother to foetus or from foetus to mother. This can be absolutely proved in early pregnancy by the fact that nucleated red cells are at this stage constantly present in the blood of the foetus but never normally present in the maternal circulation. The normal circulation of blood through spaces unlined by endo- thelium is such a remarkable exception in histology that repeated attempts have been made to demonstrate an endothelial lining to the intervillous spaces but, up to the present time, no such lining has been found. The manner in which the intervillous spaces are formed still remains the subject of much controversy. The similarity of development in the human ovum and in the ovum of the bat has already been noted. In the bat the chorion when first formed consists of two thin layers, an inner mesodermal layer and an outer ectodermal layer (trophoderm). From analogy there is every reason to believe that the early human chorion has the same struc- ture. Proof of this is, however, as yet wanting, as in the earliest human ova the trophoderm is already a thick layer. There are also present over the entire surface of the chorion and thus in contact not only with the future decidua basalis but also in contact with the entire future decidua capsularis, well developed villi, each consisting of a core of mesoderm and of a thick covering of trophoderm (Fig. 83). Between the villi, bounded by the villi and by the decidua, are pools of maternal blood. Peters suggested that rapid prolifera- tion of the cells of the trophoderm might result in an opening up of the maternal vessels with which they came in contact and give rise to repeated effusions of maternal blood. This blood would be poured out mainly within the tropho- derm but bounded externally by the decidua. The blood pools thus formed would represent the first stage in the formation of the intervillous spaces. Ac- cording to Bonnet and others the chorionic villi of the developing placenta are constantly opening up new decidual vessels, the trophoderm eroding or dis- solving more and more decidual tissue, so that the intervillous spaces are con- stantly increasing in size with growth of the placenta. The placenta at birth is a discoid mass of tissue between 15 and 20 cm. in diameter, about 3 to 4 cm. thick and weighs from 500 to 1200 grms. As its area of attachment marks the point where the ovum becomes fixed to the uterine mucosa and as the point of fixation of the ovum varies, the placenta may be attached to any portion of the uterine wall. It is most frequently attached in the region of the fundus and more frequently to the posterior wall than to the anterior. If the fixation of the ovum is sufficiently low, the placenta may partly or completely close the internal os, thus giving rise to what is known as placenta prcBvia. The Umbilical Cord. As the amnion grows and extends ventrally with the ventral bending of the embryonic disk, the yolk stalk and sac, now very much attenuated, become pressed against the cord of mesodermal tissue which FCETAL MEMBRANES. 129 connects the embryo with the chorion, and incorporated with it to form the umbilical cord (Figs. 89 and 90). The umbilical cord thus consists of: (Fig. 116) : 1. Amnion. This is attached to the embryo at the navel. It is at first loosely connected with the underlying tissue of the cord so that it is easily peeled off; later it becomes firmly adherent. The epithelium of the amniotic covering of the cord is stratified and is described by some (Minot, McMurrich) as of embryonic ectodermic origin instead of as part of the amnion. 2. What may be called the ground substance or substantia propria of the cord. This is an embryonic connective tissue often described as "mucous Umbilical vein Amnion Allantoic stalk FIG. 116. Transverse section of umbilical cord of a pig embryo six inches in length. Photograph* tissue." It consists of a soft gelatinous intercellular substance and irregular, branching stellate cells. On account of its consistency it has been called "\Yharton's jelly." 3. Three umbilical vessels two arteries and one vein. All these vessels are thick walled and the developing smooth muscle is in bundles separated by considerable connective tissue. The two umbilical arteries carry venous blood from the foetus to the placenta where their branches ultimately give rise to the capillaries of the chorionic villi. From the villi the blood enters the terminals of the umbilical vein and returns as arterial blood to the foetus (Fig. 217). As they traverse the cord the arteries make a number of spiral turns around the vein and give to the cord the appearance of being spirally twisted. The 130 TEXT-BOOK OF EMBRYOLOGY. cause of this twisting is not known. In places where the turns are quite abrupt and there are considerable accumulations of connective tissue, the cord has a knotted appearance. These points are known as false knots. Rarely the cord is actually tied into a more or less complex knot true knot probably due to movements of the foetus. 4. Remnants of the allantoic stalk and of the yolk stalk. These, if present, are continuous or broken cords of epithelial cells. Rarely one or the other may retain its lumen or some of the yolk stalk vessels may remain. As the yolk stalk is carried around to be incorporated as part of the umbilical cord there is enclosed with it a small part of the extraembryonic body cavity. The human umbilical cord averages 50 cm. in length and has a diameter of about 1.5 cm. The Expulsion of the Placenta and Membranes. After the birth of the child, the uterine contractions usually cease temporarily and the uterine walls remain contracted around the placenta. In the course of a few moments the uterine contractions are resumed and the placenta and membranes are ex- pelled as the after-birth. The line of separation of the placenta and of the decidua parietalis from the uterine mucosa is through the deeper part of the spongy layer (Fig. 113). By this separation many blood vessels are opened, the hemorrhage being con- trolled by the firm contractions of the uterine muscle. The condition of the uterine mucosa, after child-birth, has been described as an exaggeration of its condition at the end of menstruation. Reconstruction of the mucosa takes place by proliferation of the still remaining connective tissue and of the gland- ular elements, Anomalies. The manner in which the placenta is formed by excessive development of the decidua and chorion over a limited area and atrophy of the chorion through- out the remainder of its extent suggests the most frequent variations from the normal. The villi instead of developing over the usual discoidal area may develop along a band-like area which more or less completely encircles the chorion. This gives rise to an annular placenta similar to that seen in the Carnivora. Continued development of the villi over the entire chorion may occur. This results in a thin "placenta membranacea." Such a placenta is apt to be adherent and may thus cause a serious postpartum condition. Failure of the villi to atrophy and their continued development over more than a single area give rise to variations in form and number of placentae. When there are two not very distinctly separated areas the condition is known as placenta bipartita. Two completely separated placentae with distinct branchings of the umbilical vessels to supply FCETAL MEMBRANES. 131 them are known as placenta duplex. Placenta triplex and up to placenta septu- plex have been described. When one or more placental lobules develop at a little distance from the main placental mass but connected with the latter by blood vessels, the result is the not uncommon placenta succenturiata. Placenta spuria is applied to such an accessory lobule when it has no vascular connection with the main placenta and consequently no function. Anomalies of the placenta associated with multiple pregnancies and with anomalies of the foetus will be found under their respective heads. Anomalies of the cord are for the most part dependent upon anomalies of the foetus and of the placenta. References for Further Study. BEXEKE: Sehr junges menschliches Ei. Monatsschr. f. Geburtshilfe u. Gynakologie, Bd. XXII, 1904. BONNET, R.: Lehrbuch der Entwickelungsgeschichte des Menschen. Berlin, 1907. BRYCE, T. H.: Embryology. In Quain's Anatomy, nth ed., Vol. I, 1908. BRYCE, T. H., and TEACHER, J. H.: An Early Ovum Imbedded in the Decidua. Glasgow, 1908. CRAGIX, E. B.: Text-book of ObstetricG. 1915. FRASSI, L.: Uber ein junges menschliches Ei in situ. Arch.f. mik. Anat., Bd. LXX, 1907. GROSSER, O.: Die Eihaute und der Placenta. 1908. HERTWIG, O.: Lehrbuch der Entwickelungsgeschichte des Menschen und der Wirbel- tiere. Berlin, 1906. HOFBAUER, J.: Biologic der menschlichen Placenta. Wien and Leipzig, 1905. HUBRECHT, A. A. W.: Placentation of Erinaceus Europaeus. Quart, Jour, of Mic. Sci. t Vol. XXX, 1889. Vox HUEKELOM, S. I Ueber die menschliche Placentation. Archiv. fur Anat. und Physiol., Anat. Abth., 1898. KEFBEL, F., and MALL, F. P.: Manual of Human Embryology. Vol. I, 1910. KOLLMAXX, J.: Lehrbuch der Entwickelungsgeschichte des Menschen. Jena, 1898. KOLLMAXX, J.: Handatlas der Entwickelungsgeschichte des Menschen. Bd. I, 1907. LEOPOLD, G.: Ueber ein sehr junges menschliches Ei in situ. Leipzig, 1906. MARCHAXD, F.: Beobachtungen an jungen menschlichen Eiem. Anat. Hejte, Bd. XXL 1903. McMuRRicH, J. P.: The Development of the Human Body. Philadelphia, 1907. MINOT, C. S.: Uterus and Embryo. Jour, of MorphoL, Vol. II, 1889. MIXOT, C. S.: Laboratory Text -book of Embryology. Philadelphia, 1903. PETERS, H.: Ueber die Einbettung des menschlichen Eies und das friiheste bisher bekannte menschliche Placentationsstadium. Leipzig, 1899. MERTTEXS, J.: Beitrage zur normalen und pathologischen Anatomic der menschlichen Placenta. Zeitschr. /. Geburtshilje u. Gynakologie, Bd. XXX, XXXI, 1894. REJSEK, J.: Anheftung (Implantation) des Saugetiereies an die Uteruswand, insbesondere des Eies von Spermophilus citillus. Arch. f. mik. Anat., Bd. LXIII, 1904. Rossi DORIA, T.: Ueber die Einbettung des menschlichen Eies, studirt an einem kleinen Eie der zweiten Woche. Arch. f. Gynak., Bd. LXXVI, 1905. SELEXKA, E.: Studien iiber die Entwickelungsgeschichte der Tiere; (MenschenatTen) . Wiesbaden, 1901-1906. Parts 8-10. 132 TEXT-BOOK OF EMBRYOLOGY. STRAHL, H. : Die Embryonalhiillen der Sauger und die Placenta. In Hertwig's Handbuch der vergleich. u. experiment. Entwickelungslehre der Wirbeltiere. Bd. I, Teil II, 1902. WEBSTER, J. C.: Human Placentation. Chicago, 1901. CHAPTER VIII. THE DEVELOPMENT OF THE EXTERNAL FORM OF THE BODY. The segmentation of the ovum and the formation of the blastodermic vesicle have not been observed in man. For these stages it is necessary, therefore, to depend upon the lower Mammals. In those Mammals in which the processes have been observed, the segmentation of the ovum produces a solid mass of cells known as the morula (Fig. 88; compare with Fig. 33). The superficial cells of the morula then become differentiated from those in the interior. The result is a solid sphere composed of a central mass of polyhedral cells and an enveloping layer of somewhat flattened cells (Fig. 88; compare with Fig. 33). The cells of the enveloping layer become still more differentiated from those of the central mass, and the sphere continues to increase in size owing to the pro- liferation of both kinds of cells. The next step in development is the formation of a cavity within the sphere. Among Invertebrates, where but little yolk is present and where no distinct differentiation of the superficial cells occurs, the central cells are displaced, or pushed toward the periphery, so that the morula is changed into a hollow sphere the Uastula the wall of which is composed of a single layer of cells (p. 46). Among Mammals, however, instead of a displace- ment of the central cells, there appear within the cells vacuoles which continue to enlarge and finally become confluent, thus forming a cavity which occupies the greater part of the interior of the sphere. There remain then, after the vacuolization, the enveloping cells, or trophoderm, and a few of the central cells which are attached to the trophoderm over a small area and constitute the inner cell mass (Fig. 88). The latter is the anlage of the embryonic body. As stated on page 48, the cavity of the sphere in Mammals is not homologous with the cavity of the blastula in the lower forms, but the vacuolization of the cells probably represents a belated and abortive attempt at yolk formation. Following the formation of the yolk cavity, those cells of the inner cell mass which border it become differentiated, proliferate and gradually spread out in a single layer that finally forms a complete lining for the cavity. The cells of this layer constitute the primitive entoderm (Fig. 88). In the meantime some of the cells of the inner cell mass which lie between the differentiating entoderm and the trophoderm undergo a process of vacuolization, leaving only a single layer closely applied to the entoderm. This layer is the embryonic ectoderm, and the newly formed cavity between it and the trophoderm is the amniotic cavity 133 134 TEXT-BOOK OF EMBRYOLOGY. (Fig. 89; compare with Fig. 52). The further development of the latter has been described on page 112. At this stage the sphere contains two cavities, the larger yolk cavity and the smaller amniotic cavity, separated by a double layer of cells, the ectoderm and entoderm, which constitute the embryonic disk. The greater part of the wall of the sphere is composed of two layers; the portion forming the wall of the larger yolk cavity being composed of trophoderm and entoderm, the portion forming the wall of the smaller amniotic cavity being composed of trophoderm alone (Fig. 89). The entire structure is spoken of as the Uastodermic 'vesicle. FIG. 117. Human embryo of two months (twenty-six millimeters). Photograph. The embryo lies within the chorion (open on one side), to which it is attached at the right of the figure by the umbilical cord; around the point of attachment the chorionic villi can be seen. The amnion has been opened and turned back. The formation of the mesoderm has been discussed elsewhere (Chap. VI, p. 81). At this point it is sufficient to say that it appears in the wall of the yolk cavity as a third layer between the trophoderm and entoderm, and, in the embryonic disk, between the ectoderm and entoderm. Thus the blastodermic vesicle possesses all three germ layers (Fig. 89). In the further course of development the mesoderm splits into two layers, an outer or parietal and an inner or visceral. Between the layers a cleft ap- pears, which is completely bounded by mesoderm, on the outer side by the parietal, on the inner side by the visceral. The parietal and visceral layers are in apposition to the trophoderm and entoderm respectively. The two layers of mesoderm soon become widely separated owing to rapid growth of the parietal layer and the trophoderm. The parietal layer of mesoderm and DEVELOPMENT OF THE EXTERNAL FORM OF THE BODY. 135 the trophoderm together constitute the chorion; the original cavity of the blastodermic vesicle with its wall of entoderm and visceral mesoderm is the yolk sac; the newly acquired cavity between the chorion and yolk sac is the extraembryonic body cavity or exocoelom. The embryonic disk lies on one side of, and might be said to form the roof of the yolk cavity. A very young human embryo described by Peters (Fig. 83) corresponds ap- proximately to the stage of development shown in Fig. 90, A . The entire Amniotic cavity Muscular coat of uterus Decidua parietalis + capsularis Cervix FIG. 118. Opened uterus containing membranes and foetus of three months. Length of foetus, thirty-five millimeters. Natural size. Bonnet. vesicle measures about i mm. in diameter and encloses the small, flat em- bryonic disk with its appended yolk sac. The disk proper consists of three layers of cells the ectoderm, mesoderm and entoderm. The chorion is widely separated from the yolk sac by the exoccelom. See also Fig. 106. An embryo slightly more advanced than that described by Peters has been described by von Spec (Fig. 84) . In this case a furrow the neural groove appears on the dorsal (ectodermal) side of the embryonic disk, and the latter is 136 TEXT-BOOK OF EMBRYOLOGY. somewhat elongated in the direction of the furrow. At the sides and ends the disk is bent ventrally so that a depression is formed around it. The margin of the disk is continuous with the amnion and with the yolk sac (Figs. 85 and 90, B, C). The disk as a whole shows a trace of constriction from the yolk sac, but at one end remains attached to the chorion by means of a mesodermal structure the belly stalk (Fig. 85). Still a little further advanced than von Spec's embryo, is one described by Cerebral plate Amnion Heart Ant. entrance to prim, gut (Ant. Intest. portal) Post, entrance to prim, gut (Post, intest. portal) \ Yolk sac (cut edge) Yolk sac ~ Neural tube Belly stalk Neural fold Neural groove Neural fold FIG. 119. (a) Ventral view; (b) dorsal view of human embryo with 8 pairs of primitive segments (2.11 mm.). Eternod. From models by Ziegler. In b the amnion has been removed, merely the cut edge showing; in a the yolk sac has been removed. Eternod (Fig. 119). What was originally the embryonic disk has here become more elongated, and has assumed a sort of cylindrical shape owing to the rolling under of the lateral margins. As a part of the rolling under process, the depres- sion which originally surrounded the disk has become deeper and has effected a still greater degree of constriction between the cylindrical body and the yolk sac. The caudal end of the body remains attached to the chorion by means of the belly stalk. The lips of the neural groove have turned dorsally and fused in the middorsal line along part of their course. DEVELOPMENT OF THE EXTERNAL FORM OF THE BODY. 137 From a comparison of the three stages which have been mentioned, it can be inferred that the process which establishes the cylindrical form of the body is essentially one of bending of the margins of the embryonic disk with accom- panying elongation of the disk. It is obvious that the process begins at an early period coincident with the appearance of the primitive streak and neural groove. The margins of the disk bend ventrally and form the lateral body walls (Figs. 90, C, and 84), then bend inward and finally meet in the midventral line to form the ventral body wall. At the same time the body gradually be- comes elongated in the direction of the neural groove (Fig. 119). When the body walls bend inward a constriction is produced between the body and the Fore-brain Neural tube Omphalomesenteric vein Yolk sac Amnion fc- Belly stalk FIG. 1 20. Dorso-lateral view of human embryo with fourteen pairs of primitive segments (2.5 mm.). Kollmann. yolk sac. As the body and yolk sac enlarge, the constriction becomes relatively deeper until the yolk sac is attached to the ventral side of the body by a slender cord the yolk stalk (Fig. 123). While in the earlier stages there is an active bending of the margins of the disk, in the later stages the body grows rapidly in size, especially in length, and extends out beyond the yolk sac (Fig. 120). This makes it appear that the yolk stalk is becoming smaller. As a matter of fact, the diminution in the relative size of the yolk stalk is more apparent than real, the apparent diminution being caused largely by the rapid increase in size of the embryonic body and yolk sac. There is, however, a considerable distance where fusion occurs in the midventral line as the two lateral body walls meet to form J38 TEXT-BOOK OF EMBRYOLOGY. the ventral body wall. This line of fusion is significant in its relation to certain malformations (Chap. XIX). Preceding the processes which establish the cylindrical form of the body, there are changes in the relation of the amnion to the chorion. Primarily, the entire dome-like roof of the amniotic cavity is attached to the chorion (Fig. 90, A) . In further development, however, the extraembryonic mesoderm between the trophoderm of the chorion and the ectoderm of the amnion splits farther back over the embryo, leaving the latter attached at its caudal end to the chorion by a mass of mesoderm the so-called belly stalk (Figs. 90, B, and 85). Following the above mentioned changes in the amnion, chorion, yolk sac and embryonic disk, the amnion continues to enlarge and thus draws the belly Cephalic flexure Branchial arches Branchial grooves Heart -^MMB* mi- -3n Yolk sac Dorsal flexure Amnion -*" Belly stalk Chorion FIG. 121. Human embryo 2.15 mm. long. His. stalk under the embryonic body and brings it closer to the yolk sac. Fir*!iy, as the yolk stalk becomes longer and more slender, the belly stalk and ytrlk stalk unite and become completely surrounded by the amnion. There is thu~, formed a cord-like structure the umbilical cord which is attached to the veiztral side of the body (Figs. 90, D, and 100; see also p. 128). The changes which occur in the simple cylindrical body, after it is once formed, consist of the differentiation of the head, neck and body regions and the development of the extremities. Even in Eternod's embryo (Fig. 119) the cephalic end has become proportionately larger than the rest of the body and projects somewhat beyond the yolk sac. This marks the beginning of the DEVELOPMENT OF THE EXTERNAL FORM OF THE BODY. 139 head. The extreme end of the head region is bent ventrally almost at a right angle to the long axis of the body, the bend being known as the cephalic flexure. On the ventral side of the body and cranial to the attachment of the yolk sac there is a rather large protrusion which indicates the position of the heart. Between the protrusion and the bent part of the head there is a deep depres- sion the oral fossa. A series of bilaterally symmetrical structures appear in the body region along the sides of the neural tube. These are the primitive segments (mesodermic somites). All these features are even more clearly shown in Fig. 120, which represents Cephalic flexure ^^^^^^^^_ Naso-frontal process Maxillary process -fl ^B ^ JSf- Oral fossa Branchial groove I Branchial arch II ~M ^ Mandibular process J_ , Ventral aortic trunk m^ Primitive Umbilical vein Belly stalk Sacral flexure FIG. 122. Human embryo of the third week. His. an embryo 2.5 mm. in length. There is also a further increase in the size of the head region. A distinct concavity, caused by the dorsal flexure, is seen in the dorsum of the embryo. Another embryo, apparently older but only 2.15 mm. long, shows a re- markable exaggeration of the dorsal flexure (Fig. 121). The middle part of the body seems to be drawn ventrally by the yolk sac. While this may be a normal feature at this stage, it soon disappears and the concavity becomes a convexity (see p. 140). A new feature also appears in this embryo in the form of two vertical depressions just caudal to the head region. These depressions 140 TEXT-BOOK OF EMBRYOLOGY. represent the beginning of the branchial grooves and branchial arches, which are exceedingly important in the development of the face and neck regions. The branchial arches and grooves are the morphological equivalents of the gills and gill slits in lower Vertebrates (Fishes, larvae of Amphibians). In an embryo somewhat further advanced (Fig. 122) the body as a whole is more robust. The heart is more prominent, and this region is still larger in proportion to the body than in the preceding stages. The dorsal flexure is much reduced. The cephalic flexure is more marked than in the preceding stages. Two other flexures have appeared the cervical flexure just caudal to the head region, the sacral flexure near the caudal end of the body. All these flexures together make the embryo as a whole appear crescentic in form. The primitive segments are at the highest degree of their development and extend from the cervical flexure to the caudal end of the body. The two vertical depressions in the head region, which were seen in the preceding stage (Fig. 121), are more prominent here as the first and second branchial grooves or clefts. Just caudal to these two other similar depressions appear as the third and fourth branchial grooves. Cranial to the first groove, between the first and second, between the second and third, and caudal to the third are elevations which mark the first, second, third and fourth branchial arches respectively. A strong process, the maxillary process, has grown cranially from the dorsal part of the first arch. The main part of the arch is the mandibular process. In a somewhat later stage (Fig. 123) further distinct changes have occurred, some of which rather than leading toward the adult form of the body are de- partures from it. For example, all the flexures have increased to such an extent that the tail almost touches the head, the entire body being decidedly concave on the ventral side. The dorsal flexure, instead of forming a concavity in the back, now forms a distinct convexity and gives the back a rounded appearance. As a general rule, the tail at this stage is bent to the right, but in some cases the bend is toward the left. The branchial arches and grooves are especially prominent. The fourth (and last) arch has appeared and caudal to this, the fourth (and last) groove. The first three arches have enlarged and become elongated so that they almost meet their fellows of the opposite side in the midventral line. The site of the external ear is marked by the second branchial groove. In addition to this, the anlagen of the other sense organs are apparent. The optic vesicle is seen just cranial to the dorsal end of the first arch; the nasal fossa as a distinct depression on the ventral side of the head cranial to the first arch. The yolk sac has become so constricted at its base that it is now readily divisible into the long, slender yolk stalk and the yolk sac or vesicle. On the side of the body, just caudal to the cervical flexure, a small protu- DEVELOPMENT OF THE EXTERNAL FORM OF THE BODY. 141 berance forms the anlage of the upper extremity. This is known as the upper limb bud. A similar protuberance caudal to the sacral flexure is the lower limb bud. Fig. 124 shows a stage slightly further advanced than Fig. 123. The embryo as a whole is more stocky, and the head is still larger in proportion to the rest of the body. This feature is especially noticeable from this stage up to the time of birth. The sacral and cervical flexures are still very prominent. The Cervical Cervical depression flexure Dorsal flexure Branchial arch IV Branchial groove III Branchial arch III Branchial groove II Branchial arch II Branchial groove I Branchial arch I Mandibular process Maxillary process Eye Nasal pit Heart Yolk stalk Lower limb bud Primitive segments Upper limb bud Liver Sacral flexure FIG. 123. Human embryo with twenty-seven pairs of primitive segments (7 mm., 26 days). Mall. dorsal flexure, however, is less prominent and the body of the embryo is more nearly straight. The sacral and cervical flexures from this time on become more and more reduced, while the cephalic flexure, which primarily affects the embryonic brain, persists as the mid-brain flexure in the adult. The branchial arches are actually no smaller but appear less prominent. Between the mandibular process and the maxillary process there is a distinct notch which corresponds to the angle of ilw mouth. The second arch has enlarged at the expense of the third and fourth, has grown back over them to a 142 TEXT-BOOK OF EMBRYOLOGY. certain extent and partially hides them. The nasal fossa is deeper, and ex- tending from it to the optic vesicle is a groove the naso-optic furrow which bounds the maxillary process on the cephalic side. The tail (not clearly shown in the figure) is proportionately smaller. It does not actually diminish in size, but the more rapid growth of the body makes it appear to diminish. The limb buds are larger and a transverse constriction divides the upper into a proximal and a distal portion. The corresponding constriction in the lower limb bud has not yet appeared. The protrusion on the Branchial groove III Branchial arch III Branchial groove II Branchial arch II Branchial groove I Mandibular process Maxillary process Eye Naso-optic furrow Nasal pit Yolk sac Heart Lower limb bud Liver Upper Umbilical limb bud cord Yolk stalk FIG. 124. Human embryo with 28 pairs of primitive segments (7.5 mm.). Photograph. ventral side of the body, originally caused by the heart, is now more prominent owing to the fact that the rapidly growing liver also protrudes ventrally. In this particular case the yolk sac seems unusually large. The yolk stalk has become enclosed for about half its length within the umbilical cord. After the stage just described the dorsal flexure becomes still less prominent, the body of the embryo being less curved (Fig. 125). The cervical flexure remains distinct, so that the head is bent at a right angle to the long axis of the body. Two slight depressions have appeared on the dorsum of the embryo the occipital depression just cranial to the cervical flexure, the cervical depression DEVELOPMENT OF THE EXTERNAL FORM OF THE BODY. 143 just caudal to the cervical flexure. The cervical depression becomes more con- spicuous in later stages and finally persists as the depression at the back of the neck in the adult. The maxillary process is more prominent than in the preceding stages, as is also the naso-optic furrow. The second arch has become larger and has grown over the third and fourth, thus completely hiding them, but a depression known as the preceruical sinus is left just caudal to the second arch. The first branch- ial groove is relatively large and marks the site of the external auditory meatus, while the surrounding portions of the first and second arches in part are destined to give rise to the external ear. Cervical flexure Occipital depression ^^^^^ Cervical depression ^1 Cephalic flexure "C ~\ s Dorsal flexure Umbilical cord ^/ |K^__X \. Sacral flexure FIG. 125. Human embryo n mm. long (31-34 days). His. The distal portion of the upper limb bud has become flattened, and four radial depressions mark the boundaries between the digits. The lower limb bud is now divided by means of a constriction into a proximal and a distal portion. In development the upper limb is always slightly in advance of the lower. The rotundity of the abdomen, due to the rapidly growing heart and liver, is more pronounced than in the preceding stages. Fig. 126 shows a stage in which the crescentic form of the body, as seen in profile, is not so apparent. This is due principally to the partial straightening of the cervical flexure and to the greater rotunditv of the abdomen. The TEXT-BOOK OF EMBRYOLOGY. cervical depression is deeper, and the neck region in general is fairly well differentiated. The ventral part of the first branchial arch has fused with the ventral part of the second, leaving the dorsal part of the first groove open to form the ex- ternal auditory meatus. The parts surrounding the meatus bear more resem- blance to the concha of the ear. The mandibular process of the first arch has become differentiated in part into the lower Up and chin regions. The ventral (distal) end of the maxillary process represents the region of the upper lip. The FIG. 126. FIG. 127. FIG. 126. Human embryo of 15.5 mm. (39-40 days). His. FIG. 127. Human embryo of 16 mm (42-45 days). His. nose is apparent as a short process extending from the fore-brain region toward the upper lip. The limb buds are turned more nearly at right angles to the long axis of the body. The radial depressions which were present on the flattened distal por- tion of the upper limb in the preceding stage are now continuous with depres- sions around the distal border. Similar radial depressions are also present on the distal portion of the lower limb. The tail is smaller in proportion to the rest of the embryo. DEVELOPMENT OF THE EXTERNAL FORM OF THE BODY. 145 After the stage shown in Fig. 126 the cervical flexure continues to dimm- ish, so that the head comes to lie nearly in a direct line with the body (Fig. 127). The rotundity of the abdomen diminishes owing to the fact that the heart and liver grow more slowly relatively to the body as a whole. The tail, which was still a prominent feature in Fig. 125, continues to become less prominent in the succeeding stages (Figs. 127, 128, 129, 130). This is not due so much to an actual atrophy of the tail as to an increase in the size of the buttocks. In the adult the only remnant of the tail is the coccyx. 128. FIG. 129. FIG. 130. FIG. 128. Human embryo of 17.5 mm. (47-51 days). His. FIG. 129. Human embryo of 18.5 mm. (52-54 days). His. FIG. 130. Human embryo of 23 mm. (2 months). His. During the second month of development the external genitalia become very prominent and the sexes can be easily differentiated. By the end of the second month the embryo has acquired a form which resembles in a general way the form of the adult (Fig. 130). From this time on it is customary to speak of the growing organism as & foetus. Branchial Arches Face Neck. At a very early stage (embryos of 2-4 mm.) certain peculiar structures appear in that part of the embryo which is destined to become the face and neck regions. They are at first noticeable as slit-like depressions nearly at right angles to the long axis of the body. In an embryo 2.15 mm. long two of these depressions are visible (Fig. 121). Shortly after this a third and then a fourth 146 TEXT-BOOK OF EMBRYOLOGY. appears. At the same time elevations appear between the succeeding depres- sions, the first elevation appearing cranial to the first depression. (Compare Figs. 122, 123.) The elevations are the branchial arches and the depressions are the branchial grooves. Corresponding elevations and depressions also mark the FIG. 131, FIG. 132. FIG. 131. Human embryo of 78 mm. (3 months). Minot. FIG. 132. Human embryo of 155 mm. (123 days). Minot. interior of the pharynx, so that the portions of the wall of the pharynx which correspond to the grooves are thin as compared with those portions which cor- respond to the arches. The arches develop in order from the first to the fourth; consequently they are successively smaller from the first to the fourth (Fig. 122). The conditions DEVELOPMENT OF THE EXTERNAL FORM OF THE BODY. 147 change rapidly, so that in embryos of 9-10 mm., the third and fourth arches have sunk inward, thus producing a depression known as the preceruical sinus. Soon after this the second arch enlarges, grows over the sinus, and, fusing with the underlying arches, fills up the depression. The ventral end of the first arch fuses with the ventral part of the second across the ventral part of the first groove. The dorsal part of the first groove is thus left open and becomes the external auditory meatus. A part of the second arch, together with a part of the first arch bounding the first groove on the cranial side, is transformed into the concha of the ear (Figs. 123, 125, 126). The first branchial arch becomes the largest and undergoes profound changes which are extremely important in the de- velopment of the face region. Earlier in this chapter (p. 139) it was stated that the cephalic flexure caused the fore-brain to project ventrally at a right angle to the long axis of the body, and that between the pro- jecting fore-brain and the heart a distinct depression or pit the oral fossa was pres- ent. Soon after the appearance of the first arch a strong process the maxillary process develops on its cranial side (Fig. 122). The main portion of the arch, which may be now called the mandibular process, rapidly increases in size, extends ventrally and finally meets and fuses with its fellow of the opposite side in the midventral line (Fig. 134). The result of the enlargement of the first arch and its process is that they . . . , , . FIG. 133. Human embrvo of 4 months. are interposed between the heart and the Natural size. Koiimann. fore-brain vesicle, thus bounding the oral fossa laterally (Fig. 122). During this time the heart is gradually moving caudally. Meanwhile a process the naso-frontal process grows ventrally from the medial portion of the fore-brain region and comes in contact laterally with the maxillary process. Along the line of contact a furrow is left, which extends obliquely to the region of the optic vesicle and is known as the naso- optic furrow (Fig. 134). The various structures which have been mentioned bound the oral fossa which has become a deep quadrilateral pit. Cranially (above) the fossa is bounded by the broad, rounded, unpaired naso-frontal process; caudally (below) it is bounded by the mandibular processes; laterally it is bounded by the maxil- 148 TEXT-BOOK OF EMBRYOLOGY. lary processes, and to a slight extent by the mandibular processes. Between the maxillary and mandibular processes on each side a notch marks the angle of the mouth. As development proceeds these structures become more elaborate and enter into more intimate relations with one another. The naso-frontal process extends farther downward toward the mandibular processes, so that the oral fossa becomes more nearly enclosed and the entrance to it reduced to a crescent-shaped slit the mouth slit. At the same time two secondary processes develop on each side from the naso-frontal process. One of these the medial nasal process forms near the medial line; the other the lateral nasal process forms more laterally (Figs. 135, 136). Between the two processes there Cerebral hemisphere Lat. nasal process Nasal pit Med. nasal process ^^^Bi^^kfl&JB Naso-optic furrow Angle of mouth M^ || Maxillary process Mandibular FIG. 134. Ventral view of head of 8 mm. human embryo. His. is a depression the nasal pit which marks the entrance to the future nasal cavity. The maxillary process on each side grows farther toward the medial line and comes in contact with the lateral and medial nasal processes. At this stage all the elements which enter into the fundamental structure of the face region are present. Further development consists essentially of fusions between these various elements. The two medial nasal processes come closer together to form the single medial process which gives rise to the medial portion of the upper lip and to the adjoining portion of the nasal septum. The maxillary process on each side fuses with the corresponding lateral and medial nasal processes. This fusion obliterates the naso-optic furrow and also shuts off the communi- cation between the mouth slit and the nasal pit (Figs. 136, 137). The lateral nasal process gives rise to the wing of the nose; the maxillary process gives rise DEVELOPMENT OF THE EXTERNAL FORM OF THE BODY. 149 to the major part of the cheek and the lateral portion of the upper lip. The fusion between the maxillary and nasal processes, as seen on surface view, is coincident with and a part of J;he separation of the nasal cavity from the oral cavity (see page 319). The nose itself is at first a broad, flat structure, but later becomes elevated above the surface of the face, with an elongation and a narrowing of the bridge. Mid-brain Cerebral hemisphere Lat. nasal process Nasal pit Med. nasal process Angle of mouth Eye Naso-optic furrow Maxillary process B Mandibular process Branchial grooves ^B Branchial arch II FIG. 135. Ventral view of head of 113 mm. human embryo. Rabl. The lower jaw, lower lip and chin are formed by the mandibular processes of the first branchial arch (Figs. 134, 136, 137). At first the chin region is rela- tively short, but broad in a transverse direction. Later it becomes longer and a transverse furrow divides the middle portion into lower lip and chin (Fig. 137). The Extremities. The limb buds appear in human embryos about the end of the third week as small, rounded protuberances on the ventro-lateral surface of the body. The upper limb buds arise just caudal to the level of the cervical flexure, the lower opposite the sacral flexure (Figs. 123, 124). The upper appear first, the lower following shortly, and the difference in time in the appearance of the upper and lower buds is followed by a difference in degree of development, the upper extremities maintaining throughout f cetal life a slight advance in develop- ment over the lower. 150 TEXT-BOOK OF EMBRYOLOGY. During the fourth week the limb buds become elongated, and each bud becomes divided by a transverse constriction into a proximal and a distal por- tion (Figs. 124, 125). The proximal portion remains cylindrical, while the Nasa fossa Naso-optic furro Mouth slit Branchial groove I """I Cerebral hemisphere Naso-frontal process Lateral nasal process Medial nasal process Maxillary process Mandibular process FIG. 136. Ventral view of head of 13.7 mm. human embryo. His. distal portion becomes somewhat broader and considerably flattened. Dur- ing the fifth week the digits appear (see below) . During the sixth week the proximal portion of each bud is subdivided by a transverse constriction into two segments (Fig. 127). Thus each extremity as a whole is divided into three Branchial groove I (external ear) Nose Lat. nasal process Maxillary process Med. nasal process FIG. 137. Ventral view of head of human embryo of 8 weeks. His. segments each upper, into arm, forearm and hand, each lower, into thigh, leg and foot. The anlagen of the digits (fingers and toes) appear, during the fifth week, in the broader, flattened distal portions of the limb buds. The boundaries be- DEVELOPMENT OF THE EXTERNAL FORM OF THE BODY. 151 tween the anlagen are marked by radial depressions on the flat surfaces; the anlagen themselves are the elevations between the depressions (Figs. 125, 126). The anlagen grow rapidly in thickness and length, thus producing not only an apparent deepening of the radial depressions but also indentations around the distal free borders of the limb buds (Fig. 126). The depressed areas produce a web-like structure between the digits, resembling the web in some aquatic animals. The web does not keep pace with the digits, however, and is soon confined to the proximal ends of the latter. In length the fingers grow slightly more rapidly than the toes and thus become somewhat longer. From the seventh week on, the thumb and great toe become more and more widely sepa- rated from the index finger and the second toe respectively (Figs. 128, 130, 131). As the limb buds become elongated during the earlier stages of development, they assume a position with their long axes nearly parallel with the long axis of the body, and are directed caudally (Fig. 125). In later stages they are directed ventrally and their long axes are nearly at right angles to the long axis of the body (Fig. 126). The radial margins of the upper extremities are turned toward the head, as are the tibial margins of the lower. The palmar surfaces of the hands and the plantar surfaces of the feet are turned inward or toward the body. The elbow is turned slightly outward and toward the tail, the knee slightly outward and toward the head. From these conditions it may be con- cluded that the radial side of the upper extremity is homologous with the tibial side of the lower; that the palmar surface of the hand is homologous with the plantar surface of the foot; and that the elbow is homologous with the knee. In order to acquire the position relative to the body as found in postnatal life, the extremities must undergo further changes. These consist essentially of tortions around their long axes. The right upper extremity turns to the right, the right lower turns to the left. The left upper extremity turns to the left, the left lower turns to the right. At the same time the extremities rotate through an angle of ninety degrees and again come to lie parallel with the long axis of the body. The result is that the radial sides of the upper extremities are turned outward (away from the sagittal plane of the body) and the tibial sides of the lower are turned inward (toward the sagittal plane of the body) . In the upper extremity this is, of course, the supine position in which the radius and ulna are parallel. Age and Length of Embryos. AGE. Certain general conclusions regarding the age of embryos have been formulated by His (Anatomic menschlicher Embryonen, 1882) and accepted for the most part by embryologists. These as stated by His are as follows: i. Development begins at the time of impregnation, that is, at the moment when the male sexual element enters the ovum and fertilizes it. 152 TEXT-BOOK OF EMBRYOLOGY. 2. The time the ovum leaves the ovary is determined by the menstrual period, but the rupture of the (Graafian) follicle is not necessarily coincident with the beginning of hemorrhage; it may occur two or three days before or it may occur during hemorrhage. 3. The egg is not capable of being fertilized at any point in its course from the ovary to the uterus, but only in the upper part of the oviduct. 4. The spermatozoa which have entered the female sexual organs must await the ovum in the upper part of the oviduct, and can retain their vitality here for several days or possibly for several weeks; the time of cohabitation, therefore, does not stand in direct relation to the age of the embryo. 5. In the majority of cases the age of the embryo can be estimated from the beginning of the first menstrual period which has lapsed. It is possible, how- ever, for menstruation to occur after fertilization of the ovum. 6. The age of the embryo can be expressed thus : age = X M, or age = X M 28. X is the date of the abortion and M is the beginning of the last menstrual period. The second formula is used where it is necessary to estimate from the beginning of the first period which has lapsed. There is no doubt whatever that the age of the embryo must be dated from the time of fertilization of the ovum; but owing to the fact that the time of fertilization of the human ovum is not known, the exact age cannot be deter- mined. Even when the date of coitus and the time of cessation of the menses are known, the uncertainty regarding the time of ovulation and the time re- quired by the spermatozoa to reach the upper end of the oviduct must be taken into consideration. It is now generally conceded that ovulation and menstruation are coincident in the majority of cases, but, on the other hand, ovulation is known to occur sometimes independently of the menstrual periods (see also p. 29). In addition to the uncertainty regarding the time when development begins there is also an uncertainty as to the time when the embryo ceases to develop. For in most cases the embryos are abortions and the death of the embryo does not necessarily precede immediately its expulsion from the uterus. It is convenient, however, for practical purposes, to have some means of approximating the age of an embryo. His' formulae serve to determine the age within certain limits. It is obvious from these formulae that there is a possibility of an error of twenty-eight days in the estimate. Yet in the earlier stages of development (during the first three months) the error can be corrected after examination of the embryo, since there is no difficulty in recognizing the differ- ence, for example, between an embryo two weeks old and one six weeks old. LENGTH. Many German authors employ two different methods for measuring embryos at different periods. One of these methods they use in measuring embryos between 4 and 14 mm., when the body is much curved. DEVELOPMENT OF THE EXTERNAL FORM OF THE BODY. 153 The length of the embryo is considered as the length of a straight line drawn from the apex of the cervical flexure to the apex of the sacral flexure (neck- rump length, Nackensteisslange; see Fig. 124). During the second month and later, or in embryos of more than 20 mm., the body becomes more nearly straight and the measurement is taken along a straight line from the apex of the cephalic flexure to the apex of the sacral flexure (crown-rump length, Scheitel- steisslange; see Fig. 126). Owing to the changes in curvature of embryos during development, no one system of measurement will give uniform results for all stages. In this country it is the general practice to measure the greatest length of the embryo, in its natural attitude, along a straight line. The measurement does not of course include the extremities. At certain stages this length corresponds with the neck-rump length, at other stages with the crown-rump length, at still other stages with neither. RELATION OF AGE TO LENGTH. Not infrequently the history of an embryo is not obtainable, and in such cases the age must be inferred from w r hat is known concerning the relation of the age to the length of the embryo. The age can be computed approximately by this means, although there is a possibility of error. Embryos of the same age are not necessarily of the same length, since conditions of nutrition, etc., determine not only the size of the embryo but also the degree of its development. In the later stages of development the limit of error is not so important, but in the younger stages the difference of a day or two means much. His estimated the ages of a number of embryos from available data as follows : Embryos of 2-2 J weeks measure 2.2-3 mm. (neck-rump length). Embryos of 2^-3 weeks measure 3-4.5 mm. (neck-rump length). Embryos of 3^ weeks measure 5-6 mm. (neck-rump length). Embryos of 4 weeks measure 7-8 mm. (neck-rump length). Embryos of 4j weeks measure 10-11 mm. (neck-rump length). Embryos of 5 weeks measure 13 mm. (neck-rump length). More recent researches on the rate of development in the lower Mammals tend to show that development proceeds relatively slowly during the earliest stages, and then goes on with increasing rapidity for a time. In the rabbit, for example, it has been shown that the embryonic disk is but slightly differentiated at the seventh and eighth days, while at the tenth day the embryo possesses branchial grooves and primitive segments. If this peculiarity in the rate of development occurs in the human embryo, the ages assigned to the earlier embryos by His must be increased. Mall's formulae for estimating age, deduced from observations on a large number of embryos, are as follows: In embryos of i-ioo mm. the age in days 154 TEXT-BOOK OF EMBRYOLOGY. can be expressed fairly accurately by the square root of the length multiplied by 100 (Jlength in mm. x 100). In embryos between 100 and 220 mm. the age in days is about the same as the length in millimeters. Some of the most important embryos which have been described are listed in the accompanying table, no pretense being made of giving a complete list. The table is compiled largely from the more extensive tables of Mall and merely serves to indicate some of the younger embryos with fairly well- known histories, from which certain conclusions have been drawn concerning the relation of age to length. The periodicals in which descriptions may be found are given with the authors' names in " References for Further Study" at the end of this chapter. No. Observer Dimensions of chori- onic vesicle in millimeters Number of days be- tween last menstrual period and abortion Number of days between first lapsed period and abortion Probable age in days Length of embryo in millimeters i 2 Bryce-Teacher Leopold 1.9 x i.i x .95 i 4 x 9 x 8 . 38 10 13-14 0-15 3 Peters Reichert 3. xi. 5 xi. 5 r r v -7 3 3 A 2 14. Id 0.19 5 6 von Spec Mall 7-5X.5-5 IO C. X 7 X 7 35 4.1 1 1 12 1 1 -37 08 7 Eternod 10 8 x 8 2 x 6 J -3 . , 8 von Spee 10 x 8 *\ x 6 5 y r I 2 1 e i Mall 18 x 18 x 8 4.1 I 3 I 7 21 10 ii Thomson His 5-7 I C X I 2 5J 42 4O 14 I 2 14 12 2.1 2 I <.. . 12 Thomson 15 x 10 14- 14 2.Z. . . 13 14 von Spee. Janosik i5 x H 8 42 4.-J 14 If . 14 T.Z. . 2.69 1C His 14 x ii 48 2O 2O 3.2 16 Mall 24 x 16 x 9 4.2 14. 4 17 His JQ X 2< C I 2? 18 His 2C x 2O 21 21 r . 10 M^eyer 22 18 18 r 2 . 20 21 Stubenrauch . . Mall . . 2H X 2< 45 ET2 17 24 17 24 .... 6 7. . 22 His 21 X 17 C7 20 (?) 27 . 7 7 c 23 Meyer 4C 28 28 8 24 Ecker 60 2,2. . 32. . IO 2 S His 30 x 27 61 22. . 73 II 26 His 35x28 61 35 35 13-6 Normal, Abnormal and Pathological Embryos. In the majority of cases of spontaneous abortion it is not possible to examine the uterus; but in those cases where it is possible, examination frequently shows abnormal or pathological conditions. As might be expected, the embryos obtained from abnormal or pathological uteri very frequently show anom- alous conditions or pathological changes, or both. Since many of the DEVELOPMENT OF THE EXTERNAL FORM OF THE BODY. 155 human embryos obtained are the results of spontaneous abortions, there is reason to suspect that such embryos are not normal. To the physician, as well as to the embryologist, it is important, therefore, that there should be some criteria for differentiation between normal and abnormal or pathological embryos. Gross anomalies, or monstrosities, such as cases in which the head or some other member of the body is lacking, or in which the head is disproportionately large or disproportionately small, or in which two embryos are directly united, or in which the foetal membranes are partially lacking, or in which the mem- branes are present and the embryo wholly or partially lacking, and many other anomalous conditions, can, of course, be recognized at once. Extensive pathological changes or processes of disintegration in the tissues of the em- bryo or foetal membranes are also easily recognized. But there are many less obvious anomalies and pathological conditions which, nevertheless, are im- portant. Such cases are most difficult to differentiate. The fcetal membranes not infrequently are useful in determining whether an embryo has followed the normal course of development. During the first month the amnion invests the embryo rather closely when development is normal. If the amniotic sac is disproportionately large, however, it is a mark of abnormal or pathological changes. In some cases an amniotic sac 50 to 60 mm. in diameter contains an embryo but a few millimeters in length. In the earlier stages of development, before the amnion enlarges sufficiently to reach the chorion, there is present a delicate network of fibrils, the magma reticulare, which is attached to both chorion and amnion and which serves as a sort of anchor for the amnion. In abnormal or pathological cases the magma reticu- lare may become wholly or partially fluid or granular, or may become greatly increased in amount. It may even extend through the amnion and reach the embryo itself. Normal human as well as other mammalian embryos in the fresh condition are more or less transparent, and such structures as the heart, the larger blood vessels, the liver, and the brain vesicles can be seen through the skin. If the embryo has been dead for some time or has undergone pathological or degen- erative changes, the transparency is lost. Where pathological or degenerative changes in the embryo or its membranes are suspected but cannot be definitely determined by macroscopic examination, recourse may be had to sectioning and staining. References for Further Study. VAX BEXEDEX, E.: Recherches sur les premiers stades du developpement du Murin (Vespertilio murinus). Anat. Anz., Ed. XVI, 1899. BRYCE, T. H. and TEACHER, J. H.: AD Early Human Ovum Imbedded in the Decidua. Mac Lehose & Sons, Glasgow, 1908. 156 TEXT-BOOK OF EMBRYOLOGY. ECKER, A.: Beitrage zur Kenntniss der ausseren Formen jiingster menschlichen Embryo- nen. Archiv. f. Anat. u. PhysioL, Anat. Abth., 1880. ETERNOD, A. C. F.: Communication sur un oeuf avec embryon excessivernent jeune. Arch. ital. de Biol. SuppL 12 et 14, 1894. ETERNOD, A. C. F.: Sur un oeuf humain de 16.3 mm. avec embryon de 2.1 mm. Arch, des. sci. phys. et nat. t Vol. II, 1896. His, W. : Anatomic menschlicher Embryonen. With Atlas. 1880-1885. His, W.: Die Entwickelung der menschlichen und tierischen Physiognomien. Arch. /. Anat. u. PhysioL, Anat. Abth., 1892. jAN6siK, J.: Zwei junge menschliche Embryonen. Arch. /. mik. Anat., Bd. XXX, 1887. KEIBEL, F.: Ein sehr junges Menschliches Ei. Arch. f. Anat. u. PhysioL, Anat. Abth., 1890. KEIBEL, F.: Entwickelung der ausseren Korperform der Wirbeltierembryonen. In Hertwig's Handbuch der vergleich. u. experiment. Entwickelungslehre der Wirbeltiere. Bd. I, Teil I, 1906. KEIBEL, F., and ELZE, C.: Normentafcl zur Entwickelungsgeschichte des Menschen. Jena, 1908. KEIBEL, F., and MALL, F. P.: Manual of Human Embryology. Vol. I, 1910. KOLLMANN, J. : Die Korperform menschlicher normaler und pathologischer Embryonen. Arch. f. Anat. u. PhysioL, Anat. Abth. SuppL, 1889. KOLLMANN, J.: Handatlas der Entwickelungsgeschichte des Menschen. Jena, 1907. LEOPOLD, G.: Ueber ein sehr junges menchliches Ei. Leipzig, 1906. MALL, F. P.: A Human Embryo Twenty-six Days Old. Jour, of MorphoL, Vol. V, 1891. MALL, F. P.: A Human Embryo of the Second Week. Anat. Anz., Bd. VIII, 1893. MALL, F. P. : Human Embryos. Wood's Reference Handbook of the Medical Sciences, Vol. Ill, 1901. MEYER, H.: Die Entwickelung der Urnieren beim Menschen. Arch. f. mik. Anat.,. Bd. XXXVI, 1890. PETERS, H.: Ueber die Einbettung des menschlichen Eies, und das fruheste bisher bekannte menschliche Placentarstadium. Leipzig und Wien, 1899. RABL, C.: Die Entstehung des Gesichtes. I. Heft. Leipzig, 1902. Folio. REICHERT, B.: Beschreibung einer fruhzeitigen menschlichen Frucht. Abhandl. preuss. Akad., Berlin, 1873. SELENKA, E.: Studien iiber die Entwickelungsgeschichte der Tiere; (Menschenaffen). Wiesbaden, 1908. Parts 8 to 10. VON SPEE, GRAF: Beobachtungen an einer menschlichen Keimscheibe mit offener Medullarrinne und Canalis neurentericus. Arch. f. Anat. u. PhysioL, Anat. Abth., 1889. VON SPEE, GRAF: Ueber friihe Entwickelungsstufen des menschlichen Eies. Arch. /, Anat. u. PhysioL, Anat. Abth., 1896. STUBENRAUCH: Inaug. Dissert. Miinchen, 1889. THOMPSON, A.: Contributions to the History of the Structure of the Human Ovum Before the Third Week after Conception, with a Description of Some Early Ova. Edin- burgh Med. and Sur g. Journal, Vol. Ill, 1839. PART II. ORGANOGENESIS. CHAPTER IX. THE DEVELOPMENT OF THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. All the connective or supporting tissues of the body, except neuroglia, are derived from the mesoderm. This does not imply, however, that all the mesoderm is transformed into connective tissues; for such structures as the endothelium of the blood vessels and lymphatic vessels, probably blood itself, the epithelium lining the serous cavities, smooth and striated muscle, and a part of the epithelium of the urogenital system are derived from mesoderm. Primitive groove Ectoderm Mesoderm Entoderm FIG. 138. Transverse section of chick embryo of 27 hours' incubation. Photograph. The origin of the mesoderm itself has been discussed elsewhere (p. 81). In this connection it is sufficient to recall that it is situated between the ectoderm and entoderm and consists of several layers of closely packed cells (Fig. 138). The axial portion in the neck and body regions becomes differentiated into the mesodermic somites. At the same time a cleft (the ccelom) separates the more peripheral portion into a parietal and a visceral layer (Figs. 139 and 141). In the head region where, in the higher animals, there is little or no indication of 161 162 TEXT-BOOK OF EMBRYOLOGY. Ectoderm Ectoderm Coelom FIG. 139. Transverse section of chick embryo (2 days' incubation). Photograph. The parietal mesoderm (lying above the ccelom) is not labeled. The two large vessels under the primitive segments are the primitive aortae. Spaces separating germ layers are due to shrinkage. Mesoderm (mesenchyme) Neural tube Ectoderm Pharynx Entoderm FIG. 140. Transverse section through head region of chick embryo of 42 hours' incubation. Photograph. THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 163 somites and ccelom, the mesoderm simply fills in the space between the ecto- derm and entoderm (Fig. 140). Portions of the mesoderm in all these re- gions are destined to give rise to connective tissues. Each mesodermic somite soon becomes differentiated into three parts the sclerotome, cutis plate and myotome (Fig. 142). Of these, only the sclerotome and cutis plate are directly concerned in the formation of connective tissues, the myotomes giving rise to striated voluntary muscle. The sclerotomes are destined to give rise to the Neural tube Intermediate cell mass Notochord j Entoderm .Otic (auditory) capsule Synotic tectum FIG. 172. Primordial cranium of Salmo salar (salmon) embryo of 25 mm. Dorsal view. Gaupp. Compare with Fig. 171 and note further elaboration of parts surrounding the sense organs. first its more simple arrangement in the lower Vertebrates. In these there ap- pear in the embryonic connective tissue around the cephalic end of the notochord two bilaterally symmetrical pieces of cartilage, which extend as far as the hypophysis. Then two other bilaterally symmetrical pieces appear, extending from the hypophysis to the nasal region. Subsequently all these pieces fuse into a single mass which extends from the cephalic end of the vertebral column to the tip of the nose, enclosing the end of the notochord and, to a certain ex- tent, the ear, eye and olfactory apparatus. There is left, however, an opening for the hypophysis. From this mass of cartilage, chondrification extends into the embryonic connective tissue along the sides and roof of the cranial 188 TEXT-BOOK OF EMBRYOLOGY. cavity, so that the brain and sense organs are practically enclosed. To this capsule the term cartilaginous primordial cranium has been applied. (See Figs. 170, 171, 172.) In the higher Vertebrates, chondrification is limited to the basal region of the skull, while the side walls and roof are formed later by intramembranous bone. Meckel's cartilage Malleus Incus Int. acoustic pore Jugular foramen Subarcuate fossa Ala magna (sphenoid) Optic foramen Ala parva (sphenoid) Sella turcica Dorsum sellae Foramina (VII Nerve) Auditory capsule Foramen Foramen (XII Nerve) Large occipital foramen Occipital (foramen magnum) (synotic tectum) FIG. 173. Dorsal view of primordial cranium of human embryo of 80 mm. (3rd month). Gaupp. Hertwig. The membrane bones of the roof of the skull have been removed. Through the large occipital foramen can be seen the first three cervical vertebrae. In the human embryo chondrification occurs first in the occipital and sphenoidal regions, and then gradually extends into the nasal (ethmoidal) region. A little later it spreads somewhat dorsally in the occipital and sphenoidal regions to form part of the squamous portion of the occipital and the wings of the sphenoid. At the same time cartilage develops in the embryonic connective tissue surround- THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 189 ing the internal ear to form the periotic capsule which subsequently unites with the occipital and sphenoidal cartilages. The pieces of cartilage thus formed con- stitute the chondrocranium. In connection with the development of the caudal part of the occipital cartilage there is an interesting feature which is at least indicative of a segmental character. In some of the lower Mammals there are four fairly distinct condensations of embryonic connective tissue just cranial to the first cervical vertebra, corresponding to the first cervical nerve and the three roots of the hypoglossal. These condensations bear a general resemblance to the primitive segments and indicate the existence of four vertebrae which are later taken up into the chondrocranium. In the human embryo the condensations are less distinct, but the existence of a first cervical and a three-rooted hypoglossal nerve in this region suggests an original segmental character. If this is true, then the base of the human skull is formed from the unsegmented chondrocranium plus four vertebrae which become incorporated in the occipital region. Optic foramen Ala magna (sphenoid) Ala parva (sphenoid) Vomer Palate bone Mandible Meckel's cartilage Cricoid cartilage \ Styloid process Cochlear fenestra Foramen (XII Nerve) Thyreoid cartilage FIG. 174. Lateral view of primordial cranium of human embryo of 80 mm. (3rd month). Gaupp, Hert-wig. The membrane bones of the roof of the skull have been removed. Compare with FIG. 173. maxilla, vomer, palate, and mandible are membrane bones. The In addition to the chondrocranium, other cartilaginous elements enter into the formation of the skull, all of which are derived from the visceral arches. Not all the arches, however, produce cartilage; for in the maxillary process of the first arch, which forms the upper boundary of the mouth, cartilage does not appear, and the bones which later develop in it are of the membranous type. The mandibular process of the first arch produces a rod of cartilage Meckel's cartilage. This gives rise, at its proximal end, to a part of the auditory ossicles, but the cartilage in the jaw proper soon wholly or almost wholly disappears. The cartilage of the second arch becomes connected with the skull in the region 190 TEXT-BOOK OF EMBRYOLOGY. of the periotic capsule. The cartilages of the other three arches are only indirectly connected with the skull and will be considered later. Figs. 1 73 and 174 show the condition of the chondrocranium in a human embryo of 80 mm. (third month) . Although at first glance it seems exceedingly complicated, a careful study and comparison of the various parts will aid the student in his comprehension of the cartilaginous foundation upon which the skull is built. OSSIFICATION OF THE CHONDROCRANIUM. In the human foetus ossification begins in the occipital region during the third month. Four centers appear which correspond to the four parts of the adult occipital bone (Fig. 175). (i) An unpaired center situated ventral to the foramen magnum. From this center ossification proceeds in all directions to Interparietal (of lower forms) Squamous part ' (intramemb.) Squamous part Kerkringius' bone Squamous part (intracartilag.) Lateral part Basilar part FIG. 175. Occipital bone of human embryo of 21.5 cm. Kollmann's Atlas. form the pars basilaris (basioccipital). (2 and 3) Two lateral centers, one on each side. From these, ossification proceeds to produce the partes laterales (exoccipital) which bear the condyles. (4) A center dorsal to the foramen, magnum. This produces the pars squamosa (supraoccipital) as far as the supe- rior nuchal line. Beyond this line the pars squamosa is of intramembranous origin. (See p. 192.) At birth the four parts are still separated by plates of cartilage. During the first or second year after birth the partes laterales unite with the pars squamosa, and about the seventh year the pars basilaris unites with the rest of the bone. THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 191 In the sphenoidal region ossification begins at a number of centers which, as in the occipital region, correspond generally to the parts of the adult sphenoid bone (Fig. 176). (i and 2) About the ninth week an ossification center appears on each side in the cartilage which corresponds to the ala magna (alisphenoid). (3 and 4) About the twelfth week a center appears on each side which corresponds to the ala parva (orbitosphenoid). (5 and 6) A short time after this a center appears on each side of the medial line in the basal part of the cartilage, and the two centers subsequently fuse to produce the corpus (basisphenoid). (7 and 8) Lateral to each basal center, another center appears which represents the beginning of the lingula. (9 and 10) Finally two centers appear in the basal part of the cartilage, in front of the other basal centers, and then fuse to form the presphenoid. As in the case of the oc- cipital bone, not all of the adult sphenoid is of intracartilaginous origin; for the Ala parva- Ala magna Lingula corpus ' (basisphenoid) FIG. 176. Sphenoid bone of embryo of 3^-4 months. Sappey. The parts that are still cartilaginous are represented in black. upper anterior angle of each ala magna is of intramembranous origin, as are also the medial and lateral laminae of the pterygoid process. The pterygoid hamulus, however, is formed by the ossification of a small piece of cartilage which de- velops on the tip of the medial lamina. The fusion of these various parts oc- curs at different times. The lateral pterygoid lamina unites with the alisphe- noid before the sixth month of foetal life; about the sixth month the lingula fuses with the basisphenoid, and the presphenoid with the orbitosphenoid. The alisphenoid and medial pterygoid lamina fuse with the rest of the bone during the first year after birth. The union of the basisphenoid and basioccipital usually occurs when the growth of the individual ceases, though the two bones may remain separate throughout life. In the region of the periotic capsule, several centers of ossification appear in the cartilage during the fifth month. During the sixth month these centers unite to form a single center which then gradually increases to form the pars petrosa and pars mastoidea of the adult temporal bone. The mastoid process is 192 TEXT-BOOK OF EMBRYOLOGY. formed after birth by an evagination from the pars petrosa, and is lined by an evaginated portion of the mucosa of the middle ear. The other parts of the temporal bone are of intramembranous origin, except the styloid process which represents the proximal end of the second branchial arch. In the ethmoidal region, conditions become more complicated on account of the peculiarities of the nasal cavities, and on account of the fact that the cartilage is never entirely replaced by bone, and that "membrane" bones also enter into more intimate relations with the "cartilage" bones. The ethmoidal cartilage at first consists of a medial mass, which extends from the presphenoid region to the end of the nasal process, and of a lateral mass on each side, which is situated lateral to the nasal pit (Fig. 1 74) . Ossification in the lateral mass on each side produces the ethmoidal labyrinth (lateral mass of ethmoid). It is perhaps not quite correct to say that ossification produces the ethmoidal labyrinth, for at first there is only a mass of spongy bone with no indication of the honey-combed structure characteristic of the adult. The latter condition is produced by a certain amount of dissolution of the bone and the growth of the nasal mucosa into the cavities so formed. By the same process of dissolution and ingrowth of nasal mucosa the superior, middle and inferior concha (turbinated bones) are formed. The medial mass of cartilage begins to ossify after birth and then only in its upper (superior) edge. It forms the lamina perpendicularis and crista galli and extends into the nose as the nasal septum. The lower (inferior) edge remains as cartilage until the vomer, which is a membrane bone (p. 194), develops, after which it is partly dissolved. The lamina cribrosa (cribriform plate) is formed by bony trabeculae which extend across between the medial mass and the lateral masses and surround the bundles of fibers of the olfactory nerve. MEMBRANE BONES OF THE SKULL. Under this head we shall consider only those bones which develop apart from the visceral arches, those which involve the arches being considered later. It has been seen that by far the greater parts of the bones forming the base of the skull are of intracartilaginous origin. On the other hand, those forming the sides and roof of the skull are largely of intramembranous origin. In the case of the occipital bone, two centers of ossification appear in the membrane dorsal to the supraoccipital, and the bone so formed begins to unite with the supra- occipital during the third month of fcetal life. At birth the union is usually complete, though for a time an open suture may persist on each side. The bone derived from the two centers forms that part of the occipital squama which is situated above the superior nuchal line; the part below the line is of intracarti- laginous origin (p. 190). The adult occipital is thus a composite bone, partly of intramembranous, partly of intracartilaginous origin. THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 193 The temporal is also a composite bone, the petrous and mastoid parts and the styloid process being of intracartilaginous origin, while the temporal squama and the tympanic part- are of intramembranous origin. During the eighth week of foetal life a center of ossification appears in the membrane in the temporal region, and the bone formed from this center subsequently unites with the petrous part and becomes the temporal squama. Another center ap- pears in the membrane to the outer side of the periotic capsule and produces a ring of bone around the external auditory meatus, which fuses with the petrous Parietal Occipital fontanelle Occipital -7 Mastoid - fontanelle Occipital Petrous Occipital Tympanic Styloid process Stylohyoid lig. Hyoid (greater horn) Sphenoidal fontanelle Cricoid Zygoma tic Maxilla Mandible Meckel's cartilage Hyoid (lesser horn) Thyreoid FIG. 177. Diagram of skull of new-born child. Combined from McMnrrich and Kollmann. White areas represent bones of intramembranous origin: dotted areas represent bones (not derived from branchial arches) of intracartilaginous origin; black areas represent derivatives of branchial arches. part and forms the tympanic part of the adult bone. It gives attachment at its inner border to the tympanic membrane. While the union of the different parts begins during foetal life, it is usually completed after birth. The sphenoid bone is also composed of parts which have different origins. The body, small wings and large wings are of intracartilaginous origin, the pterygoid process of intramembranous origin. About the eighth week of development a center of ossification appears in the mesenchyme in the lateral wall of the posterior part of the nasal cavity and gives rise to the medial pterygoid lamina. On the tip of the latter a small piece of cartilage appears in 194 TEXT-BOOK OF EMBRYOLOGY. which ossification later takes place to form the pterygoid hamulus (p. 191). The lateral pterygoid lamina is also of intramembranous origin and fuses with the medial lamina, the two laminae forming the pterygoid process which subse- quently unites with the body of the sphenoid. (See Fig. 176.) In the ethmoidal region, only the vomer is of intramembranous origin. An ossification center appears in the embryonic connective tissue on each side of the perpendicular plate (lamina perpendicularis) and these two centers produce two thin plates of bone which unite at their lower borders and invest the lower part of the perpendicular plate. The portion of the latter thus invested undergoes resorption. The frontal and parietal bones are purely of intramembranous origin. About the eighth week two centers of ossification, one on each side, appear for the frontal. The bones produced by these centers unite in the medial line to form the single adult bone. In the event of an incomplete union an open suture remains the metopic suture. A single center of ossification appears for each parietal bone at about the same time as those for the frontal. The union of the bones which form the roof and the greater part of the sides of the skull does not occur till after birth. The spaces between them constitute the sutures and fontanelles so obvious in new-born children (Fig. 177). A single center of ossification appears in the embryonic connective tissue for each zygomatic, lachrymal and nasal bone, all of which are of intramem- branous origin. BONES DERIVED FROM THE BRANCHIAL ARCHES. The first branchial arch becomes divided into two portions. One of these, the maxillary process, is destined to give rise to the upper jaw and much of the upper lip and face region. The other, the mandibular process, is destined to give rise to the lower jaw, the lower lip and chin region, and two of the auditory ossicles. The angle between the two processes corresponds to the angle of the mouth, and the cavity enclosed by the processes is the forerunner of the mouth and nasal cavities. (See Fig. 134, also p. 147.) So far as the skeletal elements are concerned, cartilage develops only in the mandibular process where it forms a slender bar or rod known as MeckeVs cartilage. Only a small part of this becomes ossified, the greater portion of the mandible being of intramem- branous origin. No cartilage develops in the maxillary process. This probably indicates a condensation of development in man and the higher animals, for among the lower animals cartilage precedes the bone. In man the maxilla and palate bone also are of intramembranous origin. The palate bone develops from a single center of ossification which appears at the side of the nasal cavity in embryos of about 18 mm. This center THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 195 represents the perpendicular part, the horizontal part appearing in embryos of about 24 mm. as an outgrowth from the perpendicular and not as a separate center of ossification. The orbital and sphenoidal processes also represent out- growths from the primary center and appear much later. Opinions regarding the development of the maxilla are at variance. One view is that it arises from five centers of ossification. One of these centers gives rise to that part of the alveolar border which bears the molar and premolar teeth; a second center forms the nasal process and that part of the alveolar bor- der which bears the canine tooth; a third produces the part which bears the incisor teeth; and the two remaining centers give rise to the rest of the bone. All these parts effect a firm union at an early stage, with the exception of the part bearing the incisor teeth which remains more or less distinct as the incisive bane (premaxilla, intermaxilla) . Another view arising from recent work on Incisive bone Upper lip (intermaxillary) Primitive choan* ^Kdfl "" Lip 8roove Cut surface Palatine processes FIG. 178. Head of human embryo of 7 weeks. His. Ventral aspect of upper jaw region. Lower jaw and tongue have been removed. human embryos is that there are primarily only two ossification centers; one of these gives rise to the incisive bone, the other to the rest of the maxilla (Mall). These centers appear at the end of the sixth week (embryos of 18 mm.). A very important feature in the development of the maxilla is its agency in separating the nasal cavity from the mouth cavity. The palatine process of the bone grows medially and meets and fuses with its fellow of the opposite side in the medial line, the two processes together thus constituting about the an- terior three-fourths of the bony part of the hard palate. It should be observed, however, that the palatine processes do not meet at their anterior borders, for the incisive bone is insinuated between them (see Figs. 178, 179). 196 TEXT-BOOK OF EMBRYOLOGY. The incisive bone is probably not derived from the maxillary process of the first visceral arch, but from the fronto-nasal process. The question thus arises as to whether it is derived from both the middle and lateral nasal processes or only from the middle. According to Kolliker's view, the lateral nasal process takes no part in the formation of the incisive bone. It is derived from the middle process, hence genetically it is a single bone on each side. According to Albrecht's view the incisive bone is genetically composed of two parts, one derived from the lateral, the other from the middle nasal process. While the matter is not one of great importance merely from the standpoint of development, it has an important bearing on the question of certain congenital malformations, e. g., hare lip, and will be discussed further under that head (p. 212). In the mandibular process of the first visceral arch, the mandible develops as a bone which is partly of intramembranous and partly of intracartilaginous origin. In the first place a rod of cartilage, known as Meckel's cartilage, forms the core of the mandibular process and extends from the distal end of the process to the temporal region of the skull, where it passes between the tympanic Medial line Canine alveolus Molar alveolus Incisive bone Incisive suture Palatine process Palate bone (horizontal part) FIG. 179. Ventral aspect of hard palate of human embryo of 80 mm. Kollmann's Atlas. bone and the periotic capsule and ends in the tympanic cavity of the ear (Fig. 174). During the sixth week of foetal life, intramembranous bone begins to develop in the mandibular process. In the region of the body of the mandible the bone encloses the cartilage, but in the region of the ramus and coronoid process the cartilage lies to the inner side of the bone. Development is further complicated by the appearance of cartilage in the region of the middle incisor teeth and on the coronoid and condyloid processes. These pieces of cartilage form independently of Meckel's cartilage and subsequently are replaced by the bone which constitutes the corresponding parts of the mandible. The part of Meckel's cartilage enclosed in the bone disappears; the part to the inner side of the ramus is transformed into the sphenomandibular ligament. (See Fig. 180.) In each half of the second branchial arch a rod of cartilage develops, which extends from the ventro-medial line to the region of the periotic capsule. The THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 197 proximal end of this rod is then replaced by bone which fuses with the temporal bone and forms the styloid process. The distal (ventral) end is replaced by bone which forms the lesser horn of the hyoid bone. Between the styloid proc- ess and the lesser horn, the cartilage is transformed into the stylohyoid liga- ment (see Figs. 177 and 180). In each half of the third branchial arch a piece of cartilage develops and subsequently is replaced by bone to form the greater horn of the hyoid bone. The two horns become connected at their ventral ends by the body of the hyoid bone which is also a derivative of the third arch. Later the lesser horn fuses with the greater horn to bring about the adult condition (Fig. 180). In the ventral parts of the fourth and fifth arches pieces of cartilage develop Incus Malleus ^^^^m^^^^^^^ Tympanic ring Stylohyoid lig. Cricoid cartilage Thyreoid cartilage | Meckel's cartilage Hyoid cartilage (greater horn) FIG. 180. Lateral dissection of head of human foetus, showing derivatives of branchial arches in natural position. Kollmann's Atlas. and form the skeletal elements of the larynx. A more detailed account of these will be found under the head of the larynx (p. 361). The auditory ossicles are also derived largely from the branchial arches, the incus and malleus being derived from the proximal end of Meckel's cartilage (first arch) , the stapes having a double origin from the second arch and the embryonic connective tissue surrounding the periotic capsule. But since they form inte- gral parts of the organ of hearing, a discussion of their formation is best in- cluded in the development of the ear (p. 589). The accompanying table indicates the types of development in the different bones of the head skeleton. 198 TEXT-BOOK OF EMBRYOLOGY. Bones Of Intracartilaginous Origin Of Intramembranous Origin Derived from Visceral Arches Occipitale. Pars basilaris. Pars lateralis. Squama occipitalis below sup. nuchal line. Squama occipitalis above sup. nuchal line. Temporale. Pars mastoidea. Pars petrosa, with proc- essus sty-oideus. Pars tvmpanica. Squama temporalis. Processus styloideus (second arch). Sphenoidale. Corpus. Ala parva. Ala magna. Hamulus pterygoideus. Processus pterygoideus, ex- cept hamulus pterygoi- deus. Ethmoidale. Crista galli. Lamina cribrosa. Lamina perpendicularis. Labyrinthus ethmoidalis. Vomer. Vomer. Parietale. Parietale. Frontale. Frontale. Lacrimale. v Lacrimale. Nasale. Nasale. Zygoma. Zygoma. Maxilla. Maxilla, with incisivum. Maxilla, except mcisivum( ?) (first arch). Palatinum. Palatinum. Palatinum. Mandibula. Processus condyloideus, tip of. Processus coronoideus, tip of. Corpus, distal end of. Processus condyloideus, ex- cept tip. Processus coronoideus, ex- cept tip. Corpus, except distal end. Ramus. Mandibula (first arch). Hyoideum. Hyoideum Cornu majus (third arch). Cornu minus (second arch). Corpus (third arch). Ossicula auditus. Incus. Malleus. Stapes, except basis (?). Basis stapedis. Incus (first arch). Malleus (first arch). Stapes, except basis (?) (second arch). The Appendicular Skeleton. The growth of the limb buds and their differentiation into arm, forearm and hand, thigh, leg and foot, along with the rotation which they undergo during development, have been discussed in the chapter on the external form of the body (p. 149). The metameric origin of the muscles of the extremities is THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 199 discussed in the chapter on the muscular system (Chap. XI). It has been seen that the greater part of the axial skeleton is derived from the sclerotomes, is preformed in cartilage, and maintains its segmental character throughout life. It has also been seen that the head skeleton is in part preformed in cartilage, is in part of intramembranous origin, and shows but a trace of segmental character, and that only in the occipital region at a very early stage. The appendicular skeleton is derived wholly from the embryonic connective tissue which forms the cores of the developing extremities, and shows no trace of a segmental character. Here also, as in the axial skeleton, three stages may be recognized a blastemal, a cartilaginous (Fig. 181), and a final osseous. Acromion Coracoid process Scapula &fi Radius Metacarpal I __ . : Large multangular & (trapezium) Navicular (scaphoid) Lunate (semilunar) Small multangular (trapezoid) Metacarpal IV Capitate (os magnum) Triquetral (cuneiform) Hamatate (uncifonn) FIG. 181. Cartilages of left upper extremity of a human embryo of 17 mm. Hagen. In the region of the shoulder girdle a plate of cartilage appears in the em- bryonic connective tissue which lies among the developing muscles dorso-lateral to the thorax. This plate of cartilage is the forerunner of the scapula, and in general resembles it in shape. During the eighth week of fcetal life a single center of ossification appears and gives rise to the body and spine of the scapula. After birth certain accessory centers appear and produce the coracoid process, the supragknoidal tuber osity, the acromion process, and the inferior angle and verte- bral margin (Fig. 182). Later the supraglenoidal fuses with the coracoid and forms part of the wall of the glenoid cavity. About the seventeenth year the single center formed by the union of these two fuses with the rest of the scapula. 200 TEXT-BOOK OF EMBRYOLOGY. At the age of twenty to twenty-five years all the other accessory centers unite with the rest of the scapula to form the adult bone. There are two views concerning the development of the da-vide: one that it is of intracartilaginous origin, the other that it is of intramembranous origin. Ossification begins during the sixth week, possibly from two centers. It is true that the cartilage that appears around the centers is of a looser character than the ordinary embryonic cartilage, but whether the centers appear in cartilage seems not to have been determined. At the age of fifteen to twenty years a sort of secondary center appears at the sternal end of clavicle and fuses with the body about the twenty-fifth year. The humerus, radius and ulna are preformed in cartilage (Fig. 181) and develop as typical long bones. Ossification begins in each during the seventh Bone Cartilage FIG. 182. Scapula of new-born child, showing primary center of ossification, and cartilage (lighter shading) in which secondary centers appear. Bonnet. week at a single center and proceeds in both directions to form the shaft. During the first four years after birth epiphyseal centers appear for the head, greater and smaller tuberdes, trochlea and epicondyles. All these secondary centers unite with the shaft of the humerus when the growth of the individual ceases. In the case of the radius and ulna a secondary center appears at each end of each bone to form the epiphysis; and in the ulna another secondary center appears to form the olecranon. (For the growth of bones, see page 176). The carpal bones are all preformed in cartilage (Fig. 181) but their develop- ment is somewhat complicated owing to the fact that pieces of cartilage appear which subsequently may disappear, or ossify and become incorporated in other bones. Primarily seven distinct pieces of cartilage develop and become ar- ranged transversely in two rows; these represent seven of the carpal bones. The proximal row consists of three large pieces which are the forerunners of the navicular (radial, scaphoid), lunate (intermediate, semilunar) and triquetral THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 201 (ulnar, pyramidal, cuneiform) . The distal row is composed of four elements which are the forerunners of the large multangular (trapezium), small multangu- lar (trapezoid), capitate (os magnum), and hamatate or hooked (unciform). In addition to the cartilages mentioned, several others also appear in an inconstant way in different individuals. Two of these are important. One appears on the ulnar side of the proximal row and is the forerunner of the pisiform; the other is situated between the two rows and may either disappear entirely or fuse with the navicular. Ossification does not begin in the carpal cartilages until after birth; it begins in the hamatate and capitate during the third year, in the Phalanges Metacarpals Large multangular Capitate Navicular Radius FIG. 183. Skiagram of right hand of 5 year old girl. (Courtesy of Dr. Edward Learning). The ossification centers are indicated by the darker areas. others at later periods, and is completed only when the growth of the individ- ual ceases. The fact that the hamatate ossifies from two centers indicates that it is probably derived phylogenetically from two bones. Comparative anatomy teaches that the accessory cartilages in the human wrist are repre- sentatives of structures which are normally present in the lower forms. The metacarpals and phalanges are preformed in cartilages which correspond in shape to the adult bones. A center of ossification appears in each cartilage and produces the shaft of the bone. Only one epiphysis develops on each metacarpal and phalanx. In each metacarpal it develops at the distal end, 202 TEXT-BOOK OF EMBRYOLOGY. Ilium . Crural nerve Pubic bone (cartilage) FIG. 184. Cartilage of right side of pelvic girdle of a human embryo of 13.6 mm. (5 weeks). Peter sen. The numerals indicate the vertebrae; the first sacral being opposite the ilium. Ilium I Crural nerve Pubic bone (cartilage) Obturator nerve Ischium Ischiadic nerve FIG. 185. Cartilage of right side of pelvic girdle of a human embryo of 18.5 mm. (8 weeks). Petersen. The numerals indicate the vertebrae; the first and second sacral being opposite the ilium. Compare with Fig. 184. THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 203 except in the thumb where it appears at the proximal end. In each phalanx it develops at the proximal end (Fig. 183). The skeletal elements of the low er extremities, including the pelvic girdle, are of intracartilaginous origin. Each hip bone (os coxae, innominate bone) is pre- formed in cartilage which, in a general way, resembles in shape the adult bone. The ventral part of the pubic cartilage does not at first join the ischial; but by the eighth week the junction is complete, leaving dorsal to it the obturator foramen. In the earliest stages the long axis of the cartilage is nearly at right angles to the vertebral column, and the ilium lies close to the fifth lumbar and first sacral vertebras; later (eighth week) the long axis lies nearly parallel with the vertebral column and the whole cartilage has shifted so that the ilium is associated with the first three sacral vertebrae (Figs. 184 and 185). Pubic bone Ilium Cartilage FIG. 186 Right os coxae (innominate bone) of new-born child. Bonnet. Bone is indicated by darker areas, cartilage by lighter areas. Ossification begins at three centers which correspond to the ilium, ischium and pubis; the center for the ilium appears during the eighth week, the centers for the ischium and pubis several weeks later (Fig. 186). The process of ossifi- cation is slow, and is far from complete at the time of birth, for at that time the entire crest of the ilium, the bottom of the acetabulum and all the region ventral to the obturator foramen are cartilaginous. During the eighth or ninth year the ventral parts of the pubis and ischium become partly ossified, but up to the time of puberty the pubis, ischium and ilium remain separated by plates of car- tilage which radiate from a common center at the bottom of the acetabulum. Soon after this, the three bones unite to form the single os coxae, leaving only the crest of the ilium, the pubic tubercle and the sciatic tuber (tuberosity of the ischium) cartilaginous. In each of these regions an accessory ossification cen- 204 TEXT-BOOK OF EMBRYOLOGY. ter appears and finally fuses with the corresponding bone about the twenty- fourth year. The femur, tibia andfibula are preformed in cartilage. In the femur a center ,of ossification appears about the end of the sixth week and gives rise to the shaft; similar centers appear in the tibia and fibula during the seventh and eighth week, respectively. In the femur a distal epiphyseal center appears shortly before birth, and during the first year after birth a proximal center appears for the head. These centers do not unite with the shaft until the individ- ual ceases to grow. The great and lesser trochanters also have accessory ossifica- tion centers. In the tibia the center of ossification for the proximal epiphysis appears about the time of birth, the one for the distal during the second year. In Fibula \ -/-- Tibia Calcaneus .Talus Cuboid ~^/7>N~NJ ^ Cuneiform III*-J /f- / 7/V\ * Cuneiform I Cuneiform II Metatarsals FIG. 187. Diagram of cartilages of left leg and foot of human embryo of 17 mm. Hagen. the fibula the epiphyseal centers appear during the second and sixth years after birth. The cartilage of the patella appears during the third or fourth month of fcetal life, and ossification begins two or three years after birth. The bones of the tarsus, like those of the carpus, are preformed in pieces of cartilage which are arranged in two transverse rows. The proximal row con- sists of three pieces, one at the end of the tibia (tibial), one at the end of the fibula (fibular), and the third between the two (intermedial) . At an early stage the tibial and intermedial fuse to form a single piece of cartilage which corre- sponds to the talus (astragalus) bone. The fibular cartilage corresponds to the calcaneus (os calcis). The distal row is composed of four pieces of cartilage which correspond to the first cuneiform (internal), second cuneiform (middle), third cuneiform (external), and cuboid (Fig. 187). Between the two rows is a THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 205 piece of cartilage which corresponds to the navicular (scaphoid). Ossification begins relatively late in the metatarsals. A center for the calcaneus appears during the sixth month of foetal life, and one for the talus shortly before birth. Centers appear in the cuboid and third cuneiform during the first year after birth, and in the first cuneiform, navicular and second cuneiform in order during the third and fourth years (Figs. 188 and 189). At the age of puberty ossifica- tion is nearly complete in all the metatarsals. In the talus two centers, cor- responding to the tibial and intermedial, appear, but soon fuse into a single center. Occasionally the intermedial remains separate and forms the trigonum. Calcaneus Phalanges FIG. 188. Ossification centers in foot of a child 9 months old. Hassel-wander. An accessory center appears in the calcaneus at the insertion of the tendon of Achilles. The metatarsals and phalanges develop in a manner corresponding to the metacarpals and phalanges (of fingers). Ossification begins in the metatarsals about the ninth week, in the first row of (proximal) phalanges about the thirteenth week, in the second row about the sixteenth week and in the third row (distal) about the beginning of the ninth week. Epiphyseal centers ap- pear from the second to the eighth year after birth. Development of Joints. The embryonic connective tissue from which the connective tissues, includ- ing cartilage and bone, are developed, at first forms a continuous mass. When cartilage appears it may form a continuous mass, as in the chondrocranium, or 206 TEXT-BOOK OF EMBRYOLOGY. it may form a number of distinct and separate pieces, as in the vertebral column, the pieces being united by a certain amount of the undifferentiated embryonic connective tissue. SYNARTHROSIS. Syndesmosis. When ossification begins at one or more centers, either in cartilage or in embryonic connective tissue, the centers grad- ually enlarge and approach each other, and the bone so formed comes in contact with the bone formed in neighboring centers, (a) In a case where more than one center appears for any single adult bone, they may come in contact and fuse so completely that the line of fusion becomes indistinguishable, (b) In the case of Talus (astragalus) Cuneiform II Cuneiform I Epiphysis of metatarsal I Metatarsal I Calcaneus - , |_j / *\ (oscalcis) \'& ft^ T7vT~~ Cuboid Metatarsal V Epiphysis of metatarsal V Phalanx Epiphyses of phalanges FIG. 189. Skeleton of right foot of a boy 3 years old, showing ossification centers. Toldt. adjacent bones the fusion may not be so complete; that is, the two bones may simply articulate, leaving a visible line of junction or suture. Such joints are immovable and are represented in the sutures of the skull. Synchondrosis. In some cases a small amount of embryonic connective tissue remains between adjacent bones, (a) In time, this embryonic connective tissue gives rise to cartilage which unites the bones quite firmly, thus producing a practically immovable joint, as in the case of the sacro-iliac joint, (b) Or the cells in the center of the cartilage disintegrate or become liquefied so that a small cavity is produced (articular cavity). This type of joint makes possible a slight degree of mobility and is exemplified by the symphysis of the pubic bones. Such a type is also represented by the joints of the vertebral column. In place of cavities, however, are the pulpy nuclei which are remnants of the notochord. THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 207 DIARTHROSIS. Where a great degree of mobility is necessary, the arrange- ment of the joint is different. The cells in the central part of the embryonic connective tissue between the ends of adjacent bones (or cartilages) (Fig. 190) liquefy so that a relatively large cavity, the joint cavity, is formed (Fig. 191). The liquefaction of the connective tissue cells may also extend for a short dis- tance along the sides of the bones so that the joint cavity surrounds the ends of the bones (Figs. 192 and 193). The origin of the synovial fluid is not known Humerus Radius FIG. 190. Section through axilla and arm of a human embryo of 26 mm. (2 months). Photograph. Note the mesenchymal tissue between the humerus and the radius the site of the elbow joint. with certainty, but it is probably in part the product of liquefaction of the con- nective tissue cells. The more peripheral part of the connective tissue which encloses the joint cavity is transformed into a dense fibrous tissue, the joint capsule. The cells lining the cavity become differentiated into oval or irregular cells, among which is a considerable amount of intercellular substance. By some it is held that these cells form a continuous single layer like endothelium, but the most recent researches tend to disprove this. The cells lining the 208 TEXT-BOOK OF EMBRYOLOGY. Joint cavity FlG. 191. Longitudinal section of finger of human embryo of 26 mm. (2 months), showing beginning of joint cavity between adjacent ends of phalanges. (Photograph from preparation by Dr. W. C. Clarke.) FIG. 192. From longitudinal section of finger of child at birth, showing developing joint cavity between adjacent ends of phalanges. The darker portion at each end of the figure indicates the ossification center in the phalanx, the end of the latter (lighter area) being yet cartilagi- nous. The dark bands at each side of the joint indicate developing ligaments. Photograph. THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 209 cavity are the most highly differentiated, the cell bodies being large and ap- parently swollen, and there is gradually less differentiation as the distance from the surface increases, until finally they merge with the ordinary type of con- nective tissue cells of the joint capsule (Clarke). The more mobile joints of the body are all representatives of this type. Joint cavity Synovial membrane FIG. 193. From longitudinal section of finger of child at birth, showing joint cavity and synovial membrane between adjacent ends of the first metacarpal and proximal phalanx. Other description same as in Fig. 192. Photograph. Anomalies. THE AXIAL SKELETON. THE VERTEBRAE. The number of cervical vertebras in man is remarkably constant. Cases where the number is but six are extremely rare. The thoracic vertebrae may vary in number in different individuals from eleven to thirteen, twelve being the usual number. The lumbar vertebrae may vary from four to six, five being the usual number. The sacral vertebrae, fused in the adult to form the sacrum, are usually five in number, sometimes four, sometimes 210 TEXT-BOOK OF EMBRYOLOGY. six. Occasionally a vertebra between the lumbar region and sacral region lumbo-sacral vertebra possesses both lumbar and sacral characters, one side being fused with the sacrum, the other side having a free transverse process. Variation occurs frequently in the coccygeal vertebrae; four and five are present with about equal frequency, more rarely there are only three. The total number of true (presacral) vertebrae may be diminished by one or increased by one. In the former case the first sacral is the twenty-fourth ver- tebra, and, if the number of ribs remains normal, there are only four lumbar vertebrae. In case the total number is increased by one, the first sacral is the twenty-sixth vertebra, and there are twelve thoracic and six lumbar or thirteen thoracic and five lumbar. From these facts it is seen that variation occurs most frequently in the more caudal portion of the vertebral column in the lumbar, sacral and coccygeal regions. According to a hypothesis advanced by Rosenberg, the sacrum in the earlier embryonic stages is composed of a more caudal set of vertebrae than those which belong to it in the adult, and during development lumbar vertebras are converted into sacral and sacral vertebrae into coccygeal. In other words, the hip bone moves headward during development and finally becomes attached to vertebrae which are situated more cranially than those with which it was pri- marily associated. This change in the position of the pelvic attachment, and the corresponding reduction in the total number of vertebrae, during the develop- ment of the individual (i.e., during ontogenetic development) is believed to correspond to a similar change in position during the evolution of the race (i.e., during phylogenetic development). According to Rosenberg, variation in the adult is due largely to a failure during ontogeny to carry the processes of reduction in the number of vertebrae as far as they are usually carried in the race, or to their being carried beyond this point. The coccygeal vertebrae apparently represent remnants of the more exten- sively developed caudal vertebrae in lower forms. In human embryos of 8 to 16 mm., when the caudal appendage is at the height of its development, there are usually seven anlagen of coccygeal vertebrae. During later development this number becomes reduced by fusion of the more distally situated anlagen to the smaller number in the adult. This process of reduction varies in different in- dividuals, so that five or four, rarely three, coccygeal vertebrae may be the result. In cases where children are born with distinct caudal appendages there is no good evidence that the number of coccygeal vertebrae is increased, although the coccyx may extend into the appendage. THE RIBS. Occasionally in the adult a rib is present on one side or on each side in connection with the seventh cervical vertebra (cervical rib), or in connection with the first lumbar vertebra (lumbar rib). There seems to be no THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 211 case on record where cervical and lumbar ribs are present in the same individual. The cervical rib may vary between a small piece of bone connected with the transverse process of the vertebra and a well developed structure long enough to reach the sternum. There are also great variations in the size of the lumbar rib. In case the number of ribs is normal, the last (twelfth) may be rudimentary. The eighth costal cartilage not infrequently unites with the sternum. Oc- casionally the seventh costal cartilage fails to fuse with the sternum, owing to the shortening of the latter, but meets and fuses with its fellow of the opposite side in the midventral line. The above mentioned anomalies can be referred back to aberrant develop- ment. Primarily costal processes appear in connection with the cervical, lum- bar and sacral vertebrae. Normally these processes fuse with and finally form parts of the vertebrae (p. 185). In some cases, however, the seventh cervical or the first lumbar processes develop more fully and form more or less distinct ribs. As an explanation of these variations in the number of ribs, it has been sug- gested that there is a tendency toward reduction in the total number of ribs, and that supernumerary ribs represent the result of a failure to carry the reduction as far as the normal number. In case the twelfth rib is rudimentary, the reduction has been carried beyond the normal limit. This hypothesis is a corollary to the hypothesis regarding the variations in the number of vertebrae. (See under "The Vertebrae.") THE STERNUM. Certain anomalous conditions of the sternum can also be explained by reference to development. The condition known as cleft sternum, in which the sternum is partially or wholly divided into two longitudinal bars by a medial fissure, represents the result of a failure of the two bars to unite in the midventral line (p. 185, see also Fig. 168). This is sometimes associated with ectopia cordis (p. 286). The xyphoid process may also be bifurcated or perforated, according to the degree of fusion between the two primary bars (p. 186). Suprasternal bones may be present. They represent the ossified episternal cartilages which have failed to unite with the manubrium (p. 186). Morpho- logically the suprasternal bones possibly represent the omosternum, a bone situated cranially to the manubrium in some of the lower Mammals. THE HEAD SKELETON. The skull is sometimes decidedly asymmetrical. Probably no skull is perfectly symmetrical. The condition which most fre- quently accompanies the irregular forms of skulls is premature synosteosis or premature closure of certain sutures. The cranial bones increase in size prin- cipally at their margins, and when a suture is prematurely closed the growth of the skull in a direction at right angles to the line of suture is interfered with. Consequently compensatory growth must take place in other directions. Thus if the sagittal suture is prematurely closed and transverse growth prevented, 212 TEXT-BOOK OF EMBRYOLOGY. increase occurs in the vertical and longitudinal directions. This results in the vault of the skull becoming heightened and elongated, like an inverted skiff, a condition known as scaphocephaly. After premature closure of the coronal suture, growth takes place principally upward and gives rise to acrocephaly. In case only one-half the coronal or lambdoidal suture is closed, the growth is oblique and results in plagiocephaly. A suture the metopic suture sometimes exists in the medial line between the two halves of the frontal bone, a condition known as metopism. This is due to an imperfect union of the two plates of bone produced by the two centers of ossification in the frontal region (p. 194). Certain malformations in the face region and in the roof of the mouth are brought about by defective fusion or complete absence of fusion between certain structures during the earlier embryonic stages. The maxillary process of the first branchial arch sometimes fails to unite with the middle nasal process (Kolliker's view, p. 196; see also Fig. 136). The result is a fissure in the upper lip, a condition known as hare lip, which may or may not be accompanied by a cleft in the alveolar process of the maxilla, extending as far as the incisive (palatine) foramen. The same result may be produced by a defective fusion between the middle nasal process and the lateral nasal process (Albrecht's view, p. 196; see also Fig. 136). Hare lip may be either unilateral (single) or bilateral (double), accordingly as defective fusion occurs on one or both sides, but never medial. Occasionally the palatine process of the maxillary process fails to meet not only its fellow of the opposite side, but also the vomer (see Fig. 1 79) . The result is a cleft in the hard palate, a condition known as cleft palate. This malforma- tion may be unilateral or bilateral, but not medial. Sometimes the cleft extends into the soft palate where it occupies, however, a medial position. Cleft palate may accompany hare lip, or either may exist without the other, depending upon the degree of fusion between the processes mentioned above. In bilateral hare lip, with or without cleft palate, the incisive (intermaxillary) bone is sometimes pushed forward by the vomer and projects beyond the surface of the face, a condition known as "wolf's snout." The causes underlying the origin of hare lip and cleft palate are very obscure. THE APPENDICULAR SKELETON. THE HUMERUS. On the medial side of the humerus, just proximal to the medial condyle, there is not infrequently a small hook-like process directed distally the supracondyloid process. This process represents a portion of bone which in some of the lower mammals (cat, for example) joins the internal condyle and completes the supracondyloid foramen, through which the median nerve and brachial artery pass. THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 213 THE CARPAL BONES. Occasionally an os centrale is present in addition to the usual carpal bones. It is situated on the dorsal side of the wrist between the navicular, capitate and small multangulum. In the embryo an additional piece of cartilage is of constant occurrence in this location, but usually disappears during later development; in cases where it persists, ossification takes place to form the os centrale. In some of the apes the os centrale is of constant occurrence in the adult. THE FEMUR. The gluteal tuberosity (ridge) sometimes projects like a comb, forming the so-called third trochanter, a structure homologous with the third trochanter in the horse and some other mammals. THE TARSAL BONES. Cases have been recorded in which the total number of tarsal bones was reduced, owing to congenital synosteosis (fusion) of the calcaneus (os calcis) and scaphoid (navicular), of the talus (astragalus) and calcaneus, or of the talus and scaphoid. Occasionally an additional bone the trigonum is present at the back of the talus. In the embryo, the talus ossifies from two centers which normally fuse at an early stage into a single center. The trigonum probably represents a bone produced by one of the centers which has remained separate. POLYDACTYLY. This anomaly consists of an increase in the number of fingers or toes, or both. Any degree of variation may exist from a supernum- erary finger or toe to a double complement of fingers or toes. The causes under- lying the origin of such anomalies are not clear. Some assign the supernumer- ary digits to the category of pathological growths or neoplasms, linking them with partial duplicate formations. Others explain the extra digits on the ground of atavism or reversion to an ancestral type. The latter explanation assumes an ancestral type with more than five digits. But neither zoology nor paleon- tology has found any vertebrate form, above the Fishes, which normally pos- sesses more than five digits on each extremity. Consequently one must refer to the Fishes for some ancestral type to explain the existence of more than five digits. Going back so far in phylogenetic history, no certainty whatever can be attached to the origin of supernumerary digits, for it is not even known from what fins the extremities of the higher forms are derived. Still another view regarding the origin of supernumerary digits is that they are due to certain ex- ternal influences among which the most important is the mechanical impression of amniotic folds or bands. This, however, could not be the sole cause of polydactylism, since such malformations are common in amphibian embryos where no amnion is present. References for Further Study. ADOLPHI, H. : Ueber die Variationen des Brustkorbes und der Wirbelsaule des Menschen. Morph. Jahrbuch, Bd. XXIII, 1905. 214 TEXT-BOOK OF EMBRYOLOGY. BADE, P.: Die Entwickelung des menschlichen Skeletts bis zur Geburt. Arch. /. mik. Anat. t Bd. LV, 1900. BARDEEN, C. R.: Numerical Vertebral Variations in the Human Adult and Embryo. Anat. Anz., Bd. XXV, 1904. BARDEEN, C. R.: Studies of the Development of the Human Skeleton. American Jour, of Anat., Vol. IV, 1905. BARDEEN, C. R.: The Development of the Thoracic Vertebra in Alan. American Jour, of Anat., Vol. IV, 1*905. BARTELS, M.: Ueber Menschenschwanze. Arch. /. Anthropol., Bd. XII. BERNAYS, A.: Die Entwickelungsgeschichte des Kniegelenkes des Menschen mit Bemerkungen iiber die Gelenke im allgemeinen. Morph. Jahrbuch, Bd. IV, 1878. BOLL, F.: Die Entwickelung des fibrillaren Bindegewebes, Arch. /. mik. Anat., Bd. VIII, 1872. BOLK, L.: Beziehungen zwischen Skelett, Muskulatur und Nerven der Extremitaten, etc. Morph. Jahrbuch, Bd. XXI, 1894. BONNET, R.: Lehrbuch der Entwickelungsgeschichte. Berlin, 1907. BRATJS, H.: Die Entwickelung der Form der Extremitaten und des Extremitatenskeletts. In Hertwig's Handbuch der vergleich. u. experiment. Entwickelungslehre der Wirbeltiere, Bd. Ill, Teil II, 1904. BROWN, ALFRED J.: The Development of the Vertebral Column in the Domestic Cat. Anat. Record, Vol. X, No. 3, 1916. FAWCETT, E.: On the Early Stages in the Ossification of the Pterygoid Plates of the Sphenoid Bone of Man. Anat. Anz., Bd. XXVI, 1905. FAWCETT, E. : Ossification of the Lower Jaw in Man. Jour. Amer. Med. Assoc., Bd. XLV, 1905. FAWCETT, E.: On the Development, Ossification and Growth of the Palate Bone. Jour, of Anat. and Physiol., Bd. XL, 1906. FLEMMING, W. : Die Histogenese der Stiitzsubstanzen der Bindesubstanzgruppe. In Hertwig's Handbuch der vergleich. u. experiment. Entwickelungslehre der Wirbeltiere, Bd. Ill, Teil II, 1901. FLEMMING, W.: Morphologic der Zelle. Ergebnisse der Anat. u. Entwick., Bd. VII, 1897. GAUPP, E.: Alte Probleme und neuere Arbeiten iiber den Wirbeltierschadel. Ergebnisse der Anat. u. Entwick., Bd. X, 1901. GAUPP, E.: Die Entwickelung des Kopfskeletts. In Hertwig's Handbuch der vergleich. u. experiment. Entwickelungslehre der Wirbeltiere, Bd. Ill, Teil II, 1905. GEGENBAUR, C.: Die Metamerie des Kopfes und die Wirbeltheorie des Kopfskeletts. Morph. Jahrbuch, Bd. XIII, 1887. GR^EFENBERG, E.: Die Entwickelung der Knochen, Muskeln und Nerven der Hand und der fiir die Bewegungen der Hand bestimmten Muskeln des Unterarms. Anat. Hefte, Heft XC, 1905. HAGEN, W.: Die Bildung des Knorpelskeletts beim menschlichen Embryonen. Arch. j. Anat. u. Physiol., Anat. Abth., 1900. HANSEN, C.: Ueber die Genese einiger Bindegewebsgrundsubstanzen. Anat. Anz., Bd. XVI, 1899. HASSELWANDER, A.: Untersuchungen iiber die Ossification des menschlichen Fuss- skeletts. Zeitschr. f. Morphol. u. Anthropol., Bd. V, 1903. HERTWIG, O.: Lehrbuch der Entwickelungsgeschichte des Menschen u. der Wirbeltiere. Jena, 1906. THE CONNECTIVE TISSUES AND THE SKELETAL SYSTEM. 215 JAKOBY, M.: Beitrag zur Kenntniss des menschlichen Primordialcraniums. Arch. f. mik. Anal., Ed. XLIV, 1894. KEIBEL, F.: Ueber den Schwanz des menschlichen Embryo. Arch. f. Anal. u.Physiol., Anat. Abth., 1891. KEIBEL, F.: Zur Entwickelungsgeschichte der Chorda bei Saugern. Arch. f. Anat. u. Physiol., Anat. Abth., 1889. KEIBEL, F., and MALL, F. P.: Manual of Human Embryology, Vol. I, 1910. Chap. XI. KJELLBERG, K.: Beitrage zur Entwickelungsgeschichte des Kiefergelenks. Morph. Jahrbuch, Ed. XXXII, 1904. KOLLHAXX, J.: Entwickelung der Chorda dorsalis bei dem Menschen. Anat. Anz., Ed. V, 1890. KoLLiiANN, J.: Lehrbuch der Entwickelungsgeschichte des Menschen. Jena, 1898. KOLLMANN, J.: Handatlas der Entwickelungsgeschichte des Menschen. Jena, 1907. MALL, F. P.: The Development of the Connective Tissues from the Connective-tissue Syncytium. American Jour, of Anat., Bd. I, 1902. ]\IALL, F. P. : On Ossification Centers in Human Embryos less than One Hundred Days Old. American Jour, of Anat., Ed. V, 1906. McMuRRicn, J. P.: The Development of the Human Body. Philadelphia, 1907. PATERSOX, A.: The Sternum: Its early Development and Ossification in Man and Mammals. Jour, of Anat. and Physiol., Vol. XXXV, 1901. PETERSEX, H.: Untersuchungen zur Entwickelung des menschlichen Beckens. Arch, f. Anat. u. Physiol., Anat. Abth., 1893. RABL ? C.: Theorie des Mesoderms. Morph. Jahrbuch, Ed. XV, 1889. ROSEXBERG, E.: Ueber die Entwickelung der Wirbelsaule und das Centrale carpi des Menschen. Morph. Jahrbuch, Ed. I, 1876. SCHAUIXSLAXD, H.: Die Entwickelung der Wirbelsaule nebst Rippen und Brustbein. In Hertwig's Handbuch der vergleich. u. experiment. Entwickelungslehre der Wirbeliiere, Ed. Ill, Teil II, 1905. SPULER, A.: Beitrage zur Histologie und Histogenese der Binde- und Stiitzsubstanz. Anat. He jte, Heft XXI, 1896. THILEXIUS, G.: Untersuchungen iiber die morphologische Bedeutung accessorischer Elemente am menschlichen Carpus (und Tarsus). Morph. Arbeiten, Bd. V, 1896. THOMSOX, A.: The Sexual Differences of theFcetal Pelvis. Jour, of Anat. and Physiol., Vol. XXXIII, 1899. TORXIER, G.: Das Entstehen der Gelenkformen. Arch. /. Entw.-Mechanik, Bd. I, 1895. WALDEYER, W.: Kittsubstanz und Grundsubstanz, Epithel und Endothel. Arch. f. mik. Anat., Ed. LVII, 1900. WEISS, A. : Die Entwickelung der Wirbelsaule der weissen Ratte, besonders der vorder- sten Halswirbel. Zeitschr. f. ivissensch. Zool., Ed. LXIX, 1901. ZIMMERMANN, K.: Ueber Kopfhohlenrudimente beim Menschen. Arch. f. mik. Anat., Ed. LIII, 1899. CHAPTER X. THE DEVELOPMENT OF THE VASCULAR SYSTEM. THE BLOOD VASCULAR SYSTEM. The blood vessels constitute such an extensive and complex system that it is obviously beyond the scope of this book to consider the entire system in detail. Consequently attention must be directed only to the develop- ment of the main channels, including the heart, and to the principles of vessel formation. a b FIG. 194. Surface views of chick blastoderms. Rtickert, Hertwig. a, Blastoderm with primitive streak and head process; showing blood islands (dark spots in crescent-shaped area in lower part of figure). b, Blastoderm with 6 pairs of primitive segments. Reticulated appearance is due to blood islands (dark spots) and to developing vessels, the entire reticulated area being the area vasculosa. The formation of blood vessels in all the higher vertebrates including mammals begins in the opaque area of the blastoderm (area opaca) while the germ layers still lie flat. Toward the end of the first day of incubation in the chick, about the time the primitive streak reaches the height of its 216 THE DEVELOPMENT OF THE VASCULAR SYSTEM 217 development, the peripheral part of the area opaca caudal and lateral to the primitive streak presents a mpttled appearance (Fig. 1940). This indicates the beginning of the area vasculosa, which subsequently extends forward in the peripheral portion of the opaque area, lateral to the developing body, and becomes reticulated in appearance (Fig. 1946). Sections of the blastoderm show that the mottled surface appearance is due to clusters of cells amidst the mesoderm, known as blood islands (Fig. 195). These are composed of rounded cells which have developed from the branched mesodermal (mesenchymal) cells, and are situated in close apposi- tion to the entoderm. Subsequently, when the ccelom appears in this region, they lie in the visceral, or splanchnic, layer of mesoderm (Fig. 196). Ectoderm' Mesoderm Entoderm (yolk cells) Blood island FIG. 195. Section of blastoderm (area opaca) of chick of 27 hours' incubation. Photograph. The early changes that occur in the blood islands are important as re- gards both developing vessels and blood cells. The superficial cells of an island are transformed into flat cells placed edge to edge which surround the remaining rounded cells. The flat cells constitute the endothelium of a primitive blood space, while the cells within the space comprise primitive blood cells (Fig. 196). These early spaces in the area vasculosa join one another and become continuous to form a net-work, or plexus, of channels to which is due the reticulated appearance referred to above (Fig. 1946). This is known as the vitelline plexus. The groups of primitive blood cells within the channels will be considered in detail in a subsequent section (page 268). During the second day of incubation in the chick the peripheral 218 TEXT-BOOK OF EMBRYOLOGY channels of the vascular area unite to form a vessel the sinus terminalis which is continuous around the border except at the head end of the embryo (Fig. 197). At the same time the vascularization of the visceral layer of mesoderm gradually extends through the clear area of the blastoderm (area pellucida) toward and finally into the embryonic body. Reaching the region just lateral to the notocord, the vessels unite longitudinally in the embryo to form a continuous channel, the primitive aorta, which thus con- stitutes a natural selvage to the vascular area on each side of the blastoderm (Fig. 197). Some of the channels of the vitelline plexus increase in size and coalesce to form a large trunk which is a branch of the primitive aorta Ccelom Parietal mesoderm Ectoderm Visceral mesoderm Blood islands FIG. 196. Section of blastoderm of chick of 42 hours' incubation. Photograph. The cells of the blood islands are differentiated into primitive blood cells and the endothelium of the vessels. on each side and leads off into the smaller vessels in the peripheral part of the vascular area. This trunk is known as the vitelline, or omphalomesenteric, artery and is at first located near the caudal end of the embryo. When cir- culation is established through contractions of the heart it carries blood from the aorta to the surface of the yolk sac (Fig. 197). Other channels of the vitelline plexus nearer the head end of the embryo likewise form a large trunk, the vitelline, or omphalomesenteric, vein which collects the blood from the surface of the yolk sac and conveys it to the heart (Fig. 197). So long as the germ layers lie flat the two primitive aortae remain separate, but with the ventral flexion and fusion of the germ layers to form the tubular body the aortae fuse into a single medial vessel, the dorsal aorta, except in the cervical region where the two original vessels persist as the dorsal aortic roots. The proximal ends of the vitelline arteries also fuse into a single THE DEVELOPMENT OF THE VASCULAR SYSTEM 219 trunk, the two vitelline veins, however, remaining separate. In each branchial arch on each side a vessel develops which joins with the corre- sponding dorsal aortic root. These vessels the aortic arches arise from a single vessel on each side ventral to the pharynx which is known as the ventral aortic root. The two ventral aortic roots arise from a single medial FIG. 197. Dorsal surface view of chick embryo with 18 segments, including the area vasculosa. Photograph, X 15. The blood vessels were injected with India ink, the dark blotch in the upper left corner indicating some ink which escaped during the injection. vessel, the aortic trunk, or truncus arteriostis, which in turn is a continuation of the early tubular heart. The heart, having developed and become a contractile organ in the meantime, receives the blood in its caudal end through the vitelline veins and ejects it from its cephalic end through the aortic trunk. The blood then passes through the aortic arches to the dorsal aorta whence it is dis- tributed to the vitelline plexus by the vitelline arteries. The blood is 220 TEXT-BOOK OF EMBRYOLOGY collected by tributaries of the vitelline veins and carried to the heart. Thus the vitelline (yolk) circulation is completed (Fig. 198). From this time on, the area vasculosa gradually enlarges, as the germ layers extend farther and farther around the yolk, until it eventually surrounds the whole yolk mass. In mammals, as in the chick, the vascular rudiments develop first in the extraembryonic portion of the mesoderm as clusters of cells which give the area opaca a mottled appearance on surface view. This soon changes to a reticulated appearance as the cell clusters give rise to primitive blood spaces which join one another to form a plexus of channels. This plexus gradually Aortic arches Sinus terminalis Heart Sinus // terminalis ' /;/ Ant. cardinal vein Aorta Right vitelline vein Right vitelline artery If Duct cf Cuviev Pest, cardinal vein Left vitelline artery Left vitelline vein FIG. 198. Diagram of the vitelline (yolk) circulation of a chick embryo at the end of the third day of incubation. Ventral view. Balfotir. extends across the area pellucida toward the embryo and terminates in a natural selvage as the primitive aorta on each side of the median line. The vitelline arteries and veins are formed out of the plexus and, with the heart, aortic arches and dorsal aorta as in the chick, constitute the vitelline cir- culatory system (Fig. 199). The vascular area in some mammals gradually enlarges until it embraces the entire yolk sac (Fig. 200). It is seen from the foregoing account that the earliest circulation is asso- ciated with the yolk sac. In animals below the mammals, where a large amount of yolk is present in the sac, the vitelline circulation is of prime THE DEVELOPMENT OF THE VASCULAR SYSTEM 221 FIG. 199. Surface view of area vasculosa of a rabbit embryo of 1 1 days, van Beneden and Julin. The vessel around the border is the sinus terminalis; the two large vessels above the embryo are the vitelline (omphalomesenteric) veins ; the two large vessels converging below the embryo are the vitelline (omphalomesenteric) arteries. Chorionic villi FIG. 200. Human embryo of 3.2 mm. His. The arrows indicate the direction of the blood current. 222 TEXT-BOOK OF EMBRYOLOGY importance in supplying the growing embryo with nutritive materials. In mammals the vitelline circulatory system develops as extensively as in the lower forms but, since little yolk is present, does not assume the same impor- tant role of carrying food supply ; yet the portions of the vessels inside the em- bryo, viz. : the heart, aortic arches, aorta, the proximal part of the vitelline artery, and the vitelline veins, form parts of the permanent vascular system. In reptiles and birds a second set of vessels develops in connection with the allantois and serves to carry away the waste products of the body and deposit them in that sac-like structure. Two arteries, one on each side, Gut Umbilical vein Amnion Allantois Yolk stalk Umbilical artery Umbilical vein Amnion Chorionic villi FIG. 201. Diagram of the umbilical vessels in the belly stalk and chorion. Kollmann's Atlas. arise as branches of the dorsal aorta near its caudal end and pass out of the body along with the allantoic duct to ramify upon the surface of the allantois. These are the umbilical, or allantoic, arteries. The blood is collected and carried back by the umbilical veins which pass along the allantoic duct to the body and then forward, one on each side, through the somatic layer of mesoderm to join the ducts of Cuvier. The duct of Cuvier, formed on each side by the junction of the anterior and posterior cardinal veins, which will be considered in a subsequent section, pour their blood into the sinus venosus. This venous trunk is formed by the junction of the ducts of Cuvier with the vitelline veins and empties directly into the heart. THE DEVELOPMENT OF THE VASCULAR SYSTEM 223 In mammals in general the allantois is a rudimentary structure incapable of receiving the total waste of the embryo. The umbilical (allantoic) vessels develop, however, as in reptiles and birds but become associated through the belly stalk with the placenta which establishes communication between the embryo and the mother (Fig. 201). The vessels within the embryo are at first disposed in the same manner as in the lower forms, Int. carotid artery Vertebral artery Vitelline vein Vitelline artery Umbilical vein Umbilical arteries Duct of Cuvier Post, cardinal vein \ 'Aorta Post, cardinal vein FIG. 202. Reconstruction of a human embryo of 7 mm. Mall. Arteries represented in black. A.V., Auditory vesicle; B, bronchus;!,, liver; K, anlage of kidney; T, thyreoid gland; III-XII, cranial nerve roots; i, 2, 3, 4, branchial grooves; i, 8, 12, 5 (on spinal nerve roots), ist and 8th cervical, i2th dorsal, 5th lumbar spinal nerves respectively. Dotted outlines represent limb buds. the umbilical arteries arising from the caudal portion of the aorta and the umbilical veins passing forward in the ventro-lateral body wall to join the ducts of Cuvier. With the formation of the umbilical cord the two umbilical veins within this structure fuse into a single vessel (Fig. 202). The later changes in the umbilical veins are most conveniently considered subsequently. In mammals in general the umbilical (allantoic) circulatory system performs a two-fold function. The blood carries to the placenta the waste 224 TEXT-BOOK CF EMBRYOLOGY products of the embryo for deposition in the maternal circulation, the waste in the lower forms (reptiles and birds) being deposited in the allantois. The blood carries from the placenta the food materials derived from the maternal circulation, the food in the lower forms being taken from the yolk sac and conveyed to the embryo by the vitelline vessels. Principles of Vasculogenesis. Upon the thesis that tissues in general must receive materials which they build up into their own substances and must discharge the products of their activities, the vascular channels of the body can be considered as structural expressions of this functional necessity. For instance, a muscle which acts must receive materials to compensate it for its loss and must discharge the waste products that result from its action, and the blood vessels are peculiarly adapted to these func- tions. The lymph vessels, too, similar in structure to the blood vessels, although efferent relative to the tissues, play their part in conveying the products of metabolism. Much controversy has arisen over the actual genesis, or origin, of blood vessels and lymphatics, and as yet the opposing views have not been recon- ciled. In brief there are two views: One that with a few exceptions every vessel in the body develops as a sprout from another vessel, that is, the endothelium arises from preexisting endothelium by proliferation of its own cells; the other that vessels in general arise in situ, that is, the lumen of a vessel represents an intercellular tissue space, or several such spaces, whose bordering cells have been transformed into the characteristic endothelial cells, and as a corollary, the continuity of a given vessel results from the union of such spaces. According to the latter view, the whole vascular system represents intercellular tissue spaces which, with their lining of flattened cells, have united to form a set of continuous channels. In the case of either view it is recognized that the first vessels appear in the opaque area of the blastoderm. Here the blood islands originate as clusters of cells amidst the mesoderm, differentiating from mesenchymal elements in close approximation to the entoderm (Fig. 195). The superficial cells of the clusters are then transformed into flat cells placed edge to edge to form the endothelial wall of a primitive blood space. These blood spaces join one another and thus form a net-work of channels. From this point in development the two views diverge. The evidence adduced in favor of either theory is too great in volume to set down here. The advocates of the theory of sprouting of the endo- thelium lay stress upon the evidence of injected specimens. By injecting developing blood vessels at successive stages it is found that the vascular field gradually becomes larger, and the inference is that the individual channels are extending farther and farther from the focus of origin through THE DEVELOPMENT OF THE VASCULAR SYSTEM 225 proliferation and migration of the endotheiial elements. This method, of course, would demonstrate vessels only so far as the lumina are continuous. Solid cords of cells which extend beyond the field of injection are interpreted as cords of endotheiial cells which subsequently acquire lumina and become capillary tubes. If this theory is correct then the vascularization of the area pellucida and of the embryonic body would be effected through true outgrowths of the original endothelium of the opaque area. Possible exceptions to this, as noted above, are the rudiments of the heart, the aorta and the cardinal veins which arise in situ as do the first vascular rudiments. Observations upon growing vessels in living embryos, in which strands of cells were seen to extend from the endothelium already present, have also been accepted as evidence in favor of this view. The evidence afforded by injected specimens has been attacked by those who believe in the in situ origin of vessels, on the ground that the injection shows only vessels with continuous lumina and does not prove the non- existence of isolated vascular rudiments beyond the field of injection. It is claimed that the vascular field becomes more extensive through the gradual addition of such isolated spaces to the channels already continuous, in the same manner that the primitive blood spaces unite to form a network, and the claim is supported by demonstration of these spaces in the mesenchymal tissue with every gradation between the bordering flattened cells (endo- thelium) and the branching irregular mesenchymal cells. The actual formation of intercellular spaces with flat bordering cells and their union with vascular channels have been observed in the living chick blastoderm. Experimental evidence has also been brought to bear in favor of the view that vessels arise in situ. The area opaca was entirely removed from the chick blastoderm before any vascular rudiments had appeared in the area pellucida and the blastoderm was then allowed to develop further; it was found that vascular rudiments appeared both in the area pellucida and embryonic body with practically the same disposition as in the normal embryo. The concept that the vascular channels are structural expressions of the functional necessity of carrying nutritive materials to the tissues and waste products away from them leads to consideration of such factors as may be involved in the formation of vessels; that is, factors that would cause plastic cells, like those of the mesenchyme in which the earliest and simplest vessels appear, to change in character and rearrange themselves to form capillary tubes. In a mass of mesenchymal tissue, in which there is a resemblance to a sponge with the cellular elements representing the parenchyma of the sponge and the intercellular tissue spaces the interstices, the products of cell activity naturally accumulate in the intercellular spaces. Incident 226 TEXT-BOOK OF EMBRYOLOGY to this accumulation, pressure would be exerted upon the cells bordering the spaces. Seeking outlet from the confines of the spaces, the waste products would move, or now, and cause friction against the cells past which they flow. Similarly, pressure and friction would result from the movement of nutritive materials to and through the tissue. The plastic mesenchymal cells, reacting to these mechanical influences, would tend to become flat, and the continued operation of the factors would result in a smooth-walled tube in which the movement of fluid is greatly facilitated. The reaction of the irregular mesenchymal cells to the mechanical in- fluences of pressure and friction is, of course, the crux of the question. It has been shown experimentally that cells of this type do react to mechanical stimuli. Smooth non-irritating foreign bodies have been imbedded in the loose connective tissue of an animal and the cells in contact therewith be- came flat and formed a mosaic apparently identical with simple squamous epithelium or endothelium. In the growth of mesenchymal tissue outside of the body (in vitro) it has been observed that the cells flatten against foreign substances which may be present. In the embryo it has been observed that where blood vessels disappear, which they do in certain regions, the endothelium does not degenerate but that the cells assume irregular branching forms. This would indicate that endothelium comprises merely modified mesenchymal cells and that upon removal of the factors incident to the pressure and friction of blood flow the cells reassume the indifferent character of mesenchyme, thus reverting to the mesenchymal type. It militates, therefore, against the view that endothelium is a specific tissue. It is generally recognized, whether or not the endothelium originates in situ, that a capillary network precedes the formation of larger vessels. For instance, the vitelline plexus of capillaries (p. 217) antedates any of the larger vitelline vessels which later carry blood to and from the embryo. The establishment of vascular trunks in this plexus of small vessels seems to be dependent upon the same mechanical factors that were considered as operative in the origin of vessels; viz.: pressure and friction. If the volume of blood that flows through a given capillary network at a given rate is in- creased the flow will naturally follow the channels that offer the least re- sistance, and these channels will increase in size sufficiently to accommodate the greater volume. A few channels, or perhaps even only one, will form the most direct course, and the angles in the course will be still further reduced as the blood stream impinges upon the walls of the vessels. In this manner a large vessel, or main vascular trunk, is established and the remaining smaller vessels constitute its branches or tributaries. A rather crude analogy would be the draining of a swamp in which a small rivulet, once gaining THE DEVELOPMENT OF THE VASCULAR SYSTEM 227 slight supremacy over its fellows, would gradually cut its way deeper into the soil and pursue a straighter course, with the result that the other rivulets would flow into it as the main channel. The concept that the main vascular trunks are preceded by a capillary plexus, out of which they develop in response to certain mechanical stimuli, offers a simple explanation of the numerous variations found in the vascular system. In the incipient stages of the larger vessels but slight influences, due to variations in the development of surrounding structures, would be sufficient to deflect their courses and cause them to occupy positions which do not accord with the normal. So far as the thickened walls of the larger vascular channels are concerned, they may be regarded as structural adapta- tions to the functions they perform. For example, the large amount of elastic tissue in the wall of the aorta and other large arteries tends to main- tain a uniform diameter in these vessels against the force exerted by the blood expelled from the heart at each contraction. The Heart. The heart has a peculiar origin in that it arises as two sep- arate parts or anlagen which unite secondarily. In the chick, for example, it appears during the first day of incubation, at a time when the germ layers are still flat. The coelom in the cephalic region becomes dilated to form the so-called primitive pericardial cavity (parietal cavity), and at the same time a space appears on each side, not far from the medial line, in the mesodermal layer of the splanchnopleure (Fig. 203) . These spaces at first are filled with a gelatinous substance in which lie a few isolated cells. These cells then take on the appearance of endothelium and line the cavities, and the meso- thelium in this vicinity is changed into a distinct, thickened layer of cells. Now by a bending ventrally of the splanchnopleure the cavities or vessels are carried toward the midventral line (Fig. 203). The bending continues until the entoderm of each side meets and fuses with that of the opposite side, thus closing in a flat cavity the fore-gut. The entoderm ventral to the cavity breaks away and allows the medial walls of the two endothelial tubes to come in contact. These walls then break away and the tubes are united in the midventral line to form a single tube (Fig. 203), which extends longitudinally for some distance in the cervical region of the embryo. The mesothelial layers of opposite sides meet dorsal and ventral to the endo- thelial tube, forming the dorsal and ventral mesocardium (Fig. 203). In the meantime the cephalic end of the tube has united with the arterial system, and the caudal end with the venous system ; and in a short time the dorsal and ventral mesocardia disappear and leave the heart suspended by its two ends in the primitive pericardial cavity. The conditions at this point may be summarized thus: The heart is a double-walled tube the inner wall composed of endothelium and destined to become the endocardium, the 228 TEXT-BOOK OF EMBRYOLOGY outer wall of a thicker mesothelial layer and destined to become the myo- cardium the two walls separated by a considerable space. The organ hangs, as it were, in the primitive pericardial cavity (ccelom), connected Dors, ryesocardiuy sotr/ elluiy) Priry, fieri ca. ret,. Cavity FIG. 203. Diagrams showing the two anlagen of the heart and their union to form a single structure; made from camera lucida tracings of transverse sections of chick embryos. In C the ventral mesocardium has disappeared (see text). at its cephalic end with the ventral aortic trunk and at its caudal end with the omphalomesenteric veins. In all Mammals thus far studied the principle of development in the earlier stages is essentially the same as in the chick. The double origin of the heart is even more marked because of the relatively late closure of THE DEVELOPMENT OF THE VASCULAR SYSTEM 229 the fore-gut. There are no observations on the origin of the heart in human embryos, but it is reasonable to assume that it has the same double origin Dorsal aortic root Gut (pharynx) Pericardial cavity (ccelom) Endocardium (endothelium) Myocardium FIG. 204. Transverse section of a human embryo of 2.69 mm. von Spee, Kollmann's Atlas. Oral fossa Ventral aortic, trunk" " Ventricle 4 Ant. cardinal vein Duct of Cuvier Umbilical vein Ventricle Atrium Diaphragm Duct of Cuvier Liver Duct of liver FIG. 205. Ventral view of reconstruction of human embryo of 2.15 mm. His. The ventral body wall has been removed. The vessels (in black) at the sides of the duct of the liver are the omphalomesenteric veins. as in other Mammals, although in embryos of 2 to 3 mm. the organ has already become a single tube (Figs. 204 and 205). At this stage the tube is somewhat coiled. 230 TEXT-BOOK OF EMBRYOLOGY While the double origin of the heart is characteristic of all amniotic Vertebrates (Reptiles, Birds, Mammals), in all the lower forms the organ arises as a single anlage. In the region of the fore-gut the two halves of the coelom are separated by a ventral mesentery which extends from the gut to the ventral body wall, and which is composed of two layers of mesothelium with a small amount of mesenchyme between them. In the mesenchyme a cavity appears and is lined by a single layer of flat (endothelial) cells. This cavity extends longitudinally for some distance in the cervical region and with its endothelial and mesothelial walls constitutes the simple cylindrical heart. On the dorsal side it is connected with the gut by a portion of the mesentery which is called the dorsal meso- cardium; on the ventral side it is connected with the ventral body wall by the ventral mesocardium (Fig. 206). Thus the heart is primarily a single structure. The difference between the two types of development is not a fundamental one but simply depends upon the difference in the germ layers. In the lower forms the germ layers are closed in ven- Entoderm Mesoderm (visceral) Heart Pericard. cavity (ccelom) Dorsal mesocardium Endothelium Mesoderm (parietal) Ventral mesocardium Ectoderm FIG. 206. Ventral part of transverse section through the heart region of Salamandra maculosa embryo with 4 branchial arches. RabL trally from the beginning, and the heart appears in a medial position. In the higher forms the germ layers for a time remain spread out upon the surface of the yolk or yolk sac, and the heart begins to develop before they close in on the ventral side of the embryo. Consequently the heart arises in two parts which are carried ventrally by the germ layers and unite secondarily. The further development of the heart consists of various changes in the shape of the tube and in the structure of its walls. At the same time the dila- tation of the coelom (primitive pericardial cavity) in the cervical region is of importance in affording room for the heart to grow. In the chick, for ex- ample, the tube begins, toward the end of the first day of incubation, to bend to the right; during the second day it continues to bend and assumes an irregular S-shape. This bending process has not been observed in human embryos, but other Mammals show the same process as the chick. In a human embryo of 2.15 mm. the S-shaped heart is present (Fig. 205). The venous end, into which the omphalomesenteric veins open, is situated somewhat to the left, extends cranially a short distance and then passes over into the ventricular portion. The latter turns ventrally and extends obliquely across to the right side, then bends dorsally and cranially to join the aortic bulb which in turn joins the ventral aortic trunk in the medial THE DEVELOPMENT OF THE VASCULAR SYSTEM 231 line. The endothelial tube, which is still separated from the muscular wall by a considerable space, becomes somewhat constricted at its junction with the aortic bulb to form the so-called f return Halleri. During these changes the heart as a whole increases in diameter, especially the ventricular portion. Gradually the venous end of the heart moves cranially and in embryos of Vent, aortic tmnlr FIG. 207. Ventral view heart of human embryo of 4.2 mm. His. The atria are hidden behind the ventricular portion. 4.2 mm. lies in the same transverse plane as the ventricular portion. The latter lies transversely across the body (Fig. 207). At the same time two evaginations appear on the venous end, which represent the anlagen of the atria. In embryos of about 5 mm. further changes have occurred, which are represented in Fig. 208. The two atrial anlagen are larger than in the Right atrium [M .: JH "^KSfc* Left atrium Right ventricle '({.' Left ventricle Interventricular furrow FIG. 208. Ventral view of heart of human embryo of 5 mm. His. preceding stage and surround, to a certain extent, the proximal end of the aortic trunk. As they enlarge still more in later stages, they come in con- tact, their medial walls almost entirely disappear, and they form a single chamber. The ventricular portion of the heart becomes separated into a right and a left part by the interventricular furrow (Fig. 208) ; the right part 232 TEXT-BOOK OF EMBRYOLOGY is the anlage of the right ventricle, the left part, of the left ventricle. At the same time the atrial portion has moved still farther cranially so that it lies to the cranial side of the ventricular portion. The venous and arterial ends of the heart have thus reversed their original relative positions. At this point it should be noted that the atrial end of the heart is connected with the large venous trunk formed by the union of the omphalomesenteric veins and the ducts of Cuvier the sinus venosus. During the changes in the heart as a whole, certain changes also occur in the endothelial and muscular walls. The walls of the atria are composed of compact plates of muscle with the endothelium closely investing the inner surface. The walls of the ventricular portion, on the other hand, become thicker and are composed of an outer compact layer of muscle and an inner layer made up of trabeculcc which are closely invested by the endothelium. Septum spurium Atrial septum (septum superius) Opening of sinus venosus Right atrium Left atrium Atrio-ventricular canal Right ventricle Ventricular septum Left ventricle FIG. 209. Dorsal half of heart (seen from ventral side) of a human embryo of 10 mm. His. Everywhere the endothelium is closely applied to the inner surface of the myocardium, the space which originally existed between the endothelium and mesothelium being obliterated. The embryonic heart in Mammals in the earlier stages resembles that of the adult in the lower Vertebrates (Fishes). The atrial portion receives the blood from the body veins and conveys it to the ventricular portion which in turn sends it out through the arteries to the body. The circulation is a single one. This condition changes during the fcetal life of Mammals with the development of the lungs. The same transition occurs in the ascending scale of development in the vertebrate series in those forms in which gill breath- ing is replaced by lung breathing. The change consists of a division of the heart and circulation, so that the single circulation becomes a double circulation. In other words, the heart is so divided that the lung (pulmonary) circulation is separated from the general circulation of the body. This division first appears in the Dipnoi (Lung Fishes) and Amphibians in which gill breathing stops and lung breathing begins, although here THE DEVELOPMENT OF THE VASCULAR SYSTEM 233 the division is not complete. In Reptiles the division is complete except for a small direct communication between the ventricles. Fig. 209 represents the dorsal half of the heart at a stage when all the chambers are in open communication, and shows the conditions in a single circulation but with the beginning of a separation. The atria are rather thin- walled chambers, the ventricles have relatively thick walls. Between the atrial and ventricular portion is a canal the atrio-ventricular canal which affords a free passage for the blood. From the cephalic side of the atrial portion a ridge projects into the cavity. This ridge represents a remnant of the original medial walls of the two atria and marks the begin- ning of the future atrial septum. The opening of the sinus venosus is seen on the dorsal wall of the right atrium. Primarily both atria communicated Septum superius " Sinus venosus Valvulse venossc Right atrium -- Right ventricle / Ventricular septum . FIG. 210. Dorsal half of heart showing chambers and septa. Modified from Born. Foramen ovale Atrial septum Left atrium Atrio-ventricular valves _ Atrio-ventricular canals Left ventricle (Semidiagrammatic.) directly with the sinus venosus,but in the course of development the open- ing of the latter migrated to the right and at this stage is found in the wall of the right atrium. The opening is guarded, as it were, by a lateral and a medial fold the significance of which will be described later. The vetricular portion also shows a ridge projecting from the caudal side, which corresponds to the interventricular groove and represents the beginning of the ventricular septum. The Septa. The further changes are largely concerned with the separa- tion of the heart into right and left sides, and with the development of the valves. The atria become separated by the further growth on the cephalic side, of the ridge which has already been mentioned and which is known as the septum superius (Figs. 209 and 210). This septum grows across the cavity of the atria until it almost reaches the atrio-ventricular canal, form- ing the septum atriorum. A portion of the septum then breaks away, leav- ing the two atria still in communication. This secondary opening is the 234 TEXT-BOOK OF EMBRYOLOGY foramen ovale which persists throughout foetal life, but closes soon after birth. The atrio-ventricular canal also becomes divided into two passages Sinus venosus Left valvula venosa Right valvula venosa Right ventricle ~~! Right atrio- ventricular canal Right ventricle Atrial septum Pulmonary vein Left atrium Left atrio- ventricular canal Left ventricle Interventricular furrow Ventricular septum FIG. 211. Dorsal half of heart (ventral view) of rabbit embryo of 5.8 mm. Born. by a ridge from the dorsal w.all and one from the ventral wall uniting with each other and finally with the septum atriorum (Fig. 210). Thus the two atria would be completely separated if it were not for the foramen ovale. Aorta Aortic septum Interventricular opening .;/_ Right atrio-ventricu- lar orifice Right ventricle Ventricular septum Pulmonary artery Aorta Left atrio-ventricular orifice - Left ventricle FIG. 212. Ventricles and proximal ends of aorta and pulmonary artery of a 7.5 mm. human embryo. Lower walls of ventricles have been removed. Kollmann's Atlas. During the separation of the atria, a division of the ventricular portion of the heart also occurs. On the caudal side of the ventricular portion a THE DEVELOPMENT OF THE VASCULAR SYSTEM 235 septum appears and gradually grows across the cavity forming the septum ventriculorum (Figs. 209 and 210). This septum is situated nearer the right side and is indicated on the outer surface by a groove which becomes the sulcus longitudinalis anterior and posterior. The dorsal edge of this septum finally fuses with the septum dividing the atrio-ventricular canal, but for a time its ventral edge remains free, leaving an opening between the two ventricles (Figs. 211 and 212). This opening then becomes closed in connection with the division of the aortic bulb and ventral aortic trunk. On the inner surface of the aortic trunk, at a point where the branches which form the pulmonary arteries arise, two ridges appear, grow across the lumen and fuse with each other, thus dividing the vessel into two channels. This partition the septum aorticum (Fig. 213) gradually grows toward the heart through the aortic bulb and finally unites with the ventral edge of the ventricular septum, thus closing the opening between the two ventricles. Corresponding with the FIG. 213. Diagrams representing the division of the ventral aortic trunk into aorta and pulmonary artery- and the development of the semilunar valves. Hochstetter. edges of the septum aorticum, a groove appears on each side of the aortic trunk and gradually grows deeper and extends toward the heart, until finally the trunk and aortic bulb are split longitudinally into two distinct vessels, one of which is connected with the right ventricle and becomes the pulmonary artery, the other with the left ventricle and becomes the proximal part of the aortic arch (Fig. 212). The result of the formation of these various septa is the division of the entire heart into two sides. The atrium and ventricle of each side are in communication through the atrio-ventricular foramen, the two sides are in communication only by the foramen ovale which is but a temporary opening. After the opening of the sinus venosus is shifted to the right atrium, the left atrium for a short period has no vessels opening into it. As soon, how- ever, as the pulmonary veins develop, they form a permanent union with the left atrium (Fig. 211). At first two veins arise from each lung, which unite to form a single vessel on each side; the two single vessels then unite to form a common trunk which opens into the left atrium on the cephalic side. As 236 TEXT-BOOK OF EMBRYOLOGY development proceeds, the wall of the single trunk is gradually absorbed in the wall of the atrium, until the single vessel from each side opens separately. Absorption continuing, all four veins, two from each lung finally open separately. This is the condition usually found in the adult. A partial failure in the absorption may leave one, two, or three vessels opening into the atrium. Such variations are not infrequently met with in the pulmonary veins. The Valves. If all the passageways between the different chambers of the heart and the large vascular trunks were to remain free and clear, there would be nothing to prevent the blood from flowing contrary to its proper course. Consequently five sets of valves develop in relation to these orifices, and are so arranged that they direct the blood in a certain definite direction. These appear (a) at the openings of the large venous trunks into the right atrium, (b) at the opening between the right atrium and right ventricle, (c) at the opening between the left atrium and left ventricle, (d) at the opening between right ventricle and pulmonary artery and (e) at the open- ing between the left ventricle and aorta. No valves develop at the openings of the pulmonary veins into the left atrium. (a) The sinus venosus (which is formed by the union of the large body veins) opens into the right atrium on its cranial side, as has already been mentioned (p. 232). By a process of absorption, similar to that in the case of the pulmonary veins, the wall of the sinus is taken up into the wall of the atrium. The result is that the vena cava superior, vena cava inferior, and sinus coronarius (a remnant of the left duct of Cuvier) open separately into the atrium. As the sinus is absorbed, its wall forms two ridges on the inner surface of the atrium, one situated at the right of the opening and one at the left (Figs. 210 and 211). These two ridges valvulcz venosce are united at their cranial ends with the septum spurium (Fig. 209), a ridge projecting from the cephalic wall of the atrium. The septum spurium probably has a tendency to draw the two valves together and prevent the blood from flowing back into the veins. The left valve and the septum spurium later atrophy to a certain extent and probably unite with the septum atriorum to form part of the limbus fosses ovalis (Vieussenii) . The right valve is the larger and in addition to its assistance in preventing a backward flow of blood into the veins, it also serves to direct the flow toward the foramen ovale. As the veins come to open separately, the cephalic part of the right valve disappears; the greater part of the remainder becomes the valvula vence cavcz inferioris (Eustachii) and during foetal life directs the blood toward the foramen ovale. In the adult it becomes a structure of variable size. A small part of the remainder of the right valve forms the val- vula sinus coronarii (Thebesii) which guards the opening of the coronary sinus. THE DEVELOPMENT OF THE VASCULAR SYSTEM 237 (b) and (c) The valves between the atrium and ventricle on each side develop for the most part from the walls of the triangular atrio-ventricular opening (ostium atrio-ventriculare) . Elevations or folds appear on the rims of the openings and project into the cavities of the ventricles where they become attached to the muscle trabeculas of the ventricle walls (Figs. 214 and 215). On the right side three of these folds appear, and develop into the vahula tricuspidalis which guards the right atrio-ventricular orifice. On the left side only two folds appear, and these become the valvula biscuspidalis (mitralis) which guards the left atrio-ventricular orifice. These valves, which are at first muscular, soon change into dense connective tissue. The muscle trabeculae to which they are attached also undergo marked changes. Some become condensed at the ends which are attached to the valves into slender tendinous cords the chorda tendinece, while at their opposite ends Muscle trabeculae Trabeculae carneae FIG. 214. Diagrams representing the development of the atrio-ventricular valves, chordae, tendinese, and papillary muscles. Gcgcnbaur. they remain muscular as the Mm. papillares; others remain muscular and lie in transverse planes in the ventricles, or fuse with the more compact part of the muscular wall, or form irregular, anastomosing bands and con- stitute the trabecula carnea (Fig. 214). (d) and (e) The valves of the pulmonary artery and aorta develop at the point where originally the endothelial tube was constricted to form the f return Halleri (p. 231) where the ventricular portion of the heart joined the aortic bulb. Before the aortic trunk and bulb are divided into the aortic arch and pulmonary artery, four protuberances appear in the lumen (Fig. 213). The septum aorticum then divides the two which are opposite so that each vessel receives three (Fig. 213). These then become concave on the side away from the heart, in a manner which has not been fully determined, and at the same time enlarge so that they close the lumen. Those in the pulmonary artery are known as the valvula semilunares arterice pulmonalis, those in the aorta as the valvula semilunares aorta. Changes after Birth. The migratory changes of the heart from its origi- nal position in the cervical region to its final position in the thorax will be con- 238 TEXT-BOOK OF EMBRYOLOGY sidered in connection with the development of the pericardium (Chap. XIV). With the exception of the septum atriorum, the heart acquires during foetal life practically the form and structure characteristic of the adult (Fig. 216). So long as the individual continues to grow, the heart, generally speaking, increases in size accordingly. This increase takes place by in- tussusception in the endocardium and myocardium. At the time of birth the two atria are in communication through the foramen ovale which is Dorsal aortic roots Amnion Upper limb bud Atrial septum Right atrium Right atrio- ventricular (tricuspid) valves Right ventricle Pericardial cavity Left atrium Left atrio- ventricular (bicuspid) valves Left ventricle FIG. 215. Transverse section of pig embryo of 14 mm. Photograph. simply an orifice in the atrial septum (Fig. 217). Thus the blood which is brought to the right atrium by the body veins is allowed to pass directly into the left atrium, thence to the left ventricle, and thence is forced out to the body again through the aorta. A certain amount of blood also passes from the right atrium into the right ventricle and thence into the pulmonary artery; but this blood does not enter the lungs but passes directly into the aorta through the ductus arteriosus (Fig. 216). After birth the lungs begin THE DEVELOPMENT OF THE VASCULAR SYSTEM 239 Innominate artery Branches of right pulmonary artery " Arch of aorta Pulmonary artery Right auricular appendage- - -j- --- 7 Left carotid artery Left subclavian artery Ductus arteriosus Branches of left pulmonary artery Left auricular appendage --- Left ventricle Right ventricle i-_--\- - - Descending aorta FIG. 216. Ventral view of heart of foetus at term. Kollmann's Atlas. Sup. vena cava- Inf . vena cava Right atrium- Right ventricle .- . _ Inf. vena cava Left ventricle FIG. 217. Dorsal half of foetal heart. Bumm, Kollmann's Atlas. 240 TEXT-BOOK OF EMBRYOLOGY to function and the placental blood is cut off, so that the right atrium receives venous blood only and the left arterial blood only. If the foramen ovale were to persist it would allow a mingling of venous and arterial blood. Con- sequently the foramen ovale closes soon after birth and the two currents of blood are completely separated. At the same time the ductus arteriosus atrophies and becomes the ligamentum arteriosum. Consequently there is no direct communication between the pulmonary artery and aorta. Certain features of development have an important bearing on the theories regarding the physiology of the heart, particularly on the theory that the heart is an automatic organ. Whether the theory that the heart beats automatically, i.e., independently of stimuli from the nervous system, is true or not, it is a fact that in the embryo it begins to beat before any nerve cells appear in it and before any nerve fibers are connected with it. At least no technic has yet been devised by which it is possible to demonstrate nerve cells in, or fibers connected with it, at the time when it begins to perform its characteristic function. And, furthermore, at the time when the heart begins to beat, no heart muscle cells are developed. This last fact seems to indicate an inherent contractility in the mesothelial cells which form the anlage of the myocardium. The Arteries. The simplest condition of the arterial system, following the establishment of the vitelline and allantoic circulation (p. 220 and p. Dors, aortic root Dors, aortic root Vent, aortic root ' ^^ , ^ / ^ , ,^^_ ^ (Esophagus Vent, aortic trunk "" "^W \ ^^ " Trachea \ - - : Pulmonary artery FIG. 218. From reconstruction of aortic arches (i, 2, 3, 4, 6) of left side and pharynx of a 5 mm. human embryo. Tandler. I-IV, Inner branchial grooves. 222), is as follows: The single ventral aortic trunk is given off from the cephalic end of the heart. This is a short vessel, soon dividing into the two ventral aortic roots which pass forward beneath the pharynx (Fig. 218). Each ventral aortic root gives rise to branches which pass dorsally, one in each branchial arch, as the aortic arches to unite in a common stem along the dorsal wall of the pharynx. This common stem is the dorsal aortic root (Fig. 218) which fuses with its fellow of the opposite side in the mid- dorsal line to form the dorsal aorta. The single dorsal aorta, situated ventral to the notochord, extends from the cervical region to the caudal end of the embryo. Somewhat caudal to the middle of the embryo a branch THE DEVELOPMENT OF THE VASCULAR SYSTEM 241 of the aorta passes ventrally through the mesentery as the vitelline artery which enters the umbilical cord (Fig. 202). Still farther caudally the paired umbilical (allantoic) arteries are given off from the aorta and pass out into the umbilical cord (Fig. 202). The conditions which exist at this stage in the region of the aortic arches" in mammalian embryos are indicative of the conditions which persist as a' whole or in part throughout life in the lowest Vertebrates. The changes' which occur in Mammals, however, are profound and the adult condition bears no resemblance to the embryonic. Yet certain features in the adult are intelligible only from a knowledge of their development. In the human ( Vent, aortic roots Ventral aortic trunk Gubclavian arteries Aorta FIG. 219. Diagram of the aortic arches of a Mammal. Modified from Ilochstettcr. embryo six aortic arches appear on each side. The first, second, third, and fourth pass through the corresponding branchial arches. The fifth arch, which is merely a loop from the fourth, seems to pass through the fourth branchial arch. The sixth aortic arch passes through the region behind the fourth branchial. All these arches are present in embryos of 5 mm. (Fig. 218). In Fishes and larval Amphibians, where the branchial arches develop into the gills, the aortic arches are broken up into capillary net- works which ramify in the gills, and the ventral aortic root becomes the afferent vessel, the dorsal aortic roots the efferent vessels. In the higher Vertebrates and in man the aortic arches begin, at a very early period, to 242 TEXT-BOOK OF EMBRYOLOGY undergo changes; some disappear and others become portions of the large arterial trunks which leave the heart. In connection with the following description, constant reference to Figs. 219 and 220 will assist the student in understanding the changes. The first and second arches soon atrophy and disappear. The third arch on each side becomes the proximal part of the internal carotid artery, while the continuation of the dorsal aortic root, cranially to the third arch, becomes its more distal part. The continuation of the ventral aortic root cranially to the third arch, becomes the proximal part of the external carotid Common carotid arteries Int. carotid artery (right) Ext. carotid artery (right) n , Int. carotid III Subclavian IV V VI Innominate artery Subclavian artery (right) Int. carotid artery (left) Ext. carotid artery (left) II III Int. carotid ' IV Arch of aorta V VI Ductus arteriosus Pulmonary artery Subclavian artery (left) Aorta FIG. 220. Diagram representing the changes in the aortic arches of a Mammal. Compare with Fig. 219. Modified from Hochstetter. artery, while the portion of the ventral aortic root between the third and fourth arches becomes the common carotid artery. The portion of the dorsal aortic root between the third and fourth arches disappears. The fourth aortic arch on the left side enlarges and becomes the arch of the aorta (arcus aorta) which is then continued caudally through the left dorsal aortic root into the dorsal aorta. On the right side, the fourth arch becomes the proxi- mal part of the Subclavian artery. Since the third, fourth, fifth, and sixth arches really leave the ventral aortic trunk as a single vessel, it will be seen that these changes bring it about that the common carotid and subclavian THE DEVELOPMENT OF THE VASCULAR SYSTEM 243 on the right side arise by a common stem, the innominate artery, which in turn is a branch of the arch of the aorta. On the left side, for the same reason, the common carotid is a branch of the arch of the aorta. The fifth aortic arch from the beginning is rudimentary and disappears very early. The sixth arch on each side undergoes wide changes. A branch from each enters the corresponding lung. On the right side the portion of the sixth arch between the branch which enters the lung and the dorsal aortic root disappears, as does also that portion of the right dorsal aortic root between the subclavian artery and the original bifurcation of the dorsal aorta. On the left side, however, that portion of the sixth arch between the branch which enters the lung and the dorsal aortic root persists until birth as the ductus arleriosiis (Botalli). This conveys the blood from the right ventricle to the aorta until the lungs become functional (Fig. 216); it then atrophies Int. carotid artery Vertebral artery Segmental cervical artery ^' r Pulmonary artery FIG. 221. Diagram cf the aortic arches (III, IV, VI) and segmented cervical arteries cf a 10 mm. human embryo. His. and becomes the ligamentum arteriosum. In the meantime the septum aorticum has divided the original ventral aortic trunk into two vessels (see P- 2 35)j one of the vessels communicates with the left ventricle and is the proximal part of the arch of the aorta, the other communicates with the right ventricle and becomes the large pulmonary artery (Fig. 212). In human embryos of 10 mm. the dorsal aortic root on each side gives off several lateral branches the segmental cervical vessels (Fig. 221). The first of these (first cervical, suboccipital), which arises nearly opposite the fourth aortic arch, is a companion, as it were, to the hypoglossal nerve, and sends a branch cranially which unites with its fellow of the opposite side in- side the skull to form the basilar artery. The basilar artery again bifurcates and each branch unites with the corresponding internal carotid by means of the circulus arteriosus (Fig. 223). The other segmental cervical vessels arise from the aortic root at intervals, the eighth arising near the point of 244 TEXT-BOOK OF EMBRYOLOGY bifurcation of the aorta. In a short time a longitudinal anastomosis appears between these segmental arteries, which extends as far as the seventh (Fig. 222). The proximal ends of the first six disappear, and the longitudinal r. carotid xt carotid -Sub. inter- art. FIG. 222. Diagram illustrating the formation of the vertebral and superior intercostal arteries. The broken lines represent the portions of the original segmental vessels that disappear. Modified from Hochstetter. vessel forms the vertebral artery which then opens into the aortic root through the seventh segmental artery, and which is continued cranially as the basilar artery (Fig. 223). The seventh (it is held by some to be the sixth) Circulus arteriosus Middle cerebral artery Basilar artery Int. carotid artery FIG. 223. Brain and arteries of a human embrvo of o mm. Matt. segmental artery becomes the subclavian, and consequently the vertebral opens into the subclavian, as in the adult (Fig. 222). But it should be borne in mind that the right subclavian artery is more than equivalent to the left, since the proximal part of the former is made up of the fourth THE DEVELOPMENT OF THE VASCULAR SYSTEM 245 aortic arch and a part of the aortic root (see Figs. 219 and 220). Further- more, changes occur in the position of the heart during development, which alter the relations of the vessels. The heart migrates from its original position in the cervical region into the thorax, and this produces an elonga- tion of the carotid arteries and an apparent shortening of the arch of the aorta; consequently the subclavian artery on the left side arises relatively nearer the heart. The arteries of the brain arise as branches of the internal carotid and circu- lus arteriosus. The anterior cerebral artery and the middle cerebral artery arise primarily from a common stem which in turn is a branch of the most cranial part of the internal carotid (Figs. 223 and 224). The posterior cerebral artery arises as a branch of the circulus arteriosus (Fig. 224). Post, cerebral vein (sup. petrosal sinus) irculus arteriosus Transverse sinus Basilar artery Int. jugular vein Confluence of sinuses Inf. sagittal sinus Sup. sagittal sinus Post, cerebral artery Ant. cerebral artery Int. carotid artery FIG. 224. Brain, arteries and veins of a human embryo of 23 mm. Mali From the point of its bifurcation to its caudal end the aorta gives off paired, segmental branches which accompany the segmental nerves. The last (eighth) cervical branch and the first two thoracic branches undergo longitudinal anastomoses, similar to those between the first seven cervical, to form the superior intercostal artery (A. intercostalis suprema) which opens into the subclavian (Fig. 222). The other thoracic branches persist as the intercostal arteries; the lumbar branches persist as the lumbar arteries. At the same time anastomoses are formed between the distal ends of the inter- costal and lumbar arteries in the ventro-lateral region of the body wall, which give rise, on the one hand, to the internal mammary artery and, on the other hand, to the inferior epigastric artery. Of these two the former opens into the subclavian, the latter into the external iliac. By a further anastomosis the distal ends of the internal mammary and inferior epigastric are joined, thus forming a continuous vessel from the subclavian to the external iliac (Fig. 225). It is interesting to note that while originally all the lateral branches of the aorta are arranged segmentally, many of them 246 TEXT-BOOK OF EMBRYOLOGY lose their segmental character and are replaced or supplemented by longi- tudinal vessels. In addition to the dorsal segmental branches of the aorta, which have been described, other branches develop which carry blood to the viscera. A number of these, or possibly all, are also primarily segmental vessels, although they lose every trace of their segmental character during develop- ment. The first of the visceral branches to appear is the omphalomesenteric artery which arises from the ventral side of the aorta and which has been mentioned in connection with the vitelline circulation. Originally it passes Int. mammary artery Inf. epigastric artery Umbilical artery Femoral artery FIG. 225. Diagram of human embryo of 13 mm., showing the mode of development of the internal mammary and inferior epigastric arteries. Mall. out through the mesentery and follows the yolk stalk to ramify on the surface of the yolk sac. But since the yolk sac is of slight importance, the distal part of the artery soon disappears, while the proximal part becomes the superior mesenteric artery (Fig. 226) . The codiac artery arises from the ventral side of the aorta a short distance cranially to the omphalomesenteric (Fig. 226) and gives rise in turn to the gastric, hepatic and splenic arteries. The inferior mesenteric artery also arises from the ventral side of the aorta some distance caudal to the omphalomesenteric (Fig. 226). In the early stages these visceral arteries arise relatively much farther cranially than in the THE DEVELOPMENT OF THE VASCULAR SYSTEM 247 adult. During development they gradually migrate caudally to their normal positions. Other branches of the aorta develop in connection with the urinary and genital organs. Several lateral branches supply the mesonephroi, but when the latter atrophy and disappear the vessels also disappear. A periaortic plexus of vessels, with many branches from the aorta, supplies the develop- ing kidneys until these organs reach their definitive position, when one of the branches on each side enlarges to become the renal artery. The de- veloping genital glands are likewise supplied by several branches from the aorta. Later the majority of these vessels disappear, one pair only per- sisting as the internal spermatic arteries which differ in accordance with the Coeliac artery Sup. mesenteric (vitelline) artery Umbilical artery Aorta Duodenum Inf. mesenteric artery Int. iliac artery FIG. 226. Diagram of the visceral arteries in a human embryo of 12.5 mm. Tandler. Numerals indicate segmental arteries. sex of the individual. In both sexes they are at first very short; in the female, as the ovaries move farther into the pelvic region, they become considerably elongated to form the ovarian arteries; in the male, with the descent of the testes, they become very much elongated to form the testicular arteries. The fifth (or fourth?) pair of segmental lumbar arteries primarily gives rise to the vessels which supply the lower extremities, viz., the iliac arteries. These then would be serially homologous to the subclavians. But certain changes occur in this region, which are due to the relations of the umbilical arteries. The latter, as has already been noted, arise as paired branches of the aorta in the lumbar region, pass ventrally through the genital cord (Chap. XV) and then follow the allantois (urachus) to the umbilical cord. 248 TEXT-BOOK OF EMBRYOLOGY During foetal life they carry all the blood that passes to the placenta. At an early period a branch from each iliac artery anastomoses with the corre- sponding umbilical, and the portion of the umbilical artery between the aorta and the anastomosis then disappears. This makes the umbilical artery a branch of the iliac; and the blood then passes from the aorta into the proximal part of the liiac which becomes the common iliac artery of the adult. At birth, when the umbilical cord is cut, the umbilical arteries no longer carry blood to the placenta, and their intraembryonic portions, often called the hypogastric arteries, persist only in part; their proximal ends persist as the superior vesical arteries, while the portions which accom- panied the urachus degenerate to form the lateral umbilical ligaments. So far as a complete history of the growth of the arteries of the extremities is concerned, knowledge is lacking. The facts of comparative anatomy and the anomalies which occur in the human body have led to certain conclusions which have been largely confirmed by embryological observations; but much more work on the development of the arteries is yet necessary to complete their history. The extremities represent outgrowths from several segments of" the body, the nerve supply is derived from several segments, and the limb buds are likewise primarily supplied by plexuses of vessels arising from several branches of the aorta. In the upper extremity the subclavian, which represents the seventh cervical branch of the aortic root, is the single vessel which eventually develops out of the original plexus. In the lower extremity the common iliac, which represents the fifth lumbar branch of the aorta, is the single vessel which develops out of the plexus supplying the lower limb bud. In the upper extremity the subclavian grows as a single vessel to the wrist and then divides into branches corresponding to the fingers. In the forearm it lies between the radius and ulna. In a short time a branch is given off just distal to the elbow and accompanies the median nerve. As this branch increases, the original vessel in the forearm diminishes to form the -uolar interosseous artery; and at the same time the branch unites again with the lower end of the interosseous, takes up the digital branches and becomes the chief vessel of the forearm at this stage, forming the median artery. Later, however, it diminishes in size as another vessel develops, the ulnar artery, which arises a short distance proximal to the origin of the median and, passing along the ulnar side of the forearm, unites with the median to form the superficial volar arch. From the artery of the arm, which is called the brachial artery, a branch develops about the middle and extends distally along the radial side of the forearm. A little later another branch grows out from the brachial just proximally to the origin of the ulnar and extends across to, and anastomoses with, the first branch. Then the portion of the first THE DEVELOPMENT OF THE VASCULAR SYSTEM 249 branch between its point of origin and the anastomosis atrophies, leaving only a small vessel which goes to the biceps muscle. The second branch and the remaining part of the first branch together form the radial artery (Fig. 227) (McMurrich). In the lower extremity the primary artery is a continuation of the common iliac which, in turn, is a branch of the aorta. This primary vessel, the sciatic artery, passes distally as far as the ankle. Below the knee it gives off a short branch which corresponds to the proximal part of the anterior tibial artery. Just above the ankle it gives off another branch which corresponds to the distal part of the anterior tibial. As will be seen, these two parts join at a later period to form a continuous vessel. At this early stage the external Brachial artei 1" Superficial radia* artery- Median artery Interosseous artery Ulnar artery y A Brachial artery B .... Median artery -- Interosseous artery ---- Ulnar artery Radial artery FIG. 227. Diagrams showing (A) an early and (5) a late stage in the development of the arteries of the upper extremity. McMurrich. iliac artery is but a small branch of the common iliac; but it gradually in- creases in size, extends farther distally in the thigh as the femoral artery and unites with the sciatic near the knee. Just proximal to its union with the sciatic it gives off a branch which extends distally along the inner side of the leg to the plantar surface of the foot, where it gives off the digital branches. This vessel is the saphenous artery in the embryo, and disappears in part during further development. From this time on, the femoral and its direct continuation, the popliteal, increase in size; and at the same time the sciatic loses its primary connection and becomes much reduced to form the inferior gluteal artery. The direct continuation of the sciatic in the leg, which is now the direct continuation of the popliteal, becomes reduced to form the 250 TEXT-BOOK OF EMBRYOLOGY peroneal artery. The branch of the original sciatic, which was given off just below the knee, unites with the branch which was given off just above the ankle to form a continuous vessel, the anterior tibial artery. A new branch arises from the proximal portion of the peroneal, extends down the back of the leg, and unites with the distal part of the embryonic saphenous to form the posterior tibial artery. The proximal part of the saphenous then atrophies, leaving but one of the small genu branches of the popliteal (Fig. 228) (McMurrich). ~~ Sciatic artery "Femoral artery . I n \\ ( \ 4 ors. artery of foot ^-'- -11 - - ---I n I Popliteal artery v Ant. tibial artery Peroneal artery Post, tibial artery FIG. 228. Diagrams showing three stages in the development of the arteries of the lower extremity. McMurrich. The Veins. The changes which occur during the development of the venous system are so complicated, and in some cases so varied, that the scope of this book permits only a brief outline of the growth of the more important of the venous trunks. Corresponding to the arterial system, the first veins to appear are the omphalomesenteric veins. These vessels, which carry blood from the yolk sac to the heart, arise in the area vasculosa, enter the embryonic body at the sides of the yolk stalk, pass cranially along the intestinal tract, and join the caudal end of the heart (Figs. 198, 200, 202 and 231). Next in point of time to ap- pear are the umbilical veins which carry back to the heart the blood which has been carried to the placenta by the umbilical arteries. These also are paired veins within the embryo, although they form a single trunk in the umbilical cord. They extend cranially on each side through the ventro- lateral part of the body wall and join the duct of Cuvier (see below) in the septum transversum (Figs. 201, 202 and 231). Very soon after the appear- ance of the umbilical veins two other longitudinal vessels develop, one on THE DEVELOPMENT OF THE VASCULAR SYSTEM 251 each side of the aorta. In the cervical region they lie dorsal to the branchial arches and are called the anterior cardinal veins (Figs. 200 and 231). The more caudal parts of the vessels are situated in the region of the developing mesonephros and are called the posterior cardinal veins (Figs. 200 and 231). At a point about opposite the heart the anterior and posterior cardinals on each side unite to form a single vessel, the duct of Cuvier, which turns medially through the septum transversum and opens into the sinus venosus (Figs. 200 and 216). Thus three primary sets of veins are formed at a very early stage of development: (i) The omphalomesenteric veins; (2) the umbilical veins; (3) the cardinal veins. The veins of the head and neck regions are derivatives of the anterior cardinals. The proximal Darts of these vessels are present in embryos of 3.2 mm.; later they extend cranially along the ventro-lateral surface of the N.V N.VII N.IX Mid. cerebral vein Sup. cerebral vein Inf. cerebral vein Lat. vein of head FIG. 229. Veins of the head of a 9 mm. human embryo. Mall. brain on the medial side of the roots of the cranial nerves. The position relative to the nerves is only temporary, however, for collaterals arising from the veins pass to the lateral side of the nerves and enlarge to form the main channels. The original channels atrophy except in the region of the trigemi- nal nerves where they still remain on the medial side of the nerves as the forerunners of the cavernous sinuses. The vessel thus formed laterally to the cranial nerves (except the trigeminal) on each side of the brain is known as the lateral vein of the head (vena later alis capitis) (Fig. 229.) The blood is collected from the brain region by small vessels which unite to form three main stems; one of these, the superior cerebral vein, opens into the cranial end of the cavernous sinus; another, the middle cerebral vein, opens into the op- posite end of the cavernous sinus; and the third, the inferior cerebral vein, opens into the lateral vein of the head behind the ear vesicle (Figs. 229 and 252 TEXT-BOOK OF EMBRYOLOGY 224). The branches of the superior cerebral vein extend over the cerebral hemispheres and unite with their fellows of the opposite side to form the superior sagittal sinus which lies in the medial line (Figs. 224 and 230). The superior sagittal sinus is at first naturally drained by the superior cere- bral veins; but later, as the cerebral hemispheres enlarge and extend farther toward the mid-brain region, it is carried back and joins the middle cerebral vein; still later, for the same reason, it joins the inferior cerebral vein (Fig. 230, A and B). During these later changes the connection between the C Ard. yety Sufi. SAf. "Otic vesicle MU.cerel). vely Cotft. of stf vet? Coijft.of si.rj uses ^ _. La,t.veip o FIG. 230. Diagrams representing four stages in the development of the veins of the head in human embryos. M all. superior sagittal sinus and the superior cerebral vein is lost (Fig. 230). The middle cerebral vein becomes the superior petrosal sinus which forms a com- munication between the cavernous sinus and transverse sinus. The trans- verse sinus represents the channel between the superior sagittal sinus and the cranial end of the cardinal vein; or in other words, its cranial portion repre- sents the connection between the superior sagittal sinus and the inferior cerebral vein while its caudal portion represents the inferior cerebral vein itself (Fig. 230, compare C and D). The caudal end of the superior sagittal sinus becomes dilated to form the confluence of the sinuses (confluens THE DEVELOPMENT OF THE VASCULAR SYSTEM 253 si tin urn). From the latter a new vessel grows out to form the straight sinus, and a further growth from the straight sinus forms the large vein of the cerebrum (vein of Galen). The inferior sagittal sinus also represents a new outgrowth at the point of junction of the large vein of the cerebrum and inferior sagittal sinus (Fig. 230, D). During the course of development the lateral vein of the head gradually atrophies and finally disappears, and the inferior petrosal sinus probably represents a new formation which extends from the cavernous sinus to the transverse sinus (Fig. 230, C and D). At Ant. cardinal (int. jugular) Omphalomesenteric (vitelline) Mesonephro; Subcardinal Iliac FIG. 231. Diagram of the venous system of a human embryo of 2.6 mm. Slightly modified from Kollmann's Atlas. the point where the inferior petrosal joins the transverse sinus the latter passes out of the skull through the jugular foramen to become the internal jugular vein (anterior cardinal). (Mall.) As stated in a preceding paragraph, the anterior cardinal veins extend from the ducts of Cuvier to the head region, passing to the dorsal side of the branchial arches. They are at first paired and symmetrical, but, since the heart is situated in the cervical region, are comparatively short and receive blood from the cervical region through segmental branches which belong only 254 TEXT-BOOK OF EMBRYOLOGY to the most cranial of the cervical segments. The other segmental cervical veins, including the subclavian veins, open at first into the posterior cardinals (Fig. 231). Later, however, as the heart recedes into the thorax the anterior cardinal veins are elongated and the segmental cervical veins, including the subclavians, come to open into them (Fig. 233). The bilateral symmetry is then broken by an anastomosing vessel which extends obliquely across from a point on the left cardinal about opposite the subclavian to a point nearer the heart on the right subclavian (Figs. 232, B, and 233). The portion of the left cardinal cranial to the subclavian becomes the left internal jugular vein which Ant. cardinal ...... Duct of Cuvier Subclavian Inf. vena cava Post, cardinal Subcardinal.... Hiac. Ant. cardinal (int. jugular) Ext. jugular Subclavian Duct of Cuvier Inf. vena cava ..... Post, cardinal Post, cardinal Subcardinal ... Iliac FIG, A B 232. Diagrams of two stages in the development of the anterior and posterior cardinal veins, the Subcardinal veins (revehent veins of the primitive kidney), and the inferior vena cava. The small branches of the cardinals and subcardinals ramify in the primitive kidneys (mesonephroi). Slightly modified from Ilochstetter. communciates with the intracranial sinuses. The anastomosis itself be- comes the left innominate vein. The portion of the left cardinal between the subclavian and the duct of Cuvier, the duct of Cuvier itself, and the left horn of the sinus venosus together form the coronary sinus (Fig. 234). On the right side the more distal part of the cardinal becomes the internal jugular vein; the portion between the subclavian and the anastomosis (left innomi- nate vein) becomes the right innominate vein; and the common stem formed by the latter and the left innominate constitutes the superior vena cava which opens into the right atrium (see p. 236). The external jugular vein on each side appears later than the superior cardinal as an independent THE DEVELOPMENT OF THE VASCULAR SYSTEM 255 vessel which comes to lie parallel to the internal jugular and opens into it near the subclavian. The opening, however, shifts to the subclavian, where it is usually found in the adult (Figs. 323 and 234). The changes which occur in the posterior cardinal veins are very extensive and result in conditions which bear but little resemblance to those in the earlier stages. In connection with these changes the development of the inferior vena cava must be considered. The posterior cardinal veins appear very early as paired, bilaterally symmetrical vessels which extend from the duct of Cuvier to the tail region and are situated ventro-lateral to the aorta Ant. cardinal (int. jugular) Ext. jugular - Innominate (right) Sup. vena cava - Post, cardinal (azygos) - Inf. vena cava ... Subcardinal Subcardinal Hiac FlG. 233. Diagram representing a stage (later than Fig. 232) in the development of the superior vena cava and the inferior vena cava, also of the azygos vein. Hochstetter. (Fig. 231). From the first they receive blood from the body wall through segmental branches, and as the primitive kidneys (mesonephroi) develop they receive blood from them also, as well as from the mesentery. They return practically all the blood from the region of the body situated caudal to the heart, just as the anterior cardinals return the blood from the region of the body situated cranial to the heart. In other words, the two sets of cardinal veins are the body veins par excellence during the earlier stages of development. While the anterior set persists for the most part as permanent vessels and increases with the development of the body, the posterior set 256 TEXT-BOOK OF EMBRYOLOGY undergoes regressive changes, its function being taken by a new vessel the inferior vena cava. Not long after the appearance of the posterior cardinals, another pair of longitudinal veins appears in the medial part of the mesonephroi. They increase in size as the mesonephroi increase and receive blood from the latter. They also communicate with the cardinals by means of transverse channels which, however, are later broken up as the mesonephroi become more complicated in structure. These vessels are known as the subcardinal veins, or revehent veins of the primitive kidneys (Fig. 232, A). After they have attained a considerable size, a large anastomosis is formed between them ventral to the aorta and just caudal to the omphalomesenteric (superior mesenteric) artery (Fig. 232, B). In the meantime, a branch of the ductus Int. jugular (ant. cardinal; J ^ 3 '"'Ext. jugular .^^^ v.. Subclavian Innominate (right) ^^^ _ /-Innominate (left) Sup. vena cava***" ^^ ^~1 -Coronary sinus Azygos ^ e .. ...... *hemiazygos (post, cardinal) m , Accessory "Ty Hemiazygos FIG. 234. Diagram of final stage in the development of the superior vena cava and the azygos vein. (Compare with Fig. 233.) venosus (see p. 260) grows caudally through the dorsal part of the liver and the mesentery, and joins the right subcardinal vein a short distance cranial to the above mentioned anastomosis (Fig. 232, A and B). This branch forms the proximal part of the inferior vena cava. At the same time, also, each subcardinal forms a direct connection with the corresponding cardinal at a point opposite the first anastomosis; consequently the inferior vena cava, the subcardinals and the cardinals are all in direct communication (Fig. 232, B). Thus two ways are formed by which the blood may return to the heart: It may return via the cardinals and ducts of Cuvier, and via the inferior vena cava. It is obvious that while these conditions exist, that is, while the mesonephros is func- tional, and blood is carried to it by the cardinal veins and from it by the subcardinal veins, there is a true renal portal system. The blood from the body walls and lower extremities THE DEVELOPMENT OF THE VASCULAR SYSTEM 257 is collected by the segmental vessels and poured into the cardinal veins and is then dis- tributed in the mesonephros by smaller channels or sinusoids (Minot), whence it is collected and carried off by the subcardinal veins. This passage of blood through purely venous channels simulates the conditions in the liver where there is a true hepatic portal system. From this time on, the changes are largely regressions in the cardinal and subcardinal systems, corresponding to the atrophy of the mesonephroi, and rapid increase in the vena cava and its branches. The cranial end of each cardinal becomes smaller; the left loses its connection with both the vena cava and the duct of Cuvier, the right its connection with the vena cava only (Fig. Aorta Post, cardinal vein Mesonephric duct' Omphalomesenteric artery Right umbilical vei Intestine Post, cardinal vein Dorsal mesentery Ccelom Left umbilical vein FIG. 235. From a transverse section of a 5 mm. human embryo, at the level of the omphalomesenteric (vitelline, superior mesenteric) artery. 234;. Subsequent changes in these parts of the cardinals will be considered in the following paragraph. For a time the caudal ends of the two cardinals are of equal importance. Later, however, the right becomes larger, while the left atrophies. The right thus becomes a direct continuation and really a part of the vena cava (Figs. 233 and 236). This is brought about, of course, by the original anastomosis between the vena cava and the subcardinal and cardinal. On the left side the anastomosis persists simply as the proximal part of the renal vein (Fig. 236) ; on the right side the renal vein is a new structure which develops after the kidney has attained practically its final position, and opens into the vena cava secondarily. The inferior vena cava 258 TEXT-BOOK OF EMBRYOLOGY itself is a composite vessel derived from four different anlagen. i. The part which extends from the ductus venosus to the right subcardinal is of independent origin. 2. A short portion is derived from a part of the right subcardinal. 3. Another short portion is derived from the cross-anastomosis between the subcardinals and cardinals. 4. The caudal end is a derivative of the caudal part of the right cardinal (compare Figs. 232, 233, 236.) Before the caudal end of the left cardinal vein atrophies, an interesting and important change occurs in the relations of the ureters and cardinals. Primarily the cardinal veins develop to the ventral side of the ureters. But later a collateral of each cardinal develops to the dorsal side of the ureter. These join the cardinal cranial and caudal to the ureter. In other words, a Inf. vena cava "" Suprarenal gland j'- Suprarenal vein (right) Renal vein (right) f " Int. spermatic (right) Ureter Inf. vena cava (right post, cardinal) Common iliac (right) , _ vena cava ,-;X _______ Suprarenal gland ._ ---- Suprarenal vein (lefti .*... Kidney \- ...... Renal vein (left) Int. spermatic"(left) (post, cardinal) ^ ..... Ureter Common iliac (left) ..... Ext. iliac '* Int. iliac r?T^ Common iliac (right) ^A B^ FIG. 236. Diagrams representing final stages in the development of the inferior vena cava (compare with Fig. 233). Slightly modified from Hochstetter. venous loop is formed around the ureter (Fig. 233). The ventral arm of the loop then atrophies and disappears, leaving the dorsal arm as the direct part of the cardinal vein. On the right side, where the cardinal persists as a portion of the vena cava, the latter vessel comes to lie ventral to the ureter (Fig. 236, A). On the left side the cardinal atrophies, leaving only the por- tion cranial to the loop as the proximal end of the internal spermatic (testicular or ovarian ) vein (Fig. 236, B). Since on the left side the original anastomosis between the subcardinals and cardinals persists as the renal vein, the left internal spermatic is a branch of the renal. The right internal spermatic vein probably represents a branch of the vena cava which is independent of the cardinal. In the cat embryo the venous loop around the ureter is much more THE DEVELOPMENT OF THE VASCULAR SYSTEM 259 extensive than in the other forms. The dorsal arm of the loop, named the supracardinal vein, extends from the iliac vein to the original anastomosis between the subcardinals and cardinals. In the course of further develop- ment the supracardinals approach each other and finally fuse, forming a large single vessel which becomes the portion of vena cava caudal to the renal veins. In this event the portions of both cardinals forming the ventral arms of the venous loops atrophy and disappear. Xear the caudal end of each cardinal vein a branch arises which receives the blood from the corresponding lower extremity. Then a transverse anastomosis appears between the two cardinals at this point (Fig. 236, A). Since the portion of the left cardinal caudal to the renal vein atrophies, the anastomosis itself constitutes the left common iliac vein (Fig. 236, B). The right common iliac is, of course, the original branch of the right cardinal. As the iliacs enlarge they form the two great branches of the vena cava. i)uct cf Cuvier.' Duct of Cuviet- Right umbilical - Right omphalomesenteric - Ductus venosus ..Left umbilical Left omphalomesenteric FIG. 237. Diagrams illustrating two stages in the transformation of the omphalomesenteric and umbilical veins in the liver. Hochstetter. With the atrophy of the mesonephroi, the subcardinal veins diminish in size and finally disappear for the greater part. The part of the right sub- cardinal cranial to the point of junction with the vena cava disappears- entirely. The portion of the left subcardinal cranial to the anastomosis between the two subcardinals becomes much reduced in size, but persists as the left suprarenal vein. The left suprarenal vein is thus a branch of the left renal vein, since the latter represents the anastomosis itself (Figs. 232, 2 33? 236). The right suprarenal vein probably does not represent a per- sistent right subcardinal, but is a new vessel opening into the vena cava. The portion of each subcardinal caudal to the anastomosis probably dis- appears entirely, but this has not been definitely determined. The observations on the development of the azygos veins in the human embryo are only fragmentary. In the rabbit the portions of the posterior cardinal veins immediately cranial to the anastomosis between the sub- 260 TEXT-BOOK OF EMBRYOLOGY cardinals and cardinals, that is, just cranial to the renal veins, disappear. The more cranial portion of the right cardinal persists as the azygos vein which receives the intercostal (segmental) branches and opens into the superior vena cava. An oblique anastomosis is formed, dorsal to the aorta, between the two cardinals (Fig. 233). This anastomosis and the portion of the left cardinal caudal to it together form the hemiazygos vein. The por- tion of the left cardinal cranial to the anastomosis loses its connection with the duct of Cuvier (or coronary sinus) and becomes the accessory hemiazygos vein (Fig. 234). The ascending lumbar veins, which join the azygos and hemiazygos, probably do not represent persistent parts of the caudal ends of the cardinals, but are formed by longitudinal anastomoses between the original segmental lumbar veins. The changes which occur in the region of the liver are of much im- portance and result in conditions which bear no resemblance to the primary ones. As has already been noted, the omphalomesenteric veins enter the body at the umbilicus, pass cranially along the intestine and open into the caudal end of the heart. The umbilical veins, which appear soon after, enter the body at the umbilicus and pass cranially, one on each side, in the ventro-lateral part of the body wall; at the level of the heart they turn mesially through the septum transversum and join the corresponding omphalomesenteric veins to form a common trunk on each side, into which the duct of Cuvier then opens (Fig. 231). When the liver grows out as an evagination from the intestine, it comes in contact with the proximal ends of the omphalomesenteric veins and, as it enlarges, breaks them up into numerous smaller channels (Fig. 237). The blood then, instead of having a direct channel, is forced to flow through these smaller channels which have been termed sinusoids. When the liver has attained a considerable size a more direct and definite channel is formed, which extends through the substance of the liver from the proximal end of the right omphalomesenteric vein obliquely caudally to the left omphalomesenteric vein. This newly formed channel is the ductus venosus (Figs. 237 and 238). In the meantime, three transverse anastomoses develop between the omphalomesenteric veins just caudal to the liver. The middle one is dorsal to the intestine, the other two ventral, so that the intestine is surrounded by two venous loops or rings (Figs. 237 and 238). At the same time a cross-anastomosis develops between the left umbilical vein, which is primarily the smaller, and the corresponding omphalomesenteric. This anastomosis joins the omphalomesenteric at about the point where the latter joins the ductus venosus, so that it seems to be a continuation of the ductus venosus. A similar cross-anastomosis also develops between the right um- bilical and right omphalomesenteric (Figs. 327 and 238). Thus the blood THE DEVELOPMENT OF THE VASCULAR SYSTEM 261 that is brought in from the placenta by the umbilical veins may pass through the liver. Then the portion of each umbilical between the anastomosis and the duct of Cuvier atrophies and disappears (Fig. 238). The remaining portion of the left umbilical, which was originally the smaller, gradually increases in size and finally carries all the blood from the placenta. The right umbilical, on the other hand, loses its connection with the liver and persists only as a small vein in the body wall, which opens into the left umbilical vein near the umbilical cord (Fig. 239). Thus there is the peculiar phenomenon of a vessel carrying blood in different directions at different periods of its history. During the course of development of the septum CEsophagus Ant. cardinal Post, cardinal Liver Right umbilical Venous ring Venous ring Duct of Cuvier Left umbilical Ductus venosus Left umbilical Om phalomesenteric Intestine FIG. 238. Veins in the liver region of a human embryo of 4 mm. His, Kollmann's Atlas. transversum and diaphragm the left umbilical is withdrawn from the body wall and passes directly from the umbilicus to the ventral side of the liver. During foetal life it conveys all the blood from the placenta to the liver. A part of the blood is distributed in the liver, a part is carried directly to the inferior vena cava by the ductus venosus (Fig. 240). After birth the placental blood is cut off and the umbilical vein degenerates to form the round ligament of the liver. The venous rings around the intestine also undergo marked changes. The right side of the most caudal and the left side of the most cranial dis- appear; the remaining vessel finally loses its connection with the ductus venosus and becomes the portal vein (Figs. 237, 238, 239 and 240). The 262 TEXT-BOOK OF EMBRYOLOGY portal vein is thus a derivative of the omphalomesenterics. After birth, when the placental blood is cut off, blood is distributed in the liver by branches of the portal vein, which represent the advehent hepatic veins; it is collected again by branches which unite to form the revehent hepatic veins, or hepatic veins proper, and the latter open into the inferior vena cava. The advehent and revehent hepatic veins are formed by the enlargement of some of the original sinusoids (Figs. 237 and 239). Observations on the development of the veins in the extremities of human Ant. cardinal (int. jugular) Post, cardinal Sinus venosus and orifice of ductus venosus Revehent hepatic Advehent hepatic Right umbilical Omphalomesenteric (portal) Umbilical vein Ant. cardinal (int. jugular) Post, cardinal Bronchus Revehent hepatic Advehent hepatic Left umbilical Umbilical cord FIG. 239. Veins in the liver region of a human embryo of 10 mm. Kollmann's Alias. embryos are so fragmentary that it seems advisable to make use of the work that has been done on the rabbit. In the upper extremity the first vein to develop is the primary ulnar vein which begins in the radial (cranial) side of the extremity near its proximal end, extends distally along the radial border, thence proximally along the ulnar (caudal) border, and opens into the anterior cardinal vein (internal jugular) near the duct of Cuvier (Fig. 241). This condition is present in rabbit embryos of thirteen days. A little later a second vessel, the cephalic vein, appears as a branch of the external jugular, THE DEVELOPMENT OF THE VASCULAR SYSTEM 263 extends along the radial side of the extremity and becomes connected with the digital veins (Fig. 242). When the digital veins are taken up by the cephalic, the distal portion^ of the primitive ulnar undergoes regression. These changes have taken place in rabbit embryos of fifteen days, and for a short period the cephalic vein is the chief vessel of the extremity. The primitive ulnar vein, however, develops more rapidly than the cephalic and, Heart- Inf. vena cava - Ductus venosus Left lobe of liver- Umbilical vein Umbilical ring Hepatic veins Right lobe of liver Gall bladder Portal vein (omphalomesenteric; Intestine Inf. vena cava FIG. 240. Veins of the liver (seen from below) of a human foetus at term Kollmann's Atlas. with its branches, soon becomes the chief vessel; the portion in the forearm gives rise to either the ulnar or basilic vein; the portion in the arm becomes the brachial vein which then passes over into the axillary, and the latter in turn passes over into the subclavian. The cephalic vein of the embryo persists as the cephalic of the adult, and, during the period when it forms the chief vessel of the extremity, a branch arises from it which becomes the radial vein. Primarily the cephalic vein opens into the external jugular, but later 264 TEXT-BOOK OF EMBRYOLOGY Atjt. ca.r Trabecula Capsule^ 'f\**^ Efferent lymph, vessels FIG. 258. Diagram illustrating a late stage in the development of a lymph gland. Compare with Fig. 257. Stohr. manner as the lymph glands except that in the former the sinuses are filled with red blood cells. The first lymph glands to develop are those in the axilla, in the inguinal region, in the neck, and in the base of the mesentery. These are the so-called primary glands and develop during fcetal life. They are of constant occur- rence in these regions, but vary in number in different individuals. The secondary lymph glands are those in the bend of the elbow, in the popliteal space, in the mesentery, and around the aorta. Some of these develop during fcetal life and some later. While lymph glands are of constant occurrence in some regions throughout life, the number may vary at different times in any region; and there may also be variations in different individuals. Glands may be called into existence at any time during life, in almost any region, as the result of exceptional activity of some organ, or in pathological con- ditions. Such structures are known as tertiary lymph glands. THE DEVELOPMENT OF THE VASCULAR SYSTEM 283 The origin of the lymph (plasma) itself is probably extremely complex. A.t one time it was considered as the result of nitration from the blood plasma through the capillary walls. If lymph originates in this way the nitration is selective, for the chemical composition of the lymph differs from that of the blood plasma. In all probability the lymph plasma consists of blood plasma which has escaped through the vessel walls plus the products of cell activity in the tissues. The Spleen. Since the spleen is generally considered as a lymphatic organ and since recent researches have shown that its structure is quite comparable to that of the lymph glands, it seems advisable to consider it under the head of lym- phatic organs. Its ultimate origin is not yet settled and the details of its later development are still obscure. The same difficulties are met with as in the case of the origin and development of blood cells, for it is known that the spleen plays a part in the formation of the blood cells. Its structure differs from that of the lymph glands chiefly in that it possesses no distinct lym- phatic sinuses; but it does possess lymph follicles (splenic corpuscles) and densely cellular cords (pulp cords) which are separated by cavernous blood vessels (cavernous veins). For some time the spleen was considered as a derivative primarily of the mesenchyme in the region of the dorsal mesogastrium. More recently, however, investigators have taken the view that it arises partly, or possibly entirely, from the mesothelium (ccelomic epithelium) of the dorsal mesogas- trium. In human embryos during the fifth week the anlage of the spleen appears as an elevation on the left (dorsal) side of the mesogastrium (Fig. 259). This elevation is produced by a local thickening and vascularization of the mesenchyme, accompanied by a thickening of the mesothelium which covers it; and, furthermore, the mesothelium is not so distinctly marked off from the mesenchyme as in other regions. Cells from the mesothelium then migrate into the subjacent mesenchyme and the latter becomes much more cellular (Fig. 260). The migration is brief, and in embryos of about forty-two days has ceased, and the mesothelium is again reduced to a single layer of cells. The elevation becomes larger and projects into the body cavity. At first it is attached to the mesentery (mesogas- trium) by a broad, thick base, but as development proceeds the attachment becomes relatively smaller and finally forms only a narrow band of tissue through which the blood vessels (splenic artery and vein) pass. Further development of the substance of the spleen consists of the break- ing up of the cellular mesenchymal tissue by blood vessels and the formation of the splenic corpuscles. The connective tissue trabecula, as well as the 284 TEXT-BOOK OF EMBRYOLOGY capsule of the spleen are derived from the original mesenchymal tissue. The blood vessels become dilated in parts of their course to form the cavernous vessels (cavernous veins) which are separated by the pulp cords. The con- nective (reticular) tissue of the pulp cords is a derivative of the mesenchyme, as are also the various types of cells in the cords. The adventitia of the walls of some of the small arteries becomes infiltrated with lymphocytes to form the splenic corpuscles (lymph follicles). It is generally recognized that during fcetal life the spleen is a hemato- Aorta Omental bursa Right side Mesonephros Spleen Dorsal mesogastrium (greater omentum) Abdominal cavity (coelom) Stomach Left side Bile duct Ventral mesogastrium (lesser omentum) FIG. 259. From transverse section through stomach region of a 14 mm. pig embryo. Photograph. poietic organ, that is, both leucocytes and nucleated red blood cells are pro- duced within it. Normally, the formation of erythrocytes stops at or soon after birth. In severe anaemia or in pernicious anaemia in postnatal life, however, the presence of dividing nucleated red blood cells suggests a return to embryonic conditions. The reticular tissue constitutes the source of these nucleated forms (erythroblasts) . It has also been suggested that the spleen acts as a destroyer of worn-out erythrocytes, for in many cases apparent remnants of the latter have been observed within the cytoplasm of the THE DEVELOPMENT OT THE VASCULAR SYSTEM 285 " spleen cells." The lymphocytes proliferate to a certain extent in the splenic corpuscles, and in that way, at least, the spleen serves as a base of supply for leucocytes. There is a possible suggestion that the first leucocytes of the spleen have their origin in the mesenchymal cells of the spleen anlage. This would be in accord with the observations which indicate that leucocytes are derived from indifferent mesenchyme cells. Mesothelium Anlage of spleen \ / Mesenchyme -- FiG. 260. From section through dorsal mesogastrium (anlage of spleen) of a chick embryo of 3 days and 21 hours incubation. Tonkoff. Glomus Coccygeum. The coccygeal skein (coccygeal gland) was originally considered as belong- ing to the same category as the suprarenal glands, but the latest researches have indicated that its cells do not possess the characteristic chromafrin reaction and that it belongs rather to the category of lymph glands. It develops ventral to the apex of the coccyx in relation with branches of the middle sacral artery. Although the thymus gland becomes a lymphatic structure it is primarily derived from the epithelium (entoderm) of the branchial grooves and will be considered in connection with the development of the alimentary tract (Chap. XII). The tonsils also will be considered in the same connection. Anomalies. ANOMALIES OF THE HEART. ACARDIA. The malformation known as acardia occurs in the case of twins that have but one chorion. The so-called acardiac condition does not 286 TEXT-BOOK CF EMBRYOLOGY necessarily imply the absence of the heart in the affected twin, for the latter may develop to a considerable degree and possess a functionating heart. On the other hand, the affected twin may be only an amorphous mass of tissue which derives its total blood supply through the agency of the stronger twin's heart. Or there may be any intermediate form between these two extremes. The point is that the acardiac monster (acardiacus) derives its blood wholly or in part through the agency of the stronger heart. A further discussion of acardiac monsters and their possible explanation will be found in Chap. XIX. DOUBLE HEART. But one or two cases of a double heart in a single human foetus have been recorded. In some of the lower forms (chick) it occurs more frequently. The explanation is probably to be found in the double origin of the heart in Amniotes (p. 227). ANOMALOUS POSITION OF THE HEART. Congenital anomalies in the posi- tion of the heart are rare. Dextrocardia (heart on the right side) is almost invariably associated with changes in the position of the viscera (see trans- position of the viscera, page 335). In the condition known as ectopia cordis, the heart, with the pericardium, protrudes through a cleft in the ventral wall of the thorax, the cleft being probably due to an imperfect fusion of the two sides of the body wall in that particular region. ANOMALIES OF THE SEPTA. The most frequent anomaly in the atrial septum is the persistence of the foramen ovale. The entire foramen may remain patent, or, as is more frequently the case, a smaller opening may persist between the ventral (anterior) border of the foramen and the valve of the latter (p. 234). The atrial septum may be wholly lacking, but this always occurs in con- junction with other defects. It sometimes happens that the primary atrial septum (septum superius), which grows from the cephalic side of the common chamber, fails to fuse with the septum of the a trio-ventricular aperture (p. 234 and Fig. 209). Defects in the ventricular septum occur less frequently than in the atrial septum. It may happen that the cephalic (upper) border of the ventricular septum fails to fuse with the septum which divides the aortic trunk and bulb into the aorta and pulmonary artery. This affects the cephalic (upper) part of the septum sometimes called the pars membranacea (p. 235 and Fig. 212); and since the defect is situated near the opening of the aorta it brings about the so-called "origin of the aorta from both ventricles." Stenosis of the pulmonary artery usually accompanies this condition. Rarely is there a deficiency in the caudal (lower) part of the ventricular septum. Complete absence of the ventricular septum may occur, and along with it also an absence of the atrial septum, so that the heart is simply two-chambered; or THE DEVELOPMENT OF THE VASCULAR SYSTEM 287 the single ventricle may open into two atria. The causes of these defects are obscure. ANOMALIES OF THE VALVES, There may be congenital variations in the size and number of the atrio-ventricular valves, depending upon abnormal position, fusion, or division of the pad-like masses from which the valves develop (p. 237). There may be also a greater or lesser number of semilunar valves in the aorta and pulmonary artery. This irregularity can probably be referred back to an atypical division of the aortic trunk and bulb, and a corresponding atypical division of the protuberances which give rise to the valves (p. 237). Variations in the valves may or may not be accompanied by functional dis- turbances. The congenital diminution in the number of valves should be distinguished from the acquired, where chronic endocarditis may cause a fusion. ANOMALIES OF THE LARGE VASCULAR TRUNKS. ANOMALIES OF THE ARTERIES. There may be a transposition of the aorta and pulmonary artery. This results from an anomalous division of the aortic trunk and bulb. The partition develops in such a way as to put the aorta in communication with the right ventricle, and the pulmonary artery with the left ventricle (p. 235). Or the aorta and pulmonary artery may remain in direct communication on account of an imperfect development of the partition. Rarely the two vessels remain as a common stem. Congenital stenosis (constriction) of the pulmonary artery may occur, accompanied by an increase in the size of the aorta, possibly due to an unequal division of the aortic trunk and bulb. After birth little or no blood can pass to the lungs, and the result is a general damming (stasis) of the venous blood with marked cyanosis. This is at least one explanation of the so-called " blue babies." Less frequently there is a stenosis of the proximal end of the aorta, with excessive size of the pulmonary artery, also due to an unequal division of the aortic trunk and bulb (p. 235). These stenoses are usually, though not always, accompanied by defects in the ventricular septum. Persistence of the ductus arteriosus may occur without any other defect; but usually the persistence is associated with anomalous conditions of the aorta and pulmonary artery. Occasionally the arch of the aorta is found on the right side. This condi- tion is due to the persistence of the fourth aortic arch on the right side instead of the corresponding arch on the left side; this is the normal condition in Birds. Rarely both fourth aortic arches persist, which results in a double arch of the aorta the normal condition in Reptiles. (Compare Figs. 219 and 220.) 288 TEXT-BOOK OF EMBRYOLOGY The dorsal aorta, particularly the abdominal part, is occasionally found to consist of two parallel, imperfectly separated vessels a condition known as double aorta. This anomaly is due to an imperfect fusion of the two primitive aortae (p. 218 and Fig. 203). Numerous variations are met with in the larger branches of the aorta, many of which are explained by referring them to embryonic conditions. Especially noteworthy are the branches from the arch of the aorta, since their development is so closely associated with the changes in the aortic arches. The normal arrangement passing from the heart, is innominate artery, left common carotid artery, left subclavin artery (see Fig. 220). 1. All these branches may be collected into a single trunk a condition characteristic of the horse. 2. Two branches may arise from the arch, (a) The left common carotid unites with the innominate, and the left subclavian arises separately. This is the normal arrangement among the apes, and is probably the most common variation in man. (b) Very rarely there are two innominate arteries, each formed by the union of a common carotid and subclavian a condition char- acteristic of Birds. 3. Three branches may arise from the arch but in a manner differing from the normal. Each subclavian arises separately and the two common carotids are united into a single vessel. This arrangement is found in some of the Cetacea. 4. Four vessels may arise from the arch, (a) These are, in order, in- nominate, left common carotid, left vertebral, left subclavian. (b) Or the order may be right common carotid, left common carotid, left subclavian, right subclavian. In this case the proximal part of the right subclavian rep- resents the portion of the right dorsal aortic root just cranial to the bifurca- tion; the fourth arch on the right side disappears, (c) Or very rarely the order may be right subclavian, right common carotid, left common carotid, left subclavian. 5. Five branches of the arch are rare. In order they are right sub- clavian, right vertebral, right common carotid, left common carotid, left subclavian. 6. Very rarely there are six branches of the arch; right subclavian, right vertebral, right common carotid, left common carotid, left vertebral, left subclavian. ANOMALIES OF THE VEINS. The two pulmonary "veins on. each side, more frequently those on the left side, many unite into a common trunk before opening into the atrium. This variation is probably due to the fact that the absorption of the originally single pulmonary trunk into the wall of the THE DEVELOPMENT OF THE VASCULAR SYSTEM 289 atrium does not proceed far enough to cause all four of the pulmonary veins to open separately (see p. 236). The upper (more cephalic) vein on the right side may open into the superior vena cava ; or the upper vein on the left side may open into the left innominate vein. A possible explanation for this is that the pulmonary veins are formed after the heart and other vessels have developed to a considerable degree, and some of them may unite with the other vessels instead of with the atrium. Occasionally two superior vena cava are met with. In this case the right opens into the right atrium in the normal position; the left opens into the right atrium through the coronary sinus which naturally is much enlarged. This condition represents a persistence of the proximal end of the left anterior cardinal vein and the left duct of Cuvier, and is the normal arrange- ment in many of the lower Vertebrates. Even with two venae cavae there may be a small anastomosing branch in the position of the left innominate vein, which represents the normal structure in the Marsupials (see Figs. 232 and 233 and p. 254). There are a few cases on record of a single left superior vena cava. The inferior vena cava is also subject to variations which represent the abnormal persistence of certain embryonic vessels. Perhaps the most striking of these variations is the condition known as double inferior vena cava. There may be two parallel vessels, of equal or unequal size, which unite at or above the level of the renal veins. This condition is to be ex- plained by the persistence of parts of both posterior cardinal veins. It is met with not infrequently among the lower Mammals, especially the Mar- supials (see Figs. 233 and 236). Rarely the inferior vena cava opens into the superior, and in this case the hepatic veins open directly into the right atrium. This anomaly probably represents a failure of the absorption of the sinus venosus into the wall of the atrium (p. 236). A left renal vein may open into the left common iliac, which condition represents a persistence of the more caudal part of the left posterior cardinal (Fig. 236). This anomaly is rare. The azygos vein occasionally presents variations which are due to anoma- lous development. All the intercostal veins on the left side may be collected into a vessel which opens into the left innominate vein. There may be a single median azygos vein; or there may be a transposition of the azygos vein. It may be on the left side and open into the coronary sinus (normal condi- tions in the sheep and a few other Mammals). The latter condition repre- sents a persistence of the more cephalic part of the left posterior cardinal vein (see Figs. 233 and 234). 290 TEXT-BOOK OF EMBRYOLOGY Space does not permit a discussion of the great number of congenital variations that occur in the smaller blood vessels, both arteries and veins. The student is referred, however, to the more extensive text-books of anatomy. References for Further Study. BORN, G.: Beitrage zur Entwicklungsgeschichte des Saugetierherzens. Archiv f. mik. Anal., Bd. XXXIII, 1899. CLARK, E. R.: Further Observations on Living Growing Lymphatics; their Relation to Mesenchymal Cells. Am. Jour, of Anat., Vol. XIII, 1911. CLARKE, W. C.: Experimental Mesothelium. Anat. Record, Vol. VIII, 1914. DANTSCHAKOFF, W.: Untersuchungen iiber die Entwicklung des Blutes und Bindege- webes bei den Vogeln. Anat. Hefte, Bd. XXXVII, 1908. DANCHAKOFF, V.: Origin of the Blood Cells. Development of the Haematopoetic Organs and Regeneration of the Blood Cells from the Standpoint of the Monophyletic School. Anat. Record, Vol. X, No. 5, 1916. ETERNOD, A. C. F.: Premiers stades de la circulation sanguine dans 1'ceuf et embryon humain. Anat. Anz., Bd. XV, 1899. His, W.: Anatomic menschlicher Embryonen. Leipzig, 1880-1885. With Atlas. HOCHSTETTER, F. i Die Entwickelung des Blutgefasssystems. In Hertwig's Handbuch der vergleich. und experiment. Entwickelungslehre. Bd. Ill, Teil II, 1901. Contains also extensive bibliography. HOWELL, W. H.: The Life History of the Formed Elements of the Blood, Especially the Red Blood-corpuscles. Journal of Morph., Vol. IV, 1890. HUNTINGTON, G. S., and McCLURE, C. F. W.: Development of Postcava and Tribu- taries in the Domestic Cat. Am. Jour, of Anat., Vol. VI, 1907. HUNTINGTON, G. S.: The Phylogenetic Relations of the Lymphatic and Blood Vas- cular Systems in Vetebrates. Anat. Record, Vol. IV, 1910. HUNTINGTON, G. S.: The Genetic Principles of the Development of the Systemic Lym- phatic Vessels in the Mammalian Embryo. Anat. Record, Vol. IV, 1910. HUNTINGTON, G. S.: The Development of the Lymphatic System in Reptiles. Anat. Record, Vol. V, 1911. HUNTINGTON, G. S.: The Anatomy and Development of the Systemic Lymphatic Vessels in the Domestic Cat. Memoirs of the Wistar Institute of Anatomy and Biology, No. i, 1911. HUNTINGTON, G. S.: The Development of the Mammalian Jugular Lymph Sac, of the Tributary Primitive Ulnar Lymphatic and the Thoracic Ducts from the Viewpoint of recent Investigations of Lymphatic Ontogeny, Am. Jour, of Anat., Vol. XVI, No. 3, 1914. KLING, C. A.: Studien iiber die Entwicklung der Lymphdriisen beim Menschen. Archiv f. mik. Anat., Bd. LXIII, 1904. KOLLMANN, J.: Handatlas der Entwickelungsgeschichte des Menschen, Bd. II, 1907. LEHMAN, H.: On the Embryonic History of the Aortic Arches in Mammals 1 . Anat. Anz., Bd. XXVI, 1905. LEWIS, F. T.: The Development of the Vena Cava Inferior. Am. Jour, of Anat., Vol. I, 1902. LEWIS, F. T. : The Development of the Veins in the Limbs of Rabbit Embryos. Am. Jour, of Anat., Vol. V, 1906. THE DEVELOPMENT OF THE VASCULAR SYSTEM 291 MALL, F. P. : Development of the Internal Mammary and Deep Epigastric Arteries in Man. Johns Hopkins Hosp. Bull., 1898. MALL, F. P.: On the Development of the Blood Vessels of the Brain in the Human Embryo. Am. Jour, of Anat., Vol. IV, 1905. MAXIMOW, A. : Die Friihesten Entwicklungsstadien der Blut- und Bindegewebszellen beim Saugetierembryo, bis zum Anfang der Blutbildung in der Leber. Arch.f. mik. Anat. t Bd. LXXIII, 1909. MAXIMOW, A.: Lymphozyt als gemeinsame Stammzelle der verschiedenen Blutele- mente in der embryonalen Entwicklung und im postfetalen Leber der Saugetiere. Folia Hamatolog., Bd. VIII, 1909. MAXIMOW, A.: Die embryonale Histogenese des Knochenmarks der Saugetiere. Arch. f. mik. Anat., Bd. LXXVI, 1910. McCLURE, C. F. W.: The Development of the Lymphatic System in Fishes with Especial Reference to its Development in the Trout. Memoirs of the Wistar Institute of Anatomy and Biology, No. 4, 1915. ^ McCLURE, C. F. W., and SILVESTER, C. F.: A Comparative Study of the Lymphati- co- Venous Communications in Adult Mammals. Anat. Record, Vol. Ill, 1909. MILLER, A. M.: Histogenesis and Morphogenesis of the Thoracic Duct in the Chick;; Development of Blood Cells and their Passage to the Blood Stream via the Thoracic Duct. Am. Jour, of Anat., Vol. XV, 1913. MIXOT, C. S.: On a Hitherto Unrecognized Form of Blood Circulation without Capil- laries in the Organs of Vertebrata. Proc. Boston Soc. Nat. Hist., Vol. XXIX, 1900, ROSE, C.: Zur Entwickelungsgeschichte des Saugetierherzens. Morph. Jahrbuch, Bd. XV, 1889. RUCKERT, J., and MOLLIER, S.: Die erste Entstehung der Gefasse und des Blutes bei Wirbeltiere. In Hertwig's Handbuch der vergleich und experiment. Entwickelungslehre> Bd. I, Teil I, 1906. Contains also extensive bibliography. SABIN, F. R. : On the Origin of the Lymphatic System from the Veins and the Develop- ment of the Lymph Hearts and Thoracic Duct in the Pig. Am. Jour, of Anat., Vol. I, 1902. SABIN, F. R. : The Origin and Development of the Lymphatic System. The Johns Hopkins Hospital Reports Monographs, New Series, No. 5, 1913. SALA, L.: Svilluppo dei cuori linfatici e dei dotti toracici nelP embrione di polio. Ricerche fatte nel laboratorio de anatomia normale della R. Universita di Roma, Vol. VII, 1900. SCHULTE, H. VON W.: Early Stages of Vasculogenesis in the Cat (Felis domestica) with Especial Reference to the Mesenchymal Origin of Endothelium. Memoirs of the Wistar Institute of Anatomy and Biology, No. 3, 1914. STOCKARD, CHAS. R.: The Origin of Blood and Vascular Endothelium in Embryos without a Circulation of the Blood and in the Normal Embryo. Am. Jour, of Anat., Vol. XVIII, No. 2, 1915. STOERK, O.: tlber die Chromreaktion der Glandula coccygea und die Beziehung dieser Druse zum Nervus sympthathicus. Arch. f. mik. Anat., Bd. LXIX, 1906. STOHR, P.: tjber die Entwicklung der Darmlymphknotchen und iiber die Riickbildung von Darmdrusen. Arch. f. mik. Anat., Bd. LI, 1898. TAXDLER, J.: Zur Entwickelungsgeschichte der menschlichen Darmarterien. Anat. Heft, Bd. XXIII, 1903. TOXKOFF, W.: Die Entwickelung der Milz bei den Amnioten. Archiv f. mik. Anat. t Bd. LVI, 1900. 292 TEXT-BOOK OF EMBRYOLOGY WEIDENREICH, F. : Die Morphologic der Blutzellen und ihre Beziehungen zu einander. Anat. Record, Vol. IV, 1910. WEST, R.: The Origin and Early Development of the Posterior Lymph Heart in the Chick. Am. Jour, of Anat., Vol. XVII, 1915. WRIGHT, J. H.: The Origin and Nature of the Blood Plates. Boston Med. and Surg. Jour., Vol. CLIV, 1906. CHAPTER XI THE DEVELOPMENT OF THE MUSCULAR SYSTEM. Anatomy and Histology show that there are, in a sense, two muscular systems in the body, and Embryology teaches that the two systems have dif- ferent origins. 1. The skeletal musculature. This, as the name indicates, is closely associated with the skeletal system. It is made up of striated muscle fibers arranged to form definite bundles or muscles. The skeletal musculature is under the voluntary control of the central nervous system. 2. The visceral musculature. This is found in connection with and forms integral parts of certain organs. It is made up of two different kinds of fibers smooth muscle fibers or cells and striated fibers or cells (heart-muscle cells). The latter are found only in the wall of the heart. The visceral musculature is involuntary, being under the control of the sympathetic nervous system. Both systems are derived from mesoderm but from distinct parts of the mesoderm. Furthermore, their developmental histories are quite different, as will be seen in the following paragraphs. THE SKELETAL MUSCULATURE. In the chapter on the development of the germ layers it was said (p. 72) that throughout the length of the body region of the embryo the mesoderm on each side of the neural tube and notochord becomes divided into a definite number of segments the primitive segments or mesodermic somites (Figs. 57, 72, 74). These indicate the segmentation of the body, and the history of the greater part of the skeletal musculature dates from their differentiation from the axial mesoderm. Thus the skeletal musculature is, for the most part, primarily segmental in character. At first the primitive segments are composed of closely packed, epithelial- like cells, and each segment contains a small cavity which represents a portion of the coelom (Fig. 141). The ventro-medial parts of the segments become differentiated to form the sclerotomes which are composed of more loosely ar- ranged cells (Fig. 261), and which are destined to give rise to the vertebrae and to the various kinds of connective tissue in their neighborhood. The lateral parts of the segments become differentiated to form the cutis plates which are destined to give rise to a part of the corium of the skin. The remaining portions 293 294 TEXT-BOOK OF EMBRYOLOGY. of the segments form the muscle plates or myotomes (Fig. 261), from which develop by far the greater part, at least, of the voluntary striated muscles. The differentiation of the parts of the primitive segments begins in the cervi- cal region by the end of the second week, and then gradually proceeds toward the tail. Three myotomes are also probably formed in the occipital region. The cells of the myotomes are at first of an epithelial character (Fig. 143). Contractile fibrils appear in the cells and the latter are transformed directly into muscle fibers. (For histogenesis see p. 307). The fibers later alter their direction in accordance with the particular muscle to which they belong. The muscle tissue first formed is thus segmented, being derived from the segmen- Neural crest Myotome Myotomex Scl. '' ' ' r>>v sg-JX Sclerotome *Z t~" * ''.r *. *r*.v WM$k Pronephros ^ Parietal mesoderm-- Intestine ""limb bud Amnion Visceral mesoderm - FIG. 261. Transverse section of human embryo of the 3rd week. Sc/. 1 , Break in myotome at point where sclerotome is closely attached. Kollmann. tally arranged myotomes, but as development proceeds the myotomes undergo extensive changes by which the segmental character is lost in the majority of cases. It is retained, however, in a few instances, such for example as the intercostal muscles. The course of the changes which obliterate the segmental character of the myotomes and give rise to the various muscles has not been observed in all cases. But since a nerve belonging to any particular segment and innervating the myotome of that segment always innervates the muscles derived from that myotome, it is possible to learn something of the history of the myotomes by studying the innervation of the muscles. From a consideration of what is known concerning the individual histories THE DEVELOPMENT OF THE MUSCULAR SYSTEM. 295 of the muscles and concerning the innervation of the muscles, certain factors can be recognized, to one or more of which the changes in the myotomes may be referred. These factors are as follows: 1. Migration. The myotomes may migrate in whole or in part, and the muscles derived from them may be situated far beyond their limits. For example, the latissimus dorsi is derived from cervical myotomes but ultimately becomes attached to the lumbar vertebrae and to the crest of the ilium. To this factor, possibly more than to any other, is due the loss of the segmental character in the musculature. 2. Fusion. Portions of two or more myotomes may fuse to form one muscle. For example, each oblique abdominal muscle is derived from several thoracic myotomes. 3. Longitudinal Splitting. Very frequently a myotome or a developing muscle splits longitudinally into two or more portions. The sternohyoid and the omohyoid, for example, are formed in this manner. 4. Tangential Splitting. A developing muscle may split tangentially into two or more plates or layers. The two oblique and the transverse abdominal muscles, for example, are formed in this way. 5. Degeneration. Myotomes may degenerate as a whole or in part and be converted into some form of connective tissue, such as fascia, ligament or aponeurosis. The aponeuroses of the transverse and oblique abdominal muscles are probably due to a degeneration of portions of the myotomes from which the muscles are derived. 6. Change of Direction. The muscle fibers may change their direction. As a matter of fact, the fibers of very few muscles retain their original direction. Muscles of the Trunk. The myotomes are at first arranged serially along each side of the notochord and spinal cord (compare Fig. 262 with Figs. 143 and 261) . By the end of the second week fourteen myotomes are differentiated in the human embryo. Differen- tiation continues until, by the end of the fourth week, the total number thirty- eight is present. Of the thirty-eight, three are occipital, eight cervical, twelve thoracic, five lumbar, five sacral, and five (or six) coccygeal. The occipital myotomes are transient structures that appear in relation with the hypoglossal (XII) nerve. The cervical, thoracic, lumbar, sacral and coccygeal myotomes correspond individually to the spinal nerves (Fig. 262). As stated on page 180, the myotomes alternate with the anlagen of the vertebrae. Consequently in the cervical region there are eight myotomes, corresponding to the eight cervical spinal nerves, and only seven vertebrae. The myotomes in the neck and body regions are destined to give rise to the dorsal musculature, to the thoraco- 296 TEXT-BOOK OF EMBRYOLOGY. abdominal musculature, to a part of the muscles of the neck, and to the muscles of the tail region. There is a possibility that they give rise also to the muscles of the tongue. As the myotomes continue to develop, they become elongated in a ventral FIG. 262. Lateral view of human embryo of 9 mm. (4^ weeks). Bardeen and Lewis. The area from which the skin has been removed is drawn from reconstructions. The myotomes have fused to a certain extent, so that segmentation is becoming less distinct. Note that the myotomes correspond to the spinal nerves. The developing muscle mass (the myotomes collectively) extends ventrally in the body wall in the thoracic region, and is divided by a longitudinal groove into two parts a dorsal and a ventro-lateral (see text). In the region of the upper extremity, dense masses of " premuscle " tissue are represented which later form the muscles. In the region of the forearm and hand the " premuscle " tissue has been removed to disclose the anlagen of the skeletal elements (radius, ulna, and hand plate). In the region of the lower extremity the superficial tissue has been removed to disclose the border vien, the anlagen of the os coxae, and the lumbo-sacral nerve plexus. direction. Those of the thoracic region extend into the connective tissue of the somatopleure, or in other words, into the lateral body walls (compare Figs. 262 and 263). During the fifth week the myotomes give rise to a dorso- ventral mass of developing muscle tissue, in which the segmental character THE DEVELOPMENT OF THE MUSCULAR SYSTEM. 297 Spinal ganglion .../; Dorsal musculature Ventro-lateral musculature >^ Vertebral arch Dorsal ramus of spinal nerve Segmental artery Costal process Lat. branch of spinal nerve Vent, branch of spinal nerve FIG. 263. Diagrammatic cross section through the 5th-6th thoracic segments of a human embryo of 9 mm. (4^ weeks). Bardeen and Lewis. FIG. 264. Drawing from a reconstruction of the region of the lower extremity of a human embryo of 9 mm. (4^ weeks). Bardeen and Lewis. The visceral organs and the greater part of the left body wall have been removed. The 8th thoracic to the 5th sacral segments are shown. On the right side of the body the costal processes, the spinal nerves (including the lumbo-sacral plexus), and the lower extremity are shown. On the left side the costal processes, the spinal nerves, and the nth and i2th thoracic myo- tomes are represented. Note the dorsal, lateral, and sympathetic branches of the spinal nerves. 298 TEXT-BOOK OF EMBRYOLOGY. largely disappears. The muscle mass then becomes divided longitudinally into two parts, (i) a dorsal and (2) a ventro-lateral (Figs. 262, 263 and 264). 1. The dorsal part is destined to give rise to those dorsal muscles of the trunk that are not associated with the extremities, and is innervated by the dorsal rami of the spinal nerves (Fig. 263). 2. The ventro-lateral part again divides longitudinally into (a) a lateral External oblique External inteicostal Internal intercostal I Ventro-lateral Internal oblique | musculature Transversalis Rectus FIG. 265. Diagrammatic cross section through the 6th-yth thoracic segments of a human embryo of 17 mm. (5^ weeks). Bardeen and Lewis. and (b) a ventral part, although the line of division is not so distinct as between the original (i) dorsal and (2) ventro-lateral parts (Fig. 265). (a) The lateral part subdivides tangentially and gives rise in the cervical region to the longus capitis, longus colli, rectus capitis anterior, to the scaleni, and to parts of the trapezius and sternomastoideus (Figs. 266 and 267). In the thoracic region it gives rise to the intercostales and to the transversus thoracis (Figs. 265 and 268) ; in the abdominal region to the psoas, quadratus lumborum, and to the obliqui and transversus abdominis (Figs. 267 and 268). THE DEVELOPMENT OF THE MUSCULAR SYSTEM. 299 (b) The ventral part gives rise in the cervical region to the sternohyoideus, omohyoideus, sternothyreoideus and geniohyoideus. In the abdominal region the ventral part gives rise to the rectus abdominis and to the pyramid alls (Figs. 265 and 267). In the thoracic region there are no muscles derived from the ventral part, corresponding to those in the abdominal region. This is probably due to the development of the sternum. FIG. 266. Lateral view of a human embryo of u mm. (about 5 weeks). Bardeen and Lewis. The area from which the skin has been removed is drawn from reconstructions. The dorsal mus- culature has been removed from the region of the upper extremity, exposing the 4th to the 8th cervical and the ist to the 3d thoracic vertebrae. The dorsal musculature has likewise been removed from the 5th lumbar and first three sacral segments. Segmentation is practi- cally lost in the dorsal musculature in the thoracic region, but is still evident in the lumbar, sacral and coccygeal regions. The ventro-lateral musculature is distinctly separated from the dorsal, and is beginning to differentiate into the muscles of the thorax and abdomen. The ventro-lateral portions of the lumbar myotomes and of the first two sacral myotomes, corresponding to the ventro-lateral portions of the thoracic myotomes, apparently do not take part in the production of muscles w r hich be- long to the body wall proper. It is even questionable whether they give rise to any muscles of the lower extremities. The ventro-lateral portions of the third 300 TEXT-BOOK OF EMBRYOLOGY. and fourth sacral myotomes give rise to the levator ani, the coccygeus, the sphincter ani eocternus and the perineal muscles. The dorsal parts of the myo- tomes as far as the fifth sacral probably give rise to the sacrospinalis (Fig. 266). THE DIAPHRAGM. In addition to certain structures which are considered in connection with the pericardium (parietal mesoderm, mesocardium and common mesentery Chapter XIV), two myotomes on each side enter into FIG. 267. Drawing from a reconstruction of a human embryo of 20 mm. (about 7 weeks). Bardeen and Lewis. The superficial tissues have been removed from the extremities, the body wall, and the back. the formation of the diaphragm. These are the third and fourth cervical myo- tomes, parts of which grow into the developing diaphragm in the earlier stages when it is situated far forward in the cervical region (p. 378 and Fig. 336), and give rise to its muscular elements. Muscles of the Head. Primitive segments (mesodermic somites) are not clearly demonstrable in the heads of human embryos, nor, in fact, in the heads of any of the higher Vertebrates. In some of the lower forms, however, they are very distinct. It seems possible, even probable, that their indistinctness in the higher animals THE DEVELOPMENT OF THE MUSCULAR SYSTEM. 301 is due to an abbreviation or condensation in the development of the head region. Such condensations are known to occur in the development of other structures. In a human embryo 3.5 mm. long, three structures resembling segments have been seen somewhat caudal to the region of the ootic vesicle on FIG. 268. Drawing from a reconstruction of the right side of a human embryo of 20 mm. (about 7 weeks). Bardeen and Lewis. The left body wall and viscera have been removed. Note especially the following muscles: The deltoid and biceps, just to the left of the brachial plexus and below the clavicle; the internal intercostals; the diaphragm, attached to the body wall; the transverse abdominal and the rectus abdominis; the quadratus lumborum, just to the right of the transverse abdominal; the psoas, cut just above the lumbo-sacral plexus; the levator ani, running obliquely upward from the coccygeal region. one side. On the other side there were seven similar but smaller structures. All were composed of epithelial-like cells surrounding small cavities. Whether these segment-like structures bear any relation to the mesenchymal condensations which appear regularly in the occipital region (p. 189), seems not to have been determined. 302 TEXT-BOOK OF EMBRYOLOGY. Although the transformation of head segments into muscles has not been followed in detail in mammalian embryos, it may be inferred from the study of lower forms that three segments are involved in the formation of the eye muscles. The most cephalic (anterior) segment gives rise to the recti superior, inferior and medialis (internus) and to the obliquus inferior , all of which are innervated by the occulomotor (III) nerve. The next segment gives rise to the obliquus superior which is innervated by the pathetic (IV) nerve. The most caudal segment gives rise to the rectus lateralis (externus) which is innervated by the abducens (VI) nerve. The development and innervation of the other muscles of the head and of the hyoid musculature present certain peculiarities which have caused these muscles to be considered as more closely related to the visceral musculature than to the myotomic musculature. In the first place they are derived from Eighth cervical myotome Upper limb bud Somatcpleure Mesonephric duct FIG. 269. Transverse section through the eighth cervical segment of a human embryo of 2.1 mm. Lewis. the branchial arches (hence are often called branchiomeric muscles}, and not directly from the myotomes of the neck region. This places them in closer relation to the visceral muscles, although they are structurally and functionally different from the latter. In the second place the nerves which supply them are fundamentally different from those which supply the myotomic muscles (Chap. XVII). The first branchial arch on each side gives rise to the temporalis, masseter and pterygoidei, to the mylohyoideus and digastricus (venter anterior) and to the tensor tympani and tensor veli palatini. All these muscles are innervated by the trigeminal (V) nerve. The second arch, which is often called the hyoid arch, gives rise to a large sheet of myogenic tissue which produces many of the facial muscles, such as the THE DEVELOPMENT OF THE MUSCULAR SYSTEM. 303 platysma and epicranius, the muscles of expression quadratus labii superioris, risorius, triangularis, mentalis, etc.; also two muscles connected with the hyoid bone digastricus (venter posterior) and stylohyoideus and the stapedius of the middle ear. The facial (VII) nerve corresponds to the second arch and sup- plies all these muscles. The glossopharyngeal (IX) nerve corresponds to the third branchial arch, and this fact indicates the muscles derived from that arch. Some, at least, of the constrictor muscles of the pharynx are derived from the third arch. The stylo-pharyngeus is also a derivative of the same arch. The vagus (X) nerve is associated with the fourth and fifth arches and con- sequently innervates the muscles derived from these arches, viz., the rest of the constrictors of the pharynx (see above), the laryngeal muscles and the muscles of the soft palate (except the tensor veli palatini which is derived from the first arch (p. 302) . The glossopalatinus and chondroglossus are also derived from the fourth and fifth arches, while the rest of the extrinsic muscles of the tongue are of myotomic origin. Two other muscles are probably derived in part from the branchial arches, for fibers of the spinal accessory (XI) nerve afford a part of their innervation. These are the trapezius and the sternomastoideus, the remaining parts of which are of myotomic origin (p. 298). Muscles of the Extremities. The question as to whether the muscles of the extremities are derivatives of the myotomes or of the mesenchymal tissue in the limb buds has not been settled. In some of the lower Vertebrates, especially in some of the Fishes, it seems to have been pretty clearly demonstrated that bud-like processes from the myotomes grow into the anlagen of the extremities (fins), and there give rise to muscles. In other lower forms no such buds from the myotomes have been demonstrated, but the muscles are apparently derived directly from the mesenchymal tissue in the anlagen of the extremities. In the higher verte- brates, especially in Mammals, no distinct myotome buds have been traced into the extremities. Some investigators hold, however, that instead of myotome buds some cells from the myotomes myoblasts wander into the limb buds and give rise to muscles. Other investigators are inclined to the view that the musculature of the extremities is not of myotomic origin, but that it is derived from the mesenchymal tissue of the limb buds. A most striking feature of the musculature of the extremities is its distinctly segmental nerve supply. This, of course, is in favor of, although it does not prove, its myotomic origin. If the muscles of the extremities are of myotomic origin, it is very probable that several myotomes take part in their formation. 304 TEXT-BOOK OF EMBRYOLOGY. In the first place among the lower Vertebrates the muscles of each extremity are derived from several myotomes and are innervated by segmental nerves cor- responding to these myotomes. In the second place among the higher Verte- brates, although the myotomic origin of the muscles has not been clearly demon- strated, the nerve supply in each extremity comes through several segmental spinal nerves. Knowledge concerning the development of the individual muscles of the ex- tremities in the human embryo is incomplete. Especially is this true of the muscles of the lower extremities. The upper limb bud first appears in embryos of 2-3 mm. (during the third week) as a slight swelling ventro-lateral to the myotomes in the lower cervical Eighth cervical / myotome /,".' Upper limb bud Border vein FIG. 270. Transverse section through the eighth cervical segment of a human embryo of 4.5 mm. Lewis. region (Fig. 269; see also Fig. 123). The swelling gradually enlarges and by the time the embryo has reached a length of 4-5 mm. lies op'posite the last four cervical and the first thoracic myotomes. At this time it is filled with closely packed mesenchymal cells. No buds from the myotomes can be seen extending into the mesenchyme (Fig. 270). In succeeding stages the limb bud enlarges still more, and the mesenchymal tissue becomes denser (Figs. 271 and 272). During these stages no growths, either of buds or of individual cells, from the myotomes are apparent. Some of the cervical nerves, however, enter the limb buds (Fig. 272). Apparently the tissue from which the muscles, as well as the skeletal ele- ments, are to develop, is the condensed mesenchymal tissue. The first indica- tion of differentiation occurs during the fourth week (embryo of about 8 mm.). The central portion or core of the mesenchymal mass becomes still denser to form the anlage of the skeletal elements of the extremity. The tissue of the THE DEVELOPMENT OF THE MUSCULAR SYSTEM. 305 core shades off into the surrounding tissue of a lesser density, which is destined to give rise to the muscles and which is known as the premusde sheath. During these processes of differentiation in the limb bud proper, masses of premuscle tissue have also become differentiated around the base of the limb bud. These are the forerunners of certain extrinsic muscles of the upper ex- tremity, such as the pectoralis, levator scapula, trapezius, latissimus dorsi, ser- ratus, etc. (Fig. 273; compare with Fig. 274). Spinal ganglion Intervertebral disk 8th cervical myotome Upper limb bud Border vein FlG. 271. Transverse section through the 8th cervical segment of a human embryo of 5 mm. Lewis. By the end of the fifth week the premuscle sheath in the limb bud proper be- comes more or less differentiated into muscles or groups of muscles. The differentiation is most complete at the proximal end. From this the transition is gradual to the distal end where the premuscle sheath is intact By the end of the sixth week most of the muscles of the upper extremity are recognizable (Figs. 274 and 275). By the end of the seventh week practically all the muscles can be recognized and are composed of muscle fibers. During the differentiation of the muscles, the limb bud and certain ex- trinsic muscles migrate a considerable distance caudally. For example, the 306 TEXT-BOOK OF EMBRYOLOGY. pectoralis and latissimus dorsi migrate from the base of the arm to the thoracic wall. Their nerves are naturally pulled with them. The trapezius muscle, which originates well forward in the cervical region, migrates so that it finally reaches as far as the last thoracic vertebra. The sternomastoideus also origi- nates well forward in the cervical region, but finally extends to the clavicle and sternum. The migration of the upper extremity causes the brachial plexus to have a caudal inclination. The lower limb buds arise very soon after the upper. As stated on page 153, the upper limbs always maintain a slight advance over the lower in develop- Spinal ganglion Vertebral arch 8th cerv. myotome 8th cerv. nerve 6th, 7th cerv. nerv Condensed mesenchyme Border vein Somatopleure FlG. 272. Transverse section through the 8th cervical segment of a human embryo of 7 mm. (about 4 weeks). Lewis. ment. As in the case of the upper, the lower limb buds appear as swellings on the ventro-lateral surface of the body, opposite the fifth lumbar and first sacral myotomes. The interior of each swelling is at first composed of closely packed mesenchymal tissue, but whether any part of the myotomes enters it is question- able. At all events several spinal nerves do enter the tissue and supply the muscles. The differentiation of a central core as the anlage of the skeleton, and the differentiation of the surrounding tissue as the premuscle sheath, take place in the same manner as in the upper extremity (p. 305) . From this premuscle sheath all the muscles of the lower extremity are developed. THE DEVELOPMENT OF THE MUSCULAR SYSTEM. 307 Histogenesis of Striated Voluntary Muscle Tissue. The majority of the striated voluntary muscles of the body are derived from the myotomes. Some are derived from the mesenchymal tissue in the branchial arches, some possibly from the mesenchymal tissue in the limb buds. The primitive segments are at first composed of closely arranged, epithelial-like cells that radiate from a small centrally placed cavity (Fig. 141). The cavity repre- sents part of the ccelom and from this point of view it can be said that the muscle is a derivative of the epithelial lining of the coelom. A part of each primitive Scapular Pectoral "Premuscle" Border vein 5th nerve Phrenic nerve Brachial plexus Sympathetic Diaphragm Vertebra Hand plate 4th rib FIG. 273. Drawing from a reconstruction of the upper limb region of a human embryo of 9 mm. (4^ weeks) ; ventral view. Lewis. Inf. hy., infrahyoid; Lev. scap., levator scapulae; My., myotome mass; Rhom., rhomboid; Trap., trapezius. segment becomes the sclerotome and cutis plate. The remaining part be- comes the myotome or muscle plate (Fig. 261). The cells of the myotome are at first not essentially different from those of the rest of the primitive segment. Soon, however, changes take place in them and they become the so-called myoblasts or muscle-forming cells, which are destined to give rise to the muscle fibers. Opinions differ as to the manner in which the myoblasts produce the muscle fibers. It was once thought that each myoblast gave rise to a single muscle fiber in which there were several nuclei, all 308 TEXT-BOOK OF EMBRYOLOGY. derived from the original myoblast nucleus by mitotic division. It was also thought that the muscle fibrillae represented highly modified and specialized parts of the cytoplasm, which arranged themselves longitudinally in the cell. Some of the later researches indicate that a muscle fiber represents a number of myoblasts fused together. This explanation is not, however, accepted by all investigators. In contrast with the above, there is a quite general consensus of opinion in regard to the development of the internal structure of the muscle fiber. In the FIG. 274. Lateral view of a reconstruction of the muscles of the upper extremity of a human embryo of 16 mm. (about 6 weeks). Lewis. The trapezius is the large muscle arising from the transverse processes of the vertebrae (at the right of the figure) and converging to its insertion on the clavicle. Just below the insertion of the trapezius is the deltoid, which partly hides the subscapular (on the right) and the pectoralis major (on the left). Arising beneath the deltoid and running downward to the elbow is the triceps. To the right of the triceps is the teres major (composed of two parts). The large sheet of muscle extending down the forearm and sending divisions to the 2d, 30!, 4th and 5th digits is the extensor communis digitorum. cytoplasm of the myoblasts there appear granules which soon arrange them- selves in parallel rows and unite to form slender thread-like fibrils (Fig. 276). These fibrils are at first confined to one myoblast area. If several myoblasts fuse, the fibrils probably extend in a short time from one myoblast area to another. If one myoblast produces a fiber, the fibrils naturally are confined to a single myoblast area throughout development. The fibrils are usually formed first at the periphery of the cell and later in the interior (Figs. 277 THE DEVELOPMENT OF THE MUSCULAR SYSTEM. 309 and 278.) At the same time they increase in number by longitudinal splitting. The cytoplasm among the fibrils becomes the sarcoplasm. After the granules which first appear unite to form the fibrils, the latter FIG. 275. Medial view of a reconstruction of the muscles of the upper extremity of a human embryo of 16 mm. (about 6 weeks). Lewis. The muscle arising on the scapula (at the left of the figure) and passing toward the right is the subscapular. The small muscle just below the subscapular is the teres major; below the latter and hanging downward is the latissimus dorsi. Note the cut end of the pectoralis minor just to the right of the narrow portion of the subscapular. Running from this cut end toward the right is the biceps. The muscle at the lower edge of the figure in the arm region is the triceps. In the forearm region, the muscle crossing the end of the biceps is the pro- nator teres. Below the pronator teres, extending from the elbow to the thumb region is the flexor carpi radialis. Below the latter and extending to a point opposite the thumb, is the palmaris longus. Beneath the palmaris longus and dividing into branches which pass to the sd, 3d, 4th, and 5th digits is the flexor sublimis digitorum. The muscle passing to the thumb is the flexor longus pollicis. The muscle at the lower border of the figure in the fore- arm region is the flexor carpi ulnaris. FIG. 276. Myoblasts in different stages of development. Godlewski. The upper cell represents a myoblast with granular cytoplasm (from sheep embryo of 13 mm) ; the middle, a myoblast with fibrils in process of formation (from guinea-pig embryo of 10 mm.); the lower, a myoblast with still further differentiated, segmented fibrils (from a rabbit embryo of 8.5 mm.). are apparently quite homogeneous. Later they become differentiated into two distinct substances which alternate throughout their length and produce the 310 TEXT-BOOK OF EMBRYOLOGY. characteristic cross striation. The nature of this differentiation is not known. One investigator holds that both substances are derived from the original granules that unite to form the fibrils, alternate granules being composed of like substance and united by delicate strands of the other substance. While the fibrils are being formed, the nuclei of the myoblasts undergo rapid mitotic division. When the cells are about filled with fibrils, the nuclei migrate to the periphery where they are situated in the fully formed fiber (Fig. 278). Each fiber thus possesses a number of nuclei, whether it is derived from one myoblast or from several. A.. x-T^rx / I ^*V?) 7 /$&&. \\ : Sy.^~^<, // fj rU^// > ^S>*/ FIG. 278 FIG. 277. From a cross section of developing voluntary striated muscle in the leg of a pig embryo of 45 mm., showing fibril bundles at the periphery of the cells. MacCallum. FIG. 278. From a cross section of developing voluntary striated muscle in the leg of a pig embryo of 75 mm., showing fibril bundles more numerous than in Fig. 277. A, Central vesicular nucleus; B, peripheral more compact nucleus. MacCallum. For some time at least, the number of fibers in a developing muscle increases by division of those already formed. This process would produce a certain degree of enlargement of the muscle as a whole. Later the increase in the number of fibers ceases, and the muscle grows by enlargement of the individual fibers. It is not certain at what period in development the increase in the num- ber of fibers ceases. In many muscles development is further complicated by a retrograde proc- ess a degeneration of some of the fibers. This occurs quite regularly in the extremities. A well fibrillated fiber first presents a homogeneous appearance, then becomes vacuolated, the nuclei disintegrate, and finally the whole structure disappears. Mesenchymal (or connective) tissue takes its place, and the remaining fibers are thus grouped into bundles and the bundles into muscles. This would account to a certain extent for the intermuscular con- THE DEVELOPMENT OF THE MUSCULAR SYSTEM. 311 nective tissue, the perimysium and endomysium, the epimysium being derived from the mesenchymal tissue which originally surrounded the muscle. THE VISCERAL MUSCULATURE. The visceral musculature is derived wholly from the mesoderm, but not from the myotomes. The striated involuntary muscle or heart muscle is de- rived from the mesothelial lining of the coelom, the smooth muscle from the mesenchymal tissue in various regions of the body. The heart muscle develops only in connection with the heart and consequently occurs in the adult only in that organ. Smooth muscle develops to form integral parts of certain structures such, for example, as the alimentary tube, glands, blood vessels, and skin. Histogenesis of Heart Muscle. When the simple tubular heart is first formed, the splanchnopleure projects into the ccelom (primitive pericardial cavity) along each side (Fig. 203; also p. 227). The mesothelium covering these projections is destined to give rise to FIG. 279. From a section of developing heart muscle from a rabbit embryo of 9 mm. Godlewski. a, Cell body with granules arranged in series; b, cell body with centrosome and attraction sphere; c, branching fibril; d, fibrils extending through several cells. the myocardium. The mesothelial cells which are at first closely packed to- gether with but little intercellular substance, assume irregular branching forms and the branches anastomose freely (Fig. 279). After the cells become loosely arranged, they again become closely packed to form a compact syncytium, in- dividual cells apparently assuming the shape of heavy bands (Fig. 280). Ir- regular transverse bands next appear, dividing the syncytium into the so-called 312 TEXT-BOOK OF EMBRYOLOGY. Heart muscle cells. These may or may not represent the original cells or myoblasts. At all events the muscle fibrils are continuous across the lines. The nuclei proliferate in the syncytium but remain in the central part of the bands or cells, instead of migrating to the periphery as in striated voluntary muscle. While the cells are still loosely arranged, rows of granules appear in the cytoplasm, and the granules in each row unite to form a fibril (Fig. 279) . The fibrils are at first confined to individual cell areas, but as the cells come closer together to form the compact syncytium, they extend through several cell areas and run in different directions (Fig. 280) . As development proceeds the fibrils be- come more nearly parallel (Fig. 281). They are first formed in the peripheries of the cells, but later also in the interior, except in a small area immediately sur- rounding the nucleus, where a small amount of undifferentiated cytoplasm remains. The latter is continuous with the cytoplasm or sarcoplasm among the fibrils. As in voluntary striated muscle the fibrils become differ- entiated into two distinct substances which alternate with each other, thus producing the transverse striation. FlG. 280. From a section of developing heart muscle in a rabbit embryo of 9 mm. Godlewski. The cells form a compact syncytium. Histogenesis of Smooth Muscle. The mesenchymal cells which are destined to produce smooth muscle cells are not grouped into any particular primitive structures like the mesodermic somites. They are simply scattered through the general mass of mesenchymal tissue and, like other mesenchymal cells, possess irregular branching forms and distinct spherical nuclei. The internal changes by which these cells are con- verted into muscle cells are not well known. The contractile elements the fibrillae probably represent highly modified portions of the original cyto- plasm but the manner in which the cytoplasm is transformed into fibrillae has not been determined. The external changes consist essentially in an elonga- tion of the irregular mesenchymal cells. The result of this elongation is usually a spindle-shaped cell, but exceptionally cells forked at one or both ends are produced. The original spherical nucleus also shares in the elongation and becomes rod-shaped. THE DEVELOPMENT OF THE MUSCULAR SYSTEM. 313 In some cases, for example in the muscular layers of the gastrointestinal tract, distinct bands or sheets of smooth muscle are formed in which the cells are closely packed and lie approximately parallel. In other cases, such as the mucosa of the intestine and the capsules of certain glands, the muscle cells develop in little groups or as isolated cells. Anomalies. More or less of the muscular system is involved in some of the gross anoma- lies or malformations of the body. For example, congenital defects in the cen- tral nervous system (anencephaly, rachichisis, etc.) are necessarily accompanied by atrophy or faulty development of certain parts of the muscular system. In the case of ventral median fissure of the abdominal wall (gastroschisis) , the FIG. 281. From a section- of developing heart muscle in a rabbit embryo of 10 mm. Godlewski. The fibrils are segmented, indicating the beginning of the cross striation characteristic of heart muscle. abdominal muscles are naturally involved. Such anomalies in the muscles are, however, secondary to the other malformations and are not due to primary defects in the muscles themselves. Many of the minor variations in the muscular system occur in the same form or in similar forms in different individuals, thus indicating their relation to a fundamental type. Many of these are more or less accurate repetitions of normal structures found in lower animals. Such variations are probably rightly attributed to hereditary influences. On the other hand, there are varia- tions which cannot be referred to conditions found in any of the lower animals. These constitute a class of variations which must be accounted for upon some other basis than that of heredity. As pointed out in the chapter on Teratogene- sis (Chap. XIX), external influences undoubtedly play an important part in the production of anomalies and it is probable that similar influences act upon the development of the muscular system. The scope of this book does not permit a description, or even mention, of the great number of variations in the muscles. A few are described here as ex- 314 TEXT-BOOK OF EMBRYOLOGY. amples; for others the student is referred to the more extensive text-books of anatomy. EXTRINSIC MUSCLES OF THE UPPER EXTREMITY. The trapezius is some- times attached to less than the normal number of thoracic vertebrae. Its occipital attachment may be wanting. Occasionally the cervical and thoracic portions are more or less separated as in some of the lower animals. The latissimus dorsi sometimes arises from less than the usual number of thoracic vertebrae, and from less than the normal number of ribs. The iliac origin may be wanting. The rhomboidei vary in their vertebral and scapular attachments. The number of the vertebral attachments of the levator scapulae may vary. A small part of the muscle is sometimes attached to the occipital bone. The pectoralis major not infrequently varies in the extent of its attachment to the ribs and sternum. The serrati vary in their attachment to the ribs. The above mentioned extrinsic muscles of the upper extremity vary prin- cipally in their attachments. Since they all appear well forward in the cervical region in the embryo, and, along with the extremity, gradually migrate caudally before acquiring their final attachments, it is not unlikely that the variations in their attachments are due to variations in the extent of migration. This serves to illustrate a factor which is probably important in producing variations in the attachments of many other muscles. As stated in paragraph i, on page 295, the myotomes frequently migrate very extensively during their transformation into muscles, before the muscles have acquired their per- manent attachment. Variations in the extent of this migration would naturally produce variations in the final attachments of these muscles. Other factors related to the changes in the myotomes, such as fusion, longi- tudinal and tangential splitting (paragraphs 2, 3 and 4, p. 295) probably also play a part in the production of variations. A greater than normal degree of fusion between two or more myotomes might result in the union of muscles which are usually separate; a less than normal degree of fusion might result in the separation of parts usually united. Variations in the splitting of myotomes might produce similar results. At the same time, however, heredity may be the active factor in some cases where abnormal fusions or separations between muscles or parts of muscles produce results resembling conditions found in lower animals. Reference for Further Study. BARDEEN, C. R.: The Development of the Musculature of the Body Wall in the Pig, Including its Histogenesis and its Relation to the Myotomes and to the Skeleton and to the Nervous Apparatus. Johns Hopkins Hospital Reports, Vol. XI. THE DEVELOPMENT OF THE MUSCULAR SYSTEM. 315 BARDEEX, C. R., and LEWIS, W. H.: Development of the Limbs, Body Wall and Back in Man. American Jour, of Anat., Vol. I, 1901. BOLK, L.: Die Segmentaldifferenzierung des menschlichen Rumpfes und seiner Extremi- taten. Morph. Jahrbuch, Bd. XXV, 1898. FUTAMURA, R.: Ueber die Entwickelung der Facialismuskulatur des Menschen. Anat. Hefte, XXX, 1906. GODLEWSKI, E.: Die Entwickelung des Skelet- und Herzmuskelgewebes der Saugetiere. Arch. }. mik. Anat., Bd. LX, 1902. GRAFEXBERG, E.: Die Entwickelung der menschlichen Beckenmuskulatur. Anat. Hefte, 1904. HEIDEXHAIX, M.: Structur der contractilen Materie. Ergebnisse der Anat. u. Entivick., Bd. VIII, 1898. HEIDEXHAIX, M.: Ueber die Structur des menschlichen Herzmuskels. Anat. Anz., Bd. XX, 1901. KASTXER, S.: Ueber die Bildung von animalen Muskelfasern aus dem Urwirbel. Arch. f. Anat. u. Physiol., Anat. Abth., Suppl., 1890. KEIBEL, F., and MALL, F. P.: Manual of Human Embryology, Vol. I, 1910. KOLLMAXX, J.: Die Rumpfsegmente menschlicher Embryonen von 13-35 Urwirbeln. Arch. f. Anat. u. Physiol., Anat. Abth., 1891. LEWIS, W. H.: The Development of the Arm in Man. American Jour, of Anat., Vol. I, 1902. MAURER, F.: Die Entwickelung des Muskelsystems und der elektrischen Organe. Also Bibliography. In Hertwig's Handbuch der vergl. u. experiment. Entwickelungslehre der Wirbeltiere, Bd. Ill, Teil I, 1904. MACCALLUM, J. B.: On the Histology and Histogenesis of the Heart -muscle Cell. Anat. Anz., Bd. XIII, 1897. MACCALLUM, J. B.: On the Histogenesis of the Striated Muscle Fiber and the Growth of the Human Sartorius Muscle. Johns Hopkins Hospital Bulletin, Vol. IX, 1898. MALL, F. P.: Development of the Ventral Abdominal Walls in Man. Jour, of Mor- phology, Vol. XIV, 1898. McGiLL, CAROLIXE: The Histogenesis of Smooth Muscle in the Alimentary Canal and Respiratory Tract of the Pig. Internal. Monatsch. Anat. u. Phys., Bd. XXIV, 1907. McMuRRicH, J. P.: The Phylogeny of the Forearm Flexors. American Jour, of Anat., Vol. II, 1903. McMuRRicH, J. P.: The Phylogeny of the Palmar Musculature. American Jour, of Anat., Vol. II, 1903. MCMURRICH, J. P.: The Phylogeny of the Crural Flexors. American Jour, cf Ana!., Vol. rv, 1904. MCMURRICH, J. P.: The Phylogeny of the Plantar Musculature. American Jour, of Anat., Vol. VI, 1907. POPOWSKY, L: Zur Entwickelungsgeschichte der Dammmuskulatur beim Menschen. Anat. Hefte, 1899. SUTTOX, J. B.: Ligaments, Their Nature and Morphology. London, 1897. ZIM.MERILA.XX: Ueber die Metamerie des Wirbeltierkopfes. Verhandl. d. Anat. Gesellsch. Jena, 1891. CHAPTER XII. THE DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. The embryonic disk, composed of the three germ layers, primarily lies flat upon the yolk sac (see p. 135; also Fig. 82). A little later the axial portion of the embryo is indicated by the primitive streak, the neural groove (subsequently the neural tube), the notochord, and the primitive segments (Fig. 74). Then along each side of the axial portion and at the cephalic and caudal ends, the Allantoic duct Belly stalk FIG. 282. Lateral view of human embryo with 14 pairs of primitive segments (2.5 mm.) . Kollmann. The yolk sac has been cut off. The fore-gut, mid-gut and hind-gut, as indicated in the figure, together constitute the primitive gut. Compare with Fig. 283. germ layers bend ventrally and medially and finally meet and fuse in the mid- ventral line (p. 137). The portion of the entoderm ventral to the notochord is bent into a tube which, for the most part, becomes pinched off from the parent entoderm and is suspended in the embryonic coelom by the common mesentery (Figs. 141 and 142). This entodermal tube is the primitive gut. At first it is but slightly elongated and is closed at both ends. On the ventral side, however; 316 DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 317 it opens widely into the yolk sac (Figs. 282 and 283). The primitive gut, there- fore, has no communication with the exterior. It communicates at its caudal end with the central canal of the spinal cord through the neurenteric canal (Fig. 84; compare with 85). As development proceeds, this simple tube elongates rapidly and becomes differentiated into distinct regions. The cephalic end, in connection with the branchial arches and grooves, becomes the dilated pharyngeal region. Caudal Oral fossa Branchial arch I Branchial arch II Body wall Coelom Fore-gut Mid-gut Ccelom Hind-gut Belly stalk FIG. 283. Ventral view of human embryo of 2.4 mm. His, Kollmann. Note the opening in the ventral wall of the gut. This indicates the communication between the gut and the yolk sac. The latter has been removed. Compare with Fig. 282. to and continuous with this, is the short, narrow ossophageal region which in turn passes over into the slightly dilated stomach region. The portion of the gut caudal to the stomach is the intestinal region. During the differential changes, the communication with the yolk sac becomes relatively smaller, form- ing the yolk stalk which joins the intestinal portion a short distance caudal to the stomach (Figs. 284 and 285). The Mouth. At a very early period the primary fore-brain region bends ventrally almost at a right angle to the long axis of the body to form the naso-frontal process. 318 TEXT-BOOK OF EMBRYOLOGY. As the first branchial arch develops, it grows ventrally until it meets and fuses with its fellow of the opposite side in the midventral line, thus forming the mandibular process. From the cephalic side of the first arch a secondary proc- ess maxillary process develops and fills in the space between the arch itself and the naso-frontal process. These various structures thus bound a distinct depression on the ventral side of the head. This depression is the oral pit, the forerunner of the oral and nasal cavities (Fig. 283; compare with Figs. 282 and 122) . The groove in the midventral line between the mandibular processes marks the symphysis of the lower jaws. The groove on each side between the Epiglottis Tongue Hypophysis Larynx Lung g. L..\ Stomach A-- Pancreas Urachus Mesonephric duct Kidney bud FIG. 284 Alimentary tube of a human embryo of 4.1 mm. His Kollmann. maxillary process and the mandibular process marks the angle of the mouth, The groove between the maxillary process and the naso-frontal process is the naso-optic furrow, at the dorsal end of which the eye develops. The bottom of the oral pit is formed by a portion of the ventral body wall, which separates the oral cavity from the cephalic end of the gut, and which is composed of ectoderm and entoderm, with a small amount of mesoderm be- tween. This closing plate, the pharyngeal membrane, which is still present in embryos of 2.15 mm., soon becomes thinner and finally breaks away, leaving the oral pit and the gut in direct communication (Fig. 285). Since the oral pit is lined with ectoderm, the epithelial lining of the mouth or oral cavity is largely of DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 319 ectodermal origin. In the medial line of the roof of the ofal cavity, near the pharyngeal membrane, the epithelium (ectoderm) evaginates to form Rathke's pocket. This comes in contact with an evagination from the floor of the brain and with it forms the pituitary body. The further development of the mouth consists of an elaboration of the structures which primarily bound the oral pit and the growth of certain new structures such as the teeth and the tongue. The first branchial arch fuses with its fellow of the opposite side in the midventral line to form the symphysis of the lower jaws, giving rise also to the lower lip and chin region. As the naso- frontal process continues to grow, two depressions appear on its ventral border, Pharynx Hypophysis Yolk sac Belly stalk Caudal gut Branchial arches (pharynx) Lung Liver Stomach Pancreas Common mesentery Mesonephros Allantoic duct Hind-gut Kidney bud FIG. 285. Sagittal section of reconstruction of a human embryo of 5 mm. His, Kollmann. one on each side, a short distance from the medial line. These depressions are the nasal pits which indicate the beginning of the external openings of the nasal passages. The part between the nasal pits is destined to give rise to the nasal septum and the medial part of the upper lip (Fig. 136). The primary oral cavity is divided into the oral cavity proper and the nasal cavity by outgrowths from the maxillary processes. From the medial side of each maxillary process a plate-like structure grows across the primary oral cavity toward the medial line (Fig. 178). These two plates, or palatine processes, meet and fuse with the lower part of the nasal septum (Fig. 286) . (For further details of this fusion, see page 148 and page 195). The palatine processes thus form the palate, or the roof of the mouth, which separates the mouth cavity from the nasal cavity. The palate does not extend far enough backward, however, to separate the posterior 320 TEXT-BOOK OF EMBRYOLOGY. part of the nasal cavity from the pharynx. Thus the posterior nares and pharynx are left in communication. Externally the maxillary processes extend medially, separate the nasal pits from the oral cavity, and form the lateral portions of the upper lip (Fig. 137). Jacobson's organ Inferior concha Jacobson's cartilage Palatine process Nasal septum Nasal cavity Oral cavity FIG. 286. From a section through the head of a human embryo of 28 mm., showing the nasal septum, the nasal cavities, the oral cavity, and the palatine processes. Peter. The Tongue. The tongue develops from three separate anlagen which unite secondarily. In embryos of about 3 mm. a slight elevation appears on the floor of the pharynx in the region of the first branchial arch. This is the Tuberculum impar Root of tongue Inner branchial groove IV Crista terminalis Lung FIG. 287. Floor of the pharyngeal region of a human embryo of about 3 weeks. His. tuberculum impar, being, as the name indicates, unpaired, and is destined to give rise to the tip and body of the tongue (Fig. 287) . Soon afterward two bilaterally symmetrical elevations appear on the floor of the pharynx, which are destined to give rise to the root of the tongue (Fig. 288). These paired elevations, arising DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 321 in the region of the second and third branchial arches, gradually enlarge and unite with each other and with the tuberculum impar, leaving between the latter and themselves, however, a V-shaped groove (Fig. 289). At the apex of the groove there is a depression the foramen ccecum lingua which is the ex- ternal opening of the thyreoglossal duct (see p. 332). The groove later disap- pears, but its position is indicated in the adult by the vallate papillae. According to Hammar, the tuberculum impar is a transitory structure and does not give rise to the tip and body of the tongue. The tip and body are derived from a much more extensive elevation in the floor of the pharynx. The tongue as a whole enlarges and grows from its place of origin toward the entrance to the primary oral cavity. For a time it practically fills the cavity. When the palate develops it recedes and finally comes to lie on the floor of the oral cavity proper, as in the adult. The growth of the tongue involves the Tuberculum impar Root of tongue Epiglottis FIG. 288. Floor of pharyngeal region of a human embryo of 12.5 mm. His. epithelial lining of the pharynx and oral cavity and also the underlying mesen- chymal tissue. The latter produces the connective tissue and at least a part of the intrinsic muscle fibers of the tongue. The papillae involve the epithelium and connective tissue, while the glands and taste buds are derived from the epithelium alone. The portion of the lingualis muscle innervated by the facial (VII) nerve is probably derived from the mesenchymal tissue in the tongue anlage. The rest of the muscle is innervated by fibers from the hypoglossal (XII) nerve, indicating a possible derivation from certain rudimentary segments in the occipital region which correspond to the three roots of the nerve. This would make it appear that during phylogenesis a part of the lingualis muscle has grown into the tongue from a region caudal to the last branchial arch The lingual papilla begin to develop during the third month. Their development is limited to the dorsum of the tongue and to the portion derived from the tuberculum impar. In other regions slight elevations may appear, but not in the form of distinct papillae. The jungijorm and filijorm papillae appear as pointed elevations in the connective tissue, which push their way into the epithelium, the latter at the same time being raised above the surface over these 322 TEXT-BOOK OF EMBRYOLOGY. points. Gradually the little masses of connective tissue assume the shapes characteristic of fungiform or filiform papillae. During the fifth month the epithelium between the papillae apparently degenerates to some extent, thus leaving them projecting still farther above the surface. The forma- tion of papillae probably goes on for some time after birth, since at birth their form, size, number and arrangement are not the same as at later periods. It is an interesting fact that the filiform papillae lose many of their taste buds after the child is weaned. The anlage of the vallate papillae appears as a ridge along the V-shaped line of fusion between the paired and unpaired portions of the tongue. The ridge is apparently formed by the ingrowth of a solid mass of epithelium along each side, although the connective tissue between the masses may grow toward the surface to some extent. Later the ridge is broken up into the individual papillae Tuberculum impar Root of tongue Epiglottis ' Larynx FIG. 289. Dorsal view of the tongue of a human embryo of 20 mm. His, Bonnet. by the ingrowth of the epithelium at certain points. The more superficial cells of the masses then degenerate, thus leaving each papilla surrounded by a trench and wall. The development of the lingual glands is confined for the most part to the root and inferior surface and to the region of the vallate papillae. The glands begin to develop during the fourth month as solid ingrowths of epithelium, the mucous glands appearing first, the serous somewhat later. The epithelial masses acquire lumina and grow deeper into the tongue, where they usually branch and coil to form the secreting portions. The latter open to the surface through the original ingrowths which become the ducts. Ebner's glands develop from the bottoms of the trenches around the vallate papillae. The Teeth. The development of the teeth involves the ectoderm and mesoderm, the former giving rise to the enamel, the latter to the dentine and pulp. In human embryos of 12-15 mm - (thirty-four to forty days), before the lip groove is formed, a thickening of the epithelium (ectoderm) takes place DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 323 along the edges of the processes that bound the slit-like entrance to the mouth. When the lip groove appears (Fig. 178), the epithelial thickening comes to lie along the edge of the jaw, or in other words, along the edge of the gums. It then grows into the mesenchymal tissue (mesoderm) of the jaw obliquely toward the lingual surface to form the dental shelf. A little later the dental groove appears on the edge of the jaw, along the line where the ingrowth of epithelium took place. Epithelium of mouth cavity Inner enamel cells Dental papilla -J-H Neck of enamel organ Germ of permanent tooth M Bone of lower jaw FIG. 290. Section of developing tooth from a 3^ months human foetus. Szymonowicz. Note the portion of the original dental shelf connecting the developing tooth with the epithelium of the mouth cavity. The dental shelf is at first of uniform thickness, but in a short time five enlargements appear in it in each upper and lower jaw, indicating the begin- nings of the milk teeth. When the embryo reaches a length of 40 mm. (an age of eleven to twelve weeks) the mesenchymal tissue on one side of these enlargements (above and to the inner side in the upper jaw, below and to the inner side in the lower jaw) becomes condensed and pushes its way into the epithelium. Each of these mesenchymal ingrowths is a dental papilla. Thus at this stage the anlage of each tooth is a mass of epithelium fitting cap-like over a mesenchymal papilla. The epithelium is the forerunner of the enamel organ; the papilla is destined to give rise to the dentine and pulp. The anlagen are connected with one another 324 TEXT-BOOK OF EMBRYOLOGY. by intermediate portions of the dental shelf, and with the surface by the original ingrowth of epithelium. THE ENAMEL. The epithelial cells nearest the dental papilla become high columnar in shape, forming a single layer. Those in the interior of the mass become separated and changed into irregular, stellate, anastomosing cells, with a fluid intercellular substance, constituting the enamel pulp. Those farthest from the papilla become flattened (Fig. 290; compare with Fig. 291). Calcifi- cation begins in the basal ends of the columnar cells, or in the ends next the Enamel Dentine j Enamel prisms Odontoblasts r. *-a~ --rr- Outer } I enamel _ cells - Inner J Enamel pulp FIG. 291. Section through the border of a developing tooth of a new-born puppy. "Bonnet. papilla, and in the intercellular substance, and gradually progresses throughout the cells, the latter at the same time becoming much more elongated. Thus the cells are transformed into enamel prisms which are held together by the calci- fied intercellular substance (Fig. 291). The formation of enamel begins in the milk teeth toward the end of the fourth month and probably continues until the teeth break through the gums. The enamel organ at first surrounds the entire developing tooth except where the papilla joins the underlying mesenchymal tissue (Fig. 290). Later the deeper part of the organ disappears as such, and the enamel is formed only on that part of the tooth which eventually becomes the crown. The enamel pulp increases in amount for a time, but subsequently disappears as the tooth grows into it (Fig. 292). Its function is not fully understood. It may serve as a line DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 325 of least resistance in which the tooth grows, and it may convey nourishment to the enamel cells, the enamel organ being non-vascular. The Dentine and Pulp. At first the dental papilla is simply a condensation of mesenchyme, but later it is converted into a sort of connective tissue pene- trated by blood vessels and nerves (Fig. 292). The cells nearest the enamel organ become columnar and arranged in a single layer, with the nuclei toward their inner ends. The outer ends are blunt, while the inner ends are Epith. of mouth cavity Outer) > enamel cells Dental sac Bone of jaw Blood vessel Enamel pulp (remnant) Papilla FIG. 292. Longitudinal section of a developing tooth of a new-born puppy. Bonnet. continued as slender processes that extend into the pulp and probably fuse with other cell processes. These columnar cells are the odontoblasts, under the influence of which the lime salts of the dentine are deposited, and which are com- parable with the osteoblasts in developing bone. Toward the end of the fourth month the odontoblasts form a membrane- like structure, the membrana preformativa, between themselves and the enamel. This membrane is first converted into dentine by the deposition of lime salts, after which the process of calcification progresses from the enamel toward the 326 TEXT-BOOK OF EMBRYOLOGY. pulp. During calcification slender processes of the odontoblasts remain in minute channels, or dentinal canals, forming the dentinal fibers which anastomose with one another (Fig. 291). In the peripheral part of the dentine certain areas apparently fail to become calcified and form the inter globular spaces. The same cells that are originally differentiated from the mesenchyme probably persist throughout development as the odontoblasts and produce the entire amount of dentine in a tooth. Even in the fully formed tooth there is a layer of odonto- blasts bearing the same relation to the dentine and pulp as in the developing tooth. The chief difference between dentine formation and bone formation is that in the latter the osteoblasts become enclosed to form bone cells, while in the former the odontoblasts merely leave processes enclosed as the cell bodies recede. The pulp of the tooth is of course derived from the mesenchymal tissue in the interior of the dental papilla (compare Figs. 290 and 292). The blood vessels and nerves grow in from the underlying connective (mesenchymal) tissue. At an early stage the mesenchymal tissue around the anlage of the tooth, in- cluding the enamel organ, condenses to form a sort of sheath, the dental sac, which is later ruptured when the tooth breaks through the gum (Fig. 292). The cement is formed around the root of the tooth from the tissue of the dental sac in the same manner as subperiosteal bone is formed from osteogenetic tissue (p. 174). In fact, cement is true bone without Haversian systems. The milk teeth, which are the first to develop and the first to appear above the surface, are represented by the medial incisors, lateral incisors, canines, and molars, to the number of ten in the upper and ten in the lower jaw. They may be indicated graphically thus: M. C. L.I. M.I. M.I. L.I. C. M. 2 i i i i i i 2 2 i i i i i i 2 M. C. L.I. M.I. M.I. L.I. C. M. -^-=20 IO In describing the formation of the dental shelf, it was noted that the papilke of the milk teeth grow into corresponding thickenings of the epithelium (p. 323). The growth takes place from the side, thus leaving the edge of the shelf free to grow farther toward the lingual side of the jaw. In this free edge other tooth germs arise, which mark the beginnings of the permanent teeth (Fig. 290). In addition to the germs that correspond in position to the milk teeth, three others arise in each jaw, representing the true molars of the adult. The latter arise in a part of the dental shelf which has grown toward the articulation of the jaws without coming in contact with the surface epithelium. The first papilla of the permanent dentition to appear is that of the first molar. It appears im- mediately behind the second milk molar at a time when the milk teeth are well DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 327 advanced (embryos of 180 mm., about seventeen weeks). The permanent incisors and canines appear about the twenty-fourth week; the premolars, which correspond to the milk molars, about the twenty-ninth week. The second molar does not appear till after birth (six months), and the third molar, or wisdom tooth, begins to develop about the fifth year. The formation of the anlagen of the permanent teeth and the development of the enamel, dentine and pulp take place in precisely the same manner as in the milk teeth. The true molars grow out through the gums in the same way as the milk teeth. Those permanent teeth which correspond in position to milk teeth grow under the latter, exert pressure on their roots and thus loosen and finally replace them. The two sets of teeth may be graphically represented thus: 16 Normally all the epithelium of the dental shelf, except the parts directly con- cerned in the development of the teeth, disappears at times which vary in differ- ent individuals. Occasionally, however, remnants of this epithelium give rise to cystic structures (developmental tooth tumors). :^' : -_- Tongue P. Upper Upper Jaw Permanent, Taw Milk, M. Pm. II M C. II c L.I. II L T M.I. A M.I. M"T L.I. T"T c. II c Pm. ,!! M. 1! 3 2 I 2 1 Lower Lower Jaw Milk, Taw Permanent, 3 M. 2 M. I I c. ! i L.I. T!'T I M.I. Jl M.I. J'i I L.I. A I c. II c. 2 M. Pi 3 I Subling. gland Submax. gland Palatine process Submax. gland Lingual nerve FIG. 293. From a transverse section through the tongue and oral cavity of a mouse embryo. Goppert, The Salivary Glands. The anlage of the submaxillary gland appears, in embryos of 10 to 12 mm., as a flange of epithelium directed ventrally from the portion of the lingual sulcus just caudal to the crossing of the lingual nerve. The flange grows into the mesenchyme of the lower jaw, and at an early period becomes triangular with its longest side free and a free vertical caudal border. Cell proliferation begins at the angle of union of the two borders and gradually progresses cephalad along the longest border, thus producing a solid ridge-like thickening of the latter. 328 TEXT-BOOK OF EMBRYOLOGY. The main portion of the gland is produced by a sprouting of the epithelium from the angle of union of the two free borders of the flange and grows deep into the mesenchyme along the mesial side of the ramus of the mandible. The sprouts branch repeatedly in the course of their development, thus laying the foundation for the division of the gland into lobes and lobules. The distal end of the duct of the submaxillary (Wharton's) is formed from the ridge-like thickening of the free margin of the flange through a dissolu- tion of the greater part of the flange between the lingual sulcus and the thickened margin itself, thus freeing this portion of the duct from the sulcus. By a continuation of the growth which produced the ridge along the free border of the original flange an extension of this same ridge is produced along the bottom of the lingual sulcus forward toward the chin region. This portion of the ridge is progressively constricted off from the sulcus from behind forward, until finally the attachment of the duct reaches its definitive position at the side of the frenulum linguae. The anlage of the Bartolinian element of the sublingual gland appears as a smaller flange attached to the lateral border of the submaxillary flange near the crossing of the lingual nerve and prolonged forward by an interrupted crest along the lingual sulcus. Its later development is similar to that of the submaxillary. A small medial flange also on the submaxillary flange gives rise to a sprout in much the same manner as the other anlagen. While the history of this anlage is not complete in the human embryo, it probably gives rise to the anterior lingual gland (gland of Blandin and Nuhn). The alveolingual ele- ments arise from a keel attached to the alveolingual sulcus (the groove between the floor of the mouth and the alveolar process of the lower jaw). The parotid gland originates from the buccal sulcus in essentially the same way as the submaxillary arises from the lingual sulcus. The anlage then continues to grow through the mesenchyme of the cheek across the masseter muscle, the distal end branching freely to form the secreting portion of the gland. The outgrowths are at first solid, but later become hollow, the proximal portion of the original outgrowth forming the parotid (Steno's) duct, the more distal portions forming the smaller ducts and terminal tubules. The histogenetic changes in the salivary glands probably continue until the child takes solid food, when the glands become of greater functional importance. In the parotid gland, which is serous in man, the original, undifferentiated epithelial cells undergo changes in form and arrangement so that by the twenty-second week the larger ducts are lined with a two-layered epithelium, the smaller ducts with a simple cuboidal epithelium, and the terminal tubules with a single layer of high columnar cells. The two-layered epithelium in the larger ducts persists. The ducts lined with the cuboidal epithelium become the DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 329 socalled intermediate tubules, the cells changing to a flat type. The high columnar cells of the terminal tubules become the serous secreting cells. Quite similar changes also occur in the submaxillary, but in foetuses of eight to nine months the crescents of Gianuzzi appear as masses of darkly staining cells forming the ends or sides of the terminal tubules. The crescents at first border on the lumina, but later, probably by a process of evagination, come to lie on the surface of the tubules. The beginning of the secretory function may be detected by a diminution in the affinity of the cells for stains. The Pharynx. The pharynx develops from the cephalic end of the primitive gut. This part of the gut is primarily of uniform diameter, is broadly attached by meso- derm to the dorsal body wall, and ends blindly (Fig. 285). When the branchial arches and grooves develoo in this (the cervical) region, they affect the gut as Neural tube (brain) Maxillary process Mandibular process Heart -- . , Notochord . Branchial arches and grooves (pharynx) ;-- Lung groove FIG. 294. Sagittal section through the head of a human embryo of 4.2 mm. (31-34 days). His. well as the periphery of the body. The arches form ridges on the surface of the body (Fig. 122) and at the same time form ridges on the wall of the gut. The grooves form pockets which alternate with the arches (Fig. 294). The pockets in the pharyngeal cavity, or inner branchial grooves, are directed outward toward corresponding outer branchial grooves (Fig. 287). The arches are covered externally with ectoderm, internally with entoderm, and are filled with mesoderm. Between the arches, or in the grooves, the ectoderm and entoderm are in contact or nearly so. Thus the pharynx is not surrounded by a ccelomic cavity. 330 TEXT-BOOK OF EMBRYOLOGY. Since the branchial arches develop in such a way that they are successively smaller from the first to the fourth, the pharyngeal cavity becomes funnel- shaped (Fig. 294). It also becomes somewhat flattened in the dorso- ventral direction, and in the earlier stages when the arches and grooves are fully formed, the pharynx constitutes approximately one- third the entire gut (Fig. 285). Primarily the pharyngeal cavity is separated from the oral cavity by the pharyn- geal membrane (see p. 318; also Fig. 282). When this ruptures and disappears (during the fourth week ?) the two cavities are in open communication. What point in the adult represents the attachment of the pharyngeal membrane is not known; but the glosso- and pharyngopalatine arches (pillars of the fauces) are usually- considered as the boundary between the mouth and pharynx. The caudal limit of the pharynx is the opening of the larynx (Figs. 285 and 294). Thus in the early stages the general adult character of the pharynx is es- tablished. While the branchial arches and grooves undergo profound changes, the pharyngeal cavity retains the same relation to the mouth and to the oeso- phagus and respiratory tract. The cavity becomes relatively shorter, however, and the alternating ridges and pockets in its walls are lost as the arches and grooves are transformed into other structures. The metamorphosis of the arches and grooves is considered elsewhere (p. 145). THE TONSILS. The tonsils arise in the region of the ventral part of the second inner branchial groove. During the third month the epithelium (entoderm) grows into the underlying connective (mesenchymal) tissue in the form of a hollow bud. From this, secondary buds develop, which are at first solid, but later (during the fourth or fifth month) become hollow by a disappear- ance of the central cells and open into the cavity of the primary bud, thus form- ing the crypts. Lymphoid cells wander from the neighboring blood vessels, or are derived directly from the epithelium (Retterer), and with the connective tissue form a diffuse lymphatic tissue under the epithelium (Fig. 295). By the eighth month the cells become more numerous in places, and by the third month after birth form distinct lymph follicles with germinal centers. The formation of follicles goes on slowly and is probably not complete until some time after birth. The Lingual Tonsils. The lymphatic tissue of the tongue develops in rela- tion to the lingual glands. During the eighth month lymphoid infiltration occurs around the ducts of the glands, and the connective tissue acquires the reticular character. True follicles probably do not appear until the child is at least five years old. The Pharyngeal Tonsils. During the sixth month small folds appear in the mucous membrane of the roof of the pharynx and become diffusely infiltrated with lymphoid cells. This occurs first in the posterior part of the roof, but later (seventh or eighth month) it extends forward and along the sides of the naso- DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 331 pharygeal cavity. By the end of foetal life the ridges become quite large. Follicles may appear before birth or not until one or two years later. After puberty the ridges almost completely disappear, but the adenoid tissue remains wholly or in part. The bursa pharyngea is an evagination from the roof of the pharynx about the upper border of the superior constrictor muscle, and is apparent in em- bryos of eleven weeks. It probably has no genetic relation to the hypophysis. Its significance is not known. FIG. 295. Section through the middle of the developing tonsil of a human embryo of 5 months. Stohr. 6, Epithelial buds (secondary outgrowths) from the epithelium lining the primary crypt (c); L, lymphoid infiltration of the connective (mesodermal) tissue. THE BRANCHIAL EPITHELIAL BODIES. THE THYREOID- GLAND. The thyreoid arises, after the manner of ordinary glands, as an evagination from the epithelium of the pharynx. It appears in embryos of 3 to 5 mm. as a ventral outgrowth of epithelium in the floor of the pharynx, at the point where the tuberculum impar and the tw r o paired anlagen of the tongue join (Fig. 296). This point is the foramen caecum linguae which has already been mentioned in connection with the development of the tongue (p. 32 1) . The evagination grows into the mesodermal tissue in the ventral wall of the neck, and forms a transverse mass of epithelium. The latter breaks up into irregular cords of cells which, by a further process of budding, grow cau- dally along the ventral surface of the larynx. The cords of cells are from the first surrounded by connective tissue and later also become surrounded by net- works of capillaries (Fig. 297). They ultimately break up into smaller masses which become hollow and form the alveoli. Colloid secretion begins toward the end of fcetal life or soon after birth. As the gland grows toward its final position it becomes enlarged laterally into the two lateral lobes, which remain connected by the isthmus (Fig. 298). The pyramidal process represents either a secondary outgrowth from the isthmus or one of the lobes, or a remnant of the original connection with the tongue, that is, 332 TEXT-BOOK OF EMBRYOLOGY. of the thyreo glossal duct. The duct usually disappears for the most part, but certain structures sometimes found in the adult in the line of the duct are possibly remnants of it. They have been variously named, according to their position, accessory thyreoid y suprahyoid, and prehyoid glands (Fig. 298). A pair of structures, appearing first in embryos of 8 to 10 mm., arise as evaginations from the ventral ends of the fourth inner branchial grooves. They grow into the mesodermal tissue and then caudally along the ventro-lateral side Notochord Thymus Thyreoid Jugular vein Vagus nerve Carotid artery Parathyreoid (epith. body) Thymus (in. br. groove III) Heart FIG. 296. Transverse section through the region of the 3d branchial .groove of an Echidna embryo. Maurer. i.= Pharynx, below which are the paired anlagen of the tongue. of the larynx, where they come into close relation with the lateral lobes of the thyreoid (Fig. 298). They have been called the lateral thyreoids, and acquire the thyreoid structure. Considerable confusion has arisen in regard to the lateral thyreoids. The earlier investi- gators held that they were derived from the fourth groove and united with the medial portion, which appeared at the foramen caecum, to become integral parts of the thyreoid. Further researches among the lower Vertebrates led others to deny that the thyreoid arose other than as a medial anlage, and that the so-called lateral thyreoids in the embryo were the postbranchial bodies which never assumed the thyreoid structure, but atrophied and dis- appeared. More recently it has been thought that, although the postbranchial bodies do not function in the lower Vertebrates, they may in the higher Mammals and man unite with the medial thyreoid and secrete colloid. The parathyreoids or epithelial bodies also come into close relation with the thyreoid. They arise as paired evaginations from the cephalic sides of the third DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 333 and fourth grooves, dorsal to the thymus and the lateral thyreoid evaginations (Figs. 296 and 299). As the thyreoid grows caudally from its point of origin, these bodies come to lie close to it or may even become embedded in it (Fig. 298). They acquire a structure which resembles that of the suprarenal gland and not Trachea Lateral lobe Capillaries Isthmus FIG. 297. Section of the right half of the thyreoid gland of a pig embryo of 22.5 mm. Born. Accessory thyroeids Accessory tnyroeids (thyreoglossal duct; I Carotid artery P.-th. Lat. thyreoid (postbr. body) Rignt subclavian artery Thymus Pyramidal process Carotid artery Lateral thyreoid Isthmus Lumen in thymus subclavian artery Arch of aorta FlG. 298. Branchial groove derivatives of a rabbit embryo of 16 mm. P.-th., parathyreoid or epithelial body. Verdun, Bonnet. that of the thyreoid. Their relation to the latter organ seems to be purely topographical. THE THYMUS. The thymus appears in embryos of about 6 mm. as an entodermal evagination from the ventral part of the third branchial groove on 334 TEXT-BOOK OF EMBRYOLOGY. each side (Fig. 296) . The outgrowths are at first hollow and communicate with the pharyngeal cavity; later they become solid and (in embryos of 14 mm.) lose their connection with the parent epithelium. They elongate and grow caudally in the mesodermal tissue until (in embryos of 16 mm.) their caudal ends lie ventral to the carotid arteries (Fig. 298). In embryos of 29 mm. their caudal ends rest upon the cephalic surface of the pericardium, their cephalic ends reaching to the isthmus of the thyreoid. The two parts eventually fuse to a considerable extent, but the gland as a whole always consists of two distinct lobes. The gland continues to enlarge, at the same time becoming lobulated by the ingrowth of connective tissue, until the child is two or three years old. At this time it is situated in the anterior mediastinum, usually in the medial line. After this it begins to atrophy and becomes a mass of fibrous and fatty tissue through the growth of the interlobular septa and their encroachment upon the lobules. The classical view that the thymus begins to atrophy after the second or third year and is quite degenerated in the adult has recently been somewhat offset Lat. thyreoid (postbr. body) FIG. 299. Diagram of the branchial groove derivatives in man. Verdun. by the view that comparatively slight changes take place in it until puberty. According to the latter view, degeneration goes on after puberty at a rate which varies widely in different individuals, and the thymus may persist as a functional organ up to the age of sixty years. The histogenesis of the thymus has been a subject of much study and con- troversy, not only in regard to its origin, but also in regard to its change from an epithelial to a lymphoid structure and the regressive changes in the latter. It has almost certainly been proven to be of entodermal origin. It is at first an epithelial mass which later becomes broken up into lobules by the ingrowth of connective tissue. In regard to the histological changes which it undergoes, the older views are in general that a " pseudomorphosis " takes place; that is, the epithelial elements are replaced by lymphoid cells which wander in from the neighboring blood vessels, HassalPs corpuscles being remnants of the epithelium. Later other investigators looked upon the changes as a " transfer- DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 335 mation," asserting that the epithelial cells were transformed into lymphoid cells in situ, and that Hassall's corpuscles were remnants of epithelium and disintegrating blood vessels. Some went even so far as to assert that the thymus was the first place of origin of the leucocytes. More recent researches furnish very strong evidence that no lymph- oid cells are derived from the epithelial cells (Maximow), but that the epithelium is transformed into the reticular tissue of the thymus, in which the lymphoid cells undergo mitotic division, Hassall's corpuscles possibly representing compressed parts of the reticu- lum (Hammar) (Fig. 300). THE GLOMUS CAROTICUM. The early formation of the glomus caroticum (carotid FIG. 300. Hassall's corpuscle from gland) has not been observed in the human ^mnr^lr. 1 " 11311 ^'" 50 ' embryo. From observations on lower animals it has not been made clear whether it is derived from the entoderm of a branchial groove or from the adventitia of the carotid artery. The (Esophagus and Stomach. THE (ESOPHAGUS. When the primitive gut becomes differentiated into distinct regions (p. 317), the cesophageal region forms a comparatively short tube, of uniform diameter, extending from the pharynx to the stomach (Fig. 285). In embryos of about 3 to 4 mm. the anlage of the respiratory system arises from the cephalic end of the tube (see p. 360). The latter is lined with entoderm and broadly attached to the dorsal body wall by mesoderm (Fig. 285). During later stages it becomes relatively longer as the heart recedes into the thorax (p. 245), but maintains its uniform diameter. Further development produces no marked changes in the relative position of the oesophagus. It remains broadly attached to the dorsal body wall throughout the life of the individual. In other words, there is never a distinct mesentery. The entoderm gives rise to the epithelial lining and the glands, the surrounding mesoderm to the connective tissue and muscular coats. THE STOMACH. The anlage of the stomach can br recognized in embryos of about 5 mm. as a slight spindle-shaped enlargement of the primitive gut a short distance cranial to the yolk stalk (Fig. 284). The dilatation goes on more rapidly on the dorsal than on the ventral side, thus producing the greater and lesser curvature respectively. The greater curvature is attached to the dorsal body wall by the dorsal mesogastrium which is a part of the common mesentery. 336 TEXT-BOOK OF EMBRYOLOGY. The lesser curvature is connected with the ventral body wall by the ventral mesogastrium (Fig. 301). In further development, apart from histogenesis, the greater curvature becomes much more prominent and the organ as a whole changes its position, the latter process beginning in embryos of 12 to 14 mm. The cephalic (car- diac) end moves toward the left side of the body, the pyloric end toward the right At the same time the stomach rotates, the greater curvature turning Ventral mesogastrium -Aorta Spleen "" Dorsal mesogastrium Coeliac artery Pancreas Sup. mesenteric artery r Common mesentery Inf. mesenteric artery Hind-gut (rectum) FIG. 301. Gastrointestinal tract and mesenteries of a human embryo of 6 weeks. Toldt. Caecum caudally from its dorsal position and the lesser curvature cranially from its ventral position. The result is that the organ comes to lie in an approximately transverse position in the body, with the cardiac end to the left, the pyloric end to the right, the greater curvature directed caudally, and the lesser curvature directed cranially (compare Figs. 285 and 301 with Figs. 314 and 342).* * These changes may be more easily understood if the student will hold a closed book in the sagittal plane in front of him, with the back of the book toward, and the open edge away from him. The back represents the greater curvature, the open edge the lesser curvature. The upper end of the book represents the cardiac end of the stomach, the lower end the pylorus. Turn the upper (cardiac) end to the left, the lower (pyloric) end to the right, at the same time allowing the back of the book (the greater curvature) to drop downward on the side toward the body. The changes in the position of the book represent the changes in the position of the developing stomach. DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 337 It is obvious that the lower end of the oesophagus is carried toward the left side of the body with the cardiac end of the stomach, and at the same time twisted so that the side which originally faced the left comes to face ventrally. The changes in the mesentery which accompany the changes in the stomach are described elsewhere (p. 378). The torsion of the stomach also produces an asymmetrical condition of the vagi nerves. The latter reach the stomach before it changes its position. As the changes take place, the left nerve is carried around to the left and ventrally so that in the adult it passes through the diaphragm ventral to the oesophagus and extends over the ventral surface of the stomach. The right nerve passes over the dorsal surface of the stomach. The Intestine. When the primitive gut is differentiated into recognizable regions (p. 317) the intestinal region forms a simple tube, of uniform diameter, extending from the stomach to the caudal end of the embryo where it ends blindly. The yolk stalk is attached to the intestine a short distance from the stomach. Near the caudal end the allantoic duct arises (p. 114). The lumen of the yolk stalk and of the allantoic duct is continuous with that of the intestine (Fig. 285). In embryos of 2 to 3 mm. the liver anlage arises from the ventral side of the intestine near the stomach, that is, from that. part of the intestine which is to become the duodenum. In embryos of 3 to 4 mm. the pancreas anlage arises in the same region, in part from the liver evagination and in part from the dorsal side of the intestine (Fig. 285). The intestine as a whole is suspended in the abdominal cavity by the dorsal mesentery which is attached to the dorsal body \vall and which is continuous with the dorsal mesogastrium. A ventral mesentery, continuous with the ventral mesogastrium, is present only at the cephalic end of the duodenum (Fig. 301). The further development of the intestine, apart from histogenesis, consists very largely of the formation of loops and coils, due to an enormous increase in the length of the tube. The abdominal cavity at the same time enlarges to accommodate the increased bulk. As the stomach changes its position (p. 336), the duodenum comes to lie obliquely across the body and forms a curve with the concavity directed dorsally (Fig. 301). The rest of the intestine forms a loop which extends ventrally and caudally as far as the umbilicus. The arms of the loop are almost parallel and the cephalic arm lies a little to the left of the caudal. The apex of the loop extends into the umbilical coelom and is attached to the yolk stalk. From the dorsal end of the caudal arm the intestine extends directly to the caudal end of the body (Fig. 301). Soon after the loop is formed a small evagination appears on its caudal arm, not far from the apex. This is the anlage of the cacum and marks the bound- 338 TEXT-BOOK OF EMBRYOLOGY. ary between the small and large intestine (Fig. 301). At this stage, therefore, all the great divisions of the intestinal tract are distinguishable, viz. : the duodenum with the ducts of the liver and pancreas; the mesenterial small intestine with the yolk stalk; and the colon extending from the caecum to the caudal end. There are, however, practically no differences between the regions, either in structure or in size. In further development the duodenum comes to lie more nearly transversely across the body, thus assuming its adult position. Its mesentery fuses with the peritoneum of the dorsal body wall and the duodenum thus becomes a fixed portion of the intestinal tract (p. 380; also Fig. 339). It enlarges a little more Portal vein - Foramen of Winslow FIG. 302. Reconstruction of the liver and intestine of a human embryo of 17 mm. Mall. G.B., gall bladder; H. V., hepatic vein; U.V., umbilical vein; 1-6, primary bends in the long intestinal loop; i represents the duodenum. rapidly than the rest of the small intestine and acquires a greater diameter. In embryos of 12 to 13 mm. the lumen becomes obliterated by an overgrowth of the mucous membrane caudal to the ducts of the liver and pancreas. In embryos of about 15 mm., however, the lumen reappears. It seems difficult to find a cause for this peculiar growth of the mucosa. Very shortly after the formation of the long loop in the intestine, six bends become recognizable in the portion between the stomach and the apex of the loop (Fig. 302). These bends later form distinct loops which are destined to become definite parts of the small intestine. The first loop is the duodenum, the development of which has already been considered, and which maintains practically its original position. The other five loops continue to elongate and form secondary loops, all of which push their way into the umbilical coelom DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 339 where they remain until the embryo reaches a length of 40 mm. (compare Figs. 303 and 304) . Then they return very quickly to the abdominal cavity proper. After their return, the primary loops, with the secondary loops derived from them, come to occupy fairly constant positions. The second and third move to the left upper part of the abdominal cavity; the fourth crosses the medial line and occupies the right upper part. The fifth crosses back and lies in the left iliac fossa; the sixth lies in the pelvis and lower part of the abdominal cavity (Fig. 305). Certain variations may occur but are usually not considered as abnormal. The most frequent variation is one in which the fourth coil, along with the FIG. 303. Reconstruction of the stomach and intestine of a human embryo of 28 mm. Mall. The numbers are placed on the coils derived from the primary bends as shown in Fig. 302; i represents the duodenum. second and third, lies on the left side, its usual position on the right being oc- cupied by the ascending colon. Xot uncommonly the positions of the fourth and the second and third are reversed. Less commonly extra loops are formed. Usually the proximal part of the yolk stalk disappears during fcetal life. In a few cases, however, it persists as a blind sac of variable length, known as MeckePs diverticulum (see also p. 113). Even before the loops return to the abdominal cavity the colon or large intestine increases in diameter more rapidly than the small intestine. After the return, the caecum is carried across to the right side and comes to lie just caudal to the liver. From the caecum the colon extends across the abdominal 340 TEXT-BOOK OF EMBRYOLOGY. cavity, ventral to the duodenum, forming the transverse colon. It then de- scends on the left side as the descending colon which passes over into the sigmoid colon (Fig. 337). The transverse, the descending and the sigmoid portions of the colon are recognizable in the third month. Up to the time of birth the sigmoid portion is disproportionately long; after birth the other portions FIG. 304. Drawing from a reconstruction of a human embryo of 24 mm. Matt. The intestinal coils lie for the most part in the umbilical ccelom. C, caecum; K, kidney; L, liver. S, stomach; S. C., suprarenal gland; W, mesonephros; 12, twelfth thoracic nerve; 5, fifth lumbar nerve. grow relatively faster. After the fourth month the portion to which the caecum is attached grows downward in the right side of the abdominal cavity, thus form- ing the ascending colon (Fig. 342). The caecum, which appears in very early stages as an evagination at the junction of the small and large intestines, for a time continues to increase uni- formly in size. Then the proximal end increases more rapidly than the distal, and forms the caecum of adult anatomy. The distal end, failing to keep pace DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 341 in development, remains more slender and forms the vermiform appendix (Fig. 305). As has already been mentioned, the primitive gut ends blindly in the caudal end of the embryo (Fig. 284). The anal opening is a secondary formation. On the ventral side of the caudal end of the body there is formed a depression known as the anal pit. The mesoderm at the bottom of the pit becomes thin- ner until the ectoderm comes in contact with the entoderm on the ventral side of the gut, thus forming the anal membrane. The area of contact is not at the FIG. 305. Drawing from a model of the small intestine in the adult. Ventral view. Mall. The intestinal coils are shown in the usual relative position. The numbers indicate the coils derived from the primary bends in the foetus as shown in Figs. 302 and 303. extreme end of the gut, but a short distance toward the allantoic duct. In the meantime, the urogenital ducts come to open into that portion of the gut which lies just cranial to the anal membrane. The gut enlarges in this region to form the cloaca. The latter becomes separated by the urorectal fold into a dorsal portion, the rectum, and a ventral portion, the urogenital sinus (Figs. 361 and 363). At about the time of separation (embryos of about 14 mm. or thirty-six to thirty-eight days) the anal membrane ruptures and the anal open- 342 TEXT-BOOK OF EMBRYOLOGY. ing is formed. The portion of the gut caudal to the anus, known as the caudal gut, normally disappears. Histogenesis of the Gastrointestinal Tract. The wall of the primitive gut is composed of two layers the entoderm which lines the lumen, and the splanchnic mesoderm which borders on the ccelom or body cavity. While the germ layers are still flat, the entoderm is a single layer of flat cells with bulging nuclei, but after the closure of the gut the cells become col- umnar. The splanchnic mesoderm is composed of two layers the mesothe- lium bordering on the ccelom, the cells of which gradually change from flat Mesentery Epithelium Stroma Mesothelium Long. Trans. J muscle FIG. 306. Transverse section of the small intestine of a pig embryo of 32 mm. Bonnet. to rather high, and a number of indifferent, branching mesenchymal cells lying between the mesothelium and entoderm. The entoderm is destined to give rise to the general epithelial lining of the gastrointestinal tract and to all the glands connected with it. The mesothelium around the gut forms a part of the general mesothelial lining of the ccelom, its cells apparently changing back to a flat type. The mesenchymal tissue is destined to give rise to all the con- nective tissue and smooth muscle of the tract. The circular layer of muscle appears first, the longitudinal next, both appearing during the third and fourth months, and last of all the muscularis mucosae (Fig. 306). THE Mucous MEMBRANE. The mucous membrane is formed by the epithelium (entoderm) and the subjacent mesenchymal tissue. In its develop- DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 343 ment there are two factors to be considered: (i) The formation of folds to in- crease the absorbing surface and (2) the formation of secreting organs or glands. As to the relation between these two factors there is a difference of opinion. Some hold that both kinds of structures are the result of the same formative process, that is, that the glands are simply the depressions or pits formed by the intersection of folds at various angles, and that the folds are produced primarily by the growth of the epithelium and mesenchymal tissue into the lumen of the gut. Others maintain that although the folds may be produced by the growth of the epithelium and mesenchymal tissue into the lumen, the glands arise as independent growths of the epithelium into the subjacent tissue. The latter view is supported by the fact that in some Amphibia the glands appear before the folds (Fig. 307). Recent work on Mammals also favors this view. The development of the folds and glands begins in the different parts of the gastrointestinal tract at different times. It begins first in the stomach, then in the FIG. 307. Section through the wall of the . . . . . . . stomach of a frog embryo. Ep., Epi- duodenum, then in the colon, and then theiium, with glands; sfo. submucosa; j the jejunum whence it progresses Muse., muscle layer. Ratner. J J slowly into the ileum. In the stomach it is uncertain whether the crypts and glands are depressions left among projections of the mucous membrane, or the glands represent evaginations of the epithelium into the underlying tissue. In the case of the large intestine the same uncertainty exists. If the so-called glands are depressions among villous projections that grow into the lumen of the intestine, they are not true glands from an embryological point of view. Studies of the development of the mill in the human small intestine have led to the conclusion that they are formed primarily as growths of the mucosa into the lumen. In embryos of 19 mm. the mucosa of the cephalic end is thrown into a number of longitudinal folds (Fig. 308). These then develop pro- gressively toward the caudal end. Beginning in embryos of 50 to 60 mm. the longitudinal folds become broken transversely into conical structures, the villi. The intestinal crypts (of Lieberkuhn) possibly represent outgrowths of the epithelium from the bottoms of the intervillous spaces. The duodenal (Brunner's) glands are possibly to be considered as a continuation of the pyloric glands of the stomach. They apparently grow as evaginations from the intervillous crypts. The epithelial lining of the gastrointestinal tract is from the beginning a single layer of cells, although the individual cells are altered in shape and structure and acquire different functions in different regions. There is still 344 TEXT-BOOK OF EMBRYOLOGY. some dispute as to whether the mucous cells are continuously being derived from the other epithelial cells or, when once formed, reproduce themselves by mitosis. As a matter of fact, mitosis has been observed in the mucous cells of the stomach. FiG. 308. From a reconstruction of the small intestine of a human embryo of 28 mm., showing the longitudinal ridges which eventually become broken transversely to form the villi. Berry. THE LYMPH FOLLICLES. In the development of the lymph follicles in the gastrointestinal tract the same question arises as in the case of the tonsils and thymus. Are the lymphoid cells of mesodermal or of entodermal (epithelial) a -^ FIG. 309. Sections through the wall of the caecum of (a) a rabbit 2| days and (6) 5 days after birth, showing the development of the lymph follicles. /. Lymphoid infiltration in the stroma; r, wandering cells in the epithelium; z, lymphoid cells in the core of a villus. Stohr. origin? Evidence at present favors the mesodermal origin. In the case of Peyer's patches, collections of lymphoid cells appear near the blood vessels in the stroma and neighboring parts of the submucosa. These increase in extent, DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 345 the lymphoid cells dividing actively, and grow into the bases of some of the villi and deeper into the submucosa (Fig. 309). Germinal centers appear in many of the follicles, and the surrounding stroma becomes densely infiltrated with the lymphoid cells. Individual follicles may develop, in the manner described, in any part of the gastrointestinal tract. The appendix especially is the seat of extensive lymphatic tissue formation. It is stated in the section on the lymphatic system that lymph glands may arise at any time in any region as the result of unusual conditions (p. 282), and this also holds true in the case of lymph follicles in the digestive tract. The Development of the Liver. The liver is the first gland of the digestive tract to appear. In embryos of about 3 mm. a longitudinal ridge-like evagination develops from the entoderm on the ventral side of the gut a short distance caudal to the stomach, that is, in Myotome Aorta Post, cardinal vein Coelom Upper limb bud Dorsal mesentery Duodenum Liver Omphalomesenteric vein Umbilical vein Heart FIG. 310. Transverse section of a human embryo of 5 mm., showing the liver evagination and the breaking up of the omphalomesenteric veins by the hepatic cylinders. Photograph. the duodenal portion of the gut (Figs. 285, 310, 311). The cephalic part of the evagination is solid and, being destined to give rise to the liver proper, is called the pars hepatica. The caudal part is hollow, its cavity being continuous with the lumen of the gut, and is destined to give rise to the gall bladder, whence it is called the pars cystica. Beginning at both the cephalic and caudal ends, the evagination as a whole becomes constricted from the gut until (in embryos of about 8 mm.) its only connection with the latter is a narrow cord of cells which 346 TEXT-BOOK OF EMBRYOLOGY, is the anlage of the ductus choledochus. The pars hepatica by this time has enlarged considerably and remains attached to the ductus choledochus by a short cord of cells, the anlage of the hepatic duct. The pars cystica has also become larger, its distal portion being somewhat dilated, and is connected with the ductus choledochus by the anlage of the cystic duct (Figs. 312 and 313). The pars cystica grows into the ventral mesentery and thus becomes sur- rounded by mesodermal tissue. The proximal portion continues to elongate to form the cystic duct and the distal portion becomes larger and more dilated to form the gall bladder. D. pan. V. pan. ^%fa .^^^..^^^^^v D.ch. H.du. G.bl. FIG. 311. From a model of the duodenum and the primary evaginations of the liver and pancreas in a 5 mm. sheep embryo. Stoss. D.pan., Dorsal pancreas; Du., duodenum; D. ch., ductus choledochus; G. bl., gall bladder; H. du., hepatic duct. The pars hepatica, or anlage of the liver proper, also grows into the ventral mesentery, thus becoming surrounded by mesodermal tissue. As stated in connection with the development of the diaphragm, the portion of the mesen- tery into which the liver grows is involved in the formation of the septum transversum (p. 374). Thus the developing liver becomes enclosed in the septum (Fig. 330). The mesodermal tissue gives rise to the fibrous capsule of Glisson and to the small amount of connective tissue within the gland. Although the liver develops as a series of outgrowths from the original evagination, there are certain features in its development which distinguish it from glands in general. The outgrowths come in contact with the omphalomes- enteric veins which are situated in the ventral mesentery (p. 260). They push their way into and through the veins, breaking them up into smaller channels (Fig. 310). They anastomose freely with one another, and the veins send off DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 347 branches which circumvent them. Thus there is formed a network of trabec- ulae of liver cells, called hepatic cylinders, the meshes of which are filled with blood vessels. Therefore the liver is distinguished from other glands in general in Stomach Left hep. duct [ Dors, pancreas 'A Vent, pancreas Duodenum FIG. 312. From a reconstruction of the anlagen of the liver and pancreas and a part of the stomach and duodenum of a human embryo of 4 weeks. Felix. that the hepatic cylinders, which are comparable with the smaller ducts and terminal tubules of other glands, anastomose, and in that the blood vessels are broken up by the growth of these cylinders. 4 FIG. 313. From a reconstruction of the anlagen of the liver and pancreas and the stomach of a human embryo of 8 mm. Hammar. D.P., Dorsal pancreas; Du., duodenum; D. V., ductus venosus; G.B., gall bladder; R.I., right lobe of liver; ., stomach; V.P., ventral pancreas. This mode of development establishes what is known as a sinusoidal circulation, which differs from the ordinary capillary circulation. The sinusoids are produced by the growth of the trabeculse of the developing organ into large vessels and the breaking up of the latter 348 TEXT-BOOK OF EMBRYOLOGY, into smaller vessels. It is obvious that a sinusoidal circulation is purely venous or purely arterial. Furthermore, development of this nature leaves comparatively little connective tissue within the gland, another feature characteristic of the liver. All the blood carried to the liver by the omphalomesenteric veins must follow the tortuous course of the sinusoids before being collected again and passed on to the heart. When the umbilical veins come into connection with the liver they also join in the sinusoidal circulation. Subsequently, however, a more direct channel the ductus venosus is established and persists for a Right side Suprarenal glands Mesonephros Dorsal mesogastrium (greater omentum) Stomach Ventral mesogastrium (lesser omentum) Liver Left side FlG. 314. Tranverse section of a 14 mm. pig embryo, through the region of the stomach. Photograph. The arrow points into the bursa omentalis. short time. This is probably due to the large volume of blood brought in by the umbilical veins. Finally the ductus venosus disappears and the sinusoidal circulation remains as the permanent form. (For the development of the veins in the liver see p. 259.) The lobes of the liver develop in a general way in relation to the great venous trunks which at one time or another pass into or through the gland. The anlage of the organ grows into the ventral mesentery, subsequently be- coming enclosed in the septum transversum. In so doing it encounters the omphalomesenteric veins, and forms, in relation to the latter, two incompletely separated parts which have been called the dorso-lateral lobes. When the umbilical veins enter the liver a more ventral, medial mass is formed. This becomes incompletely separated into two parts which give rise to the permanent DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 349 right and left lobes. The right becomes the larger. The right umbilical vein loses its connection with the liver (p. 261). After birth the left, which lies be- tween the right and left lobes, degenerates into the round ligament of the liver, The other lobes arise secondarily as outgrowths from the right primary dorso- lateral lobe, the caudate (lobe of Spigelius) from its inner (medial) surface, the quadrate from its dorsal surface. The liver as a whole grows rapidly and by the second month is relatively large. During the third month it fills the greater part of the abdominal cavity. After the fifth month it grows less rapidly and the other intraabdominal organs overtake it, so to speak, although at birth it forms one-eighteenth the total weight of the body. After birth it actually diminishes in size. The right lobe is from the beginning larger than the left, and after birth the predominance increases. His to genesis of the Liver. The hepatic part (pars hepatica) of the liver anlage is derived from the entodermal lining of the gut and constitutes a mass of cells with no lumen. From this mass, solid bud-like evaginations grow into the mesentery, break up the omphalomesenteric veins into smaller channels and form trabeculae, or hepatic cylinders (p. 347). The latter anastomose freely with one another and are composed of polyhedral, darkly staining cells with vesicular nuclei (Fig. 315, A). Lumina begin to appear in the cylinders about the fourth week as small cavities which communicate with the cavity of the gut. The hepatic cylinders are the forerunners of the hepatic cords or cords of liver cells. There are two views as to the manner of transformation. The older view is that the cylinders gradually become stretched, the number of cells in cross-section becoming less until it is reduced to two. Between these two lies the lumen of the cord or the so-called "bile capillary" (Fig. 315, B). The other view is that branches from the sinusoids grow into the cylinders and sub- divide them into hepatic cords. As stated above, the hepatic cylinders are at first composed of darkly stain- ing, polyhedral cells with vesicular nuclei. These are the liver cells proper. Later other small spherical cells, with dense nuclei, appear and during the fourth month become very numerous (Fig. 315, A). From this time on, they grow less in number and at birth have practically disappeared. Earlier investi- gators considered them as developing liver cells. Further study on the develop- ment of the blood, however, has led others to consider them as erythroblasts (p. 270). Since they are inside of the hepatic cylinders, they either wander in from the intertrabecular blood vessels or lie in intratrabecular vessels. The latter supposition accords with the view that the cylinders are broken up into hepatic cords by the ingrowth of branches from the sinusoids. The development of the lobules of the liver, producing the peculiar relations 350 TEXT-BOOK OF EMBRYOLOGY^ between the parenchyma of the gland and the blood vessels, has not been clearly and completely demonstrated. In young embryos the branches of the hepatic veins are surrounded by comparatively little connective tissue. The branches of the portal vein are surrounded by a considerable amount which subdivides the liver into lobules but not in the same manner as in the adult. The trabeculae possess no radial character and there are several so-called central veins in each lobule. The changes by which these primary lobules are sub- divided into the permanent ones do not take place until after birth. The branches of the portal vein, with the surrounding connective tissue, invade the A FIG. 315. Sections of the liver of (A) a human foetus of 6 months and (B) a child of 4 years. Toldt and Zuckerhandl. McMurrich. bc s . Bile "capillary"; e, erythroblast; he, hepatic cylinder (in A), cord of liver cells (in B). primary lobules and divide them into a number of secondary lobules, corre- sponding to the original number of central veins. At the same time the hepatic cords (which have been formed meanwhile) become arranged radially around the central veins in the characteristic manner. The hepatic artery grows into the liver secondarily and its branches follow the course of the branches of the portal vein. Degeneration of the liver cells occurs in the region of the left triangular liga- ment, the gall bladder and the inferior vena cava. The bile ducts may, how- ever, withstand the degenerative processes and persist as the vasa aberrantia of the liver. The cause of the degeneration is possibly the pressure brought to bear by other organs. The Development of the Pancreas. The epithelium of the pancreas, like that of the liver, is a derivative of the entoderm. It arises from two (or three) separate anlagen, one dorsal and one DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 351 (or two) ventral. The dorsal anlage appears first as a ridge-like evagination from the dorsal wall of the gut, slightly cranial to the level of the liver (Figs. 311 and 312). It appears about the same time as the liver or a little later. The mass of cells grows into the dorsal mesentery and becomes constricted from the parent epithelium except for a thin neck which becomes the duct of Santorini (Fig. 316). A little later two other diverticula appear, one from each side of the common bile duct. It is uncertain whether only one or both of these Stomach Liver Cystic duct Dorsal pancreas - Gall bladder Ductus choledochus Ventral pancreas Ductus choledochus Liver Dorsal pancreas Acces. pancr. duct (Santorini) Duodenum Cystic duct Gall bladder Ventral pancreas with pancr. duct (Wirsung) FIG. 317. FIGS. 316 and 317. From models of the developing liver and pancreas of rabbit embryos of 8 mm. and 10 mm , respectively-. Both seen from the right side. Hammar, Bonnet. take part in the formation of the pancreas, but it seems most probable that the left one disappears entirely. The right diverticulum continues to develop and becomes constricted from the parent epithelium, leaving only a thin neck which becomes the duct of Wirsung. The smaller ventral pancreas grows to the right and then dorsally in the mesentery (Fig. 318), passing over the right surface of the portal vein, until it meets and fuses with the proximal part of the larger dorsal pancreas. The fusion takes place in the sixth week, and the two anlagen then form a single 352 TEXT-BOOK OF EMBRYOLOGY. mass. A communication is established between the two ducts, and the dorsal duct (Santorini) usually disappears, leaving the ventral (Wirsung) as the per- manent duct opening into the ductus choledochus. In a general way it may be said that the ventral anlage gives rise to the head, the dorsal anlage to the body and tail of the pancreas (compare Figs. 316 and 317). As the pancreas grows into the dorsal mesentery it comes to lie in the dorsal mesogastrium between the greater curvature of the stomach and the vertebral column, and since the dorsal mesogastrium at first lies in the medial sagittal plane, the pancreas is similarly situated. After the sixth week, how- ever, as the stomach changes its position (p. 335), the pancreas is carried along Inf. vena cava Coelom Dorsal pancreas Portal vein Ventral pancreas Ductus choledochus Right side Mesonephros Greater omentum (dorsal mesentery) Duodenum Liver Lft side FIG. 318. From a transverse section through the region of the duodenum of a pig embryo of 14 mm. Photograph. with the mesogastrium and comes to lie in a transverse plane, with its head to the right and embedded in the bend of the duodenum, and its tail reaching to the spleen on the left. The organ as a whole is at first movable along with the mesentery, but when it assumes its transverse position it lies close to the dorsal abdominal wall. The mesentery then fuses with the adjacent peritoneum (see p. 380), and the pancreas is firmly fixed. The connective tissue of the pancreas is derived from the mesodermal tissue of the mesentery. As the processes or buds which form the ducts and terminal tubules grow out from the primary masses, they penetrate the mesodermal tissue and are surrounded by it. Groups of tubules form lobes and lobules, and the entire gland is surrounded by a capsule of connective tissue. DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 353 Histogenesis of the Pancreas. The masses of entodermal cells forming the anlagen of the pancreas develop further by a process of budding, which goes on until finally a compound tubular gland is produced. According to FIG. 319. Sections of the developing pancreas of a guinea-pig embryo of 12 mm. (a); of 33 mm. (6) ; of Torpedo marmorata (c) . Helly. c, Capillaries; Dg, ducts; Gz, duct cells; Lz, Langhans' cells. The cells in c show- distinct zymogen granules some investigators the primary evaginations are hollow, their lumina being continuous with the lumen of the gut. According to others they are solid at first and acquire their lumina secondarily. The same uncertainty exists in regard to the later outgrowths or buds. 354 TEXT-BOOK OF EMBRYOLOGY. The early entodermal cells proliferate, and the resulting cells change ac- cording to their position in the gland. Those lining the larger ducts become high columnar, with more or less homogeneous cytoplasm; those lining the intermediate (intercalated) ducts become low; those lining the terminal secret- ing tubules become pyramidal and more highly specialized, and also acquire certain constituents the zymogen granules (Fig. 319, c) which vary with the functional activities of the gland. The centro-tubular cells in the terminal tubules are probably to be explained on a developmental basis. While a few maintain that they are "wandering" cells, it is quite generally accepted that they are simply continuations of the flat cells lining the intermediate ducts, the result being that the cells of the terminal tubules seem to spread out over the ends of the intermediate ducts in the form of cap-like structures. It was once thought that the islands of Langerhans were derived from the mesodermal tissue. Recently it has been pretty clearly demonstrated that they are derived from entoderm. In guinea-pig embryos of 5 to 6 mm., at a time when the dorsal pancreas has merely begun its constriction from the gut, certain cells in the mass appear darker and slightly larger than the others. They show darker areas of cytoplasm around the nuclei, and later the darker areas extend throughout the cells and the nuclei become larger and more vesicular. When lumina appear in the outgrowths or buds, these cells occupy a position on or near the surface of the buds (Fig. 319, a). In further development they tend to sepa- rate themselves from the buds and collect in clumps (Fig. 319, b). Capillaries then penetrate the clumps and break them up into the trabeculae of cells char- acteristic of the islands of Langerhans (Fig. 3 1 9, c) . Studies on the development of the islands in the human pancreas indicate a similar origin and mode of development. Anomalies. One of the most striking anomalies of the organs of alimentation is found in connection with a more general anomalous condition known as transposition of the viscera (situs viscerum inversus). The transposition may be so complete that the minor asymmetries normally present on the two sides are all repeated in reverse order, the functions of the organs being unimpaired. As regards the alimentary tract, this means that the position of the stomach is reversed in the abdominal cavity; that the duodenum crosses from left to right; that the various coils of the jejunum and ileum occupy positions opposite to the normal; that the caecum and ascending colon are situated on the left side and the descending colon on the right; and that the larger lobe of the liver lies on the left side. The other visceral organs are transposed accordingly, the heart being inclined to- ward the right side, the left lung consisting of three lobes and the right of two, DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 355 the left kidney being lower than the right, etc. Such cases are not uncommon, two hundred being on record. Various theories as to the causes of transposition of the organs have been advanced. In the most plausible of these the anomalous condition is consid- ered as due to the influence of the large veins in the embryo. It seems best, therefore, to consider first the transposition of the heart (dextrocardia, referred to on page 286). After the two anlagen unite in the midventral line, the heart constitutes a simple straight tube which lies in a longitudinal direction in the primitive peri- cardial cavity, and which is joined caudally by the two omphalomesenteric veins and cranially by the ventral aortic trunk (p. 228). Normally the left omphalomesenteric vein is the larger and pours a greater quantity of blood into the heart tube than the right. This condition is regarded as the primary factor in the deflection of the tube toward the right side (p. 230; also Fig. 196). If the conditions were reversed, that is, if the right omphalomesenteric vein were the larger and poured the greater quantity of blood into the heart tube, the pri- mary bend of the latter would be toward the left side. Consequently the heart would continue to develop in the transposed position and eventually come to lie on the side opposite to the normal. Although dextrocardia is very frequently associated with transposition of the abdominal organs, it is not necessarily so, for there are cases of the latter in which the heart occupies the normal position. Consequently it seems that further influences must be present to account for transposition of the abdominal organs when the thoracic organs are normal. A number of investigators have emphasized the importance of the influence of the large venous trunks in the abdominal region, especially on the position of the liver and stomach. Primarily the omphalomesenteric veins pass cranially through the mesen- tery. Later they form two loops or rings around the duodenum. Then the left half of the upper ring and the right half of the lower disappear, the common venous trunk thus following a spiral course around the duodenum (p. 262; also Fig. 239). This primary relation of the omphalomesenteric vein is retained in the relation of the portal vein to the duodenum. The stomach lies to the left of the portal vein. After the allantoic (placental) circulation is established the umbilical veins pass cranially in the lateral body walls. After the veins come into connection with the liver, the right atrophies and the left increases in size and becomes the single large umbilical vein of later stages (p. 261; also Fig. 240). The right lobe of the liver becomes the larger. If, as is maintained by some investigators, the usual position of the stomach and liver is due to the persistence of the left venous trunks, a persistence of the right venous trunks would afford a plausible explanation of the transposition of these organs. It is not unreasonable to attribute also the transposition of the 356 TEXT-BOOK OF EMBRYOLOGY. other abdominal organs directly or indirectly to the persistence of the right venous trunks. Certainly a reversal in the position of the stomach would cause a reversal in the position of the duodenum. If these conditions are the real ones, the fact that the thoracic organs can be transposed without a transposition of the abdominal organs, or vice versa, is accounted for. The primary bend of the heart tube occurs at a very early period, before the changes in the vessels in the region of the liver. Conse- quently a reversal of the conditions of the omphalomesenteric at a very early stage only would be likely to affect the heart. The principal changes in size of the venous trunks in the abdominal region take place after their channels have been broken up in the liver. In other words, the modifications in the veins in the liver occur after the definite relations of the heart have been established. Therefore the transposition of the abdominal organs may take place after the heart has begun to develop normally. THE MOUTH. Anomalies in the mouth region, due to defective fusion of the processes that bound it, have been considered elsewhere (p. 212). Anomalies of the tongue sometimes arise as the result of imperfect develop- ment of one or more of its anlagen. Imperfect development of the tuberculum impar results in total or partial lack of the anterior part. Defects in the root are probably due to imperfect development of one or both of the paired anlagen (p. 320). Malformations of the lower jaw (micrognathus, agnathus) are usually accompanied by malformations of the tongue, both structures being derived largely from the first pair of branchial arches. THE PHARYNX. The pharynx is the seat of cysts, fistulae and diverticula which have been considered in connection with the anomalies in the region of the branchial arches and grooves (Chap. XIX) . The ihyreoid gland is not infrequently the seat of certain anomalies that arise as the result of abnormal development. Persistent portions of the thyreo- glossal duct, the upper end of which is indicated by the foramen cascum linguae, may give rise to cystic structures extending to the region of the hyoid bone. Persistent portions of the duct may even give rise to accessory thyreoid (supra- hyoid, prehyoid) glands (p. 332; also Fig. 298). Considerable variation also exists in the isthmus and lateral lobes of the thyreoid, due to variation in the manner of development of the medial anlage. Impaired development of the thymus gland sometimes leads to cysts which come to lie in the anterior mediastinum. THE (ESOPHAGUS. Very rarely the oesophagus is entirely lacking, being represented by a mere cord of tissue. More frequently it is defective in certain parts. The atresia may begin just below the pharynx or just above the stomach, the intermediate portion being composed of a cord of fibrous tissue. Occasion- ally the non-atretic portion opens into the trachea. Possibly this represents DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 357 an imperfect separation between the primitive gut and the anlage of the respiratory system (p. 360). THE STOMACH. Occasionally the stomach is smaller than the normal. It may even be a narrow tube resembling the other portions of the gut, owing to lack of dilatation. Other congenital malformations, apart from transposition (p. 354), are very rare. THE INTESTINES. One of the most common anomalies is the persistence of the proximal end of the yolk stalk, forming Meckel's diverticulum (see p. 113). This usually is attached to the ileum about three feet from the caecum. In ex- ceptional cases it retains its lumen and, when the stump of the umbilical cord disappears, forms a congenital umbilical fistula. Usually, however, the diver- ticulum is shorter and ends blindly. Occasionally it becomes constricted from the intestine and forms a cystic structure. (See also Chap. XIX.) Congenital stenosis and atresia may occur in different regions of the intestine, the duodenum being the most common site. Normally the lumen of the duodenum becomes closed for a brief period during development (p. 338), and congenital closure of the lumen may represent a persistence of the early em- bryonic condition. A conspicuous malformation is the persistence of the cloaca. The septum which normally separates the latter structure into rectum and urogenital sinus fails to develop, thus leaving a common cavity (see Figs. 361 and 362). In addition to this the cloacal membrane may fail to rupture and the cloaca be- come much distended. More often the septum develops in part, leaving only a small opening between the rectum and urogenital sinus. After the latter undergoes further development, the rectum comes to open into the urethra or bladder, or into the vagina or uterus. Atresia of the anus is not infrequently met with. The cloacal (or anal) membrane fails to rupture and the rectum ends blindly. In other cases the rectum opens into the urogenital sinus, as described in the preceding paragraph. Occasionally the lumen of the rectum is closed atresia recti and the gut ends blindly some distance from the surface, being connected with the anal region by a cord of fibrous tissue. Variations in the position of the intestinal loops, apart from transposition (p. ?54^, are of frequent occurrence. It is not customary to include these varia- tions among malformations (see p. 339). The caecum (and appendix) and colon present some striking variations. The caecum may be situated high up in the abdominal cavity, the ascending colon being absent. Or it may be situated at any intermediate point between that and its usual position in the right iliac fossa. These variations are due to different degrees of development of the ascending colon (p. 340). THE LIVER. Congenital malformations of the liver are rare. The most 358 TEXT-BOOK OF EMBRYOLOGY. frequent, apart from transposition, include anomalies in the size and number of lobes. Accessory lobes may occur within the falciform ligament. One case of lack of development of the gall bladder has been observed. Stenosis of the bile passages is occasionally met with. THE PANCREAS. Occasionally accessory glands are found in the intesti- nal or gastric wall. These probably represent aberrant portions of the main gland, and may give rise to cystic structures. Very recently, however, a number of intestinal diverticula have been observed in certain mammalian embryos and also in human embryos. Although the history of these unusual diverticula has not been traced, their presence may offer a clue to the origin of accessory pancreatic structures. The ducts of the pancreas are subject to distinct variations, which, however, are not usually considered as anomalies. Not infrequently the duct of the dorsal anlage (duct of Santorini) persists and opens directly into the duodenum. It may persist along with the duct of the ventral anlage (duct of Wirsung), or the latter may disappear (p. 352; compare Figs. 316 and 317). References for Further Study. BELL, E. T.: The Development of the Thymus. American Jour, of Anat., Vol. V, 1906 BERRY, J. M.: On the Development of the Villi of the Human Intestine. Anat. Anz. Bd. XVI, 1900. BONNET, R.: Lehrbuch der Entwickelungsgeschichte. Berlin, 1907. BORN, G.: Ueber die Derivate der embryonalen Schlundbogen und Schlundspalten bei Saugetiere. Arch. f. mik. Anat., Bd. XXII, 1883. BRACHET, A.: Die Entwickelung und Histogenese der Leber und des Pancreas. Ergeb- nisse der Anat. u. Entwick., Bd. VI, 1897. CHIEVITZ, J. C.: Beitrage zur Entwickelungsgeschichte der Speicheldrusen. Arch. /. Anat. u. PhysioL, Anat. Abth., 1885. CHORONSCHITZKY: Die Entstehung der Milz, Leber, Gallenblase, Bauchspeicheldruse und des Pfortadersystems bei den verschiedenen Abteilungen der Wirbeltiere. Anat. Hefte, Bd. XIII, 1900. Fox, H.: The Pharyngeal Pouches and their Derivatives in the Mammalia. Am. Jour. of Anat., Vol. VIII, No. 3, 1908. FUSARI, R.: Sur les phenomenes, que Ton observe dans la muqueuse du canal digestif durant le developpement du foetus humain. Arch. ital. BioL, T. XLII, 1904. GOPPERT, E.: Die Entwickelung des Mundes und der Mundhohle mit Driisen und Zunge; die Entwickelung der Schwimmblase, der Lunge und des Kehlkopfes der Wirbeltiere. In Hertwig's Handbwh der vergleich. u. experiment. Entwickelungslehre der Wirbeltiere. Bd. II, Teil I, 1902. HAMMAR, J. A.: Einige Plattenmodelle zur Beleuchtung der friiheren embryonalen Leberentwickelung. Arch. /. Anat. u. PhysioL, Anat. Abth., 1893. HAMMAR, J. A.: Allgemeine Morphologic der Schlundspalten beim Menschen. Entwick- elung des Mittelohrraumes und des ausseren Gehorganges. Arch. /. mik. Anat., Bd. LIX, 1902. HAMMAR, J. A.: Das Schicksal der zweiten Schlundspalte. Zur vergleichenden Env DEVELOPMENT OF THE ALIMENTARY TUBE AND APPENDED ORGANS. 359 bryologie und Morphologic der Tonsille. Arch. /. mik. Anat., Bd. LXI, 1903. HELLY, K.: Studien iiber Langerhanssche Inseln. Arch. f. mik. Anat., Bd. LXVII, 1907. HERTWIG, O. : Lehrbuch der Entwickelungsgeschichte der Wirbeltiere und des Menschen. Jena, 1906. HEXDRICKSOX, W. F.: The Development of the Bile Capillaries as Revealed by Golgi's Method. Johns Hopkins Hasp. Bull., 1898. His, W.: Anatomic menschlicher Embryonen. Leipzig, 1880-1885. His, W.: Die Entwickelung der menschlichen und tierischen Physiognomien. Arch. f. Anat. u. Physiol., Anat. Abth., 1892. KOHN, A.: Die Epithelkorperchen. Ergebnisse der Anat. u. Enluick., Bd. IX, 1899. KOLLMANN, J.: Die Entwickelung der Lymphknotchen in dem Blinddarm und in dem Processus vermiformis. Die Entwickelung der Tonsillen und die Entwickelung der Milz. Arch. f. Anat. u. Physiol., Anat. Abth., 1900. KOLLMAXX, J.: Lehrbuch der Entwickelungsgeschichte des Menschen. Jena, 1898. KOLLMANN, J.: Handatlas der Entwickelungsgeschichte des Menschen. Jena, 1907. MALL, F. P.: Ueber die Entwickelung des menschlichen Darmes und seiner Lage beim Erwachsenen. Arch. f. Anat. u. Physiol., Anat. Abth. Suppl., 1897. MAURER, F.: Die Entwickelung des Darmsystems. In Hertwig's Handbuch der ver- gleich. u. experiment. Entuickehmgslehre der Wirbeltiere., Bd. II, Teil I, 1902. McMuRRicn, J. P.: The Development of the Human Body. Third Ed. Philadelphia, 1907. PEARCE, R. M.: The Development of the Islands of Langerhans in the Human Embryo. American Jour, of Anat., Vol. II, 1903. PIERSOL, G. A.: Teratology. In Wood's Reference Handbook of the Medical Sciences, Vol. VII, 1904. POLZL, A.: Zur Entwickelungsgeschichte des menschlichen Gaumens. Anat. Hefte, 1905. ROSE, C.: Ueber die Entwickelung der Zahne des Menschen. Arch. /. mik. Anat. t Bd. XXXVIII, 1891. STEIDA, A.: Ueber Atresia ani congenita und die damit verbundenen Missbildungen. Arch. f. klin. Chir., Bd. LXX, 1903 STOHR, P.: Ueber die Entwickelung der Darmlymphknotchen und iiber die Riickbildung von Darmdriisen. Arch. f. Anat. u. Physiol., Anat. Abth., 1898. TAXDLER, J.: Zur Entwickelungsgeschichte des menschlichen Duodenum in friihen Embryonalstadien. Morph. Jahrb., Bd. XXIX, 1900. TOLDT und ZUCKERHAXDL: Ueber die Form und Texturveranderungen der mensch- lichen Leber wahrend Wachsthums. Sitzungsber. d. kaiser. Akad. d. Wissensch., Wien. Math.-Naturunss. Klasse., Bd. LXXII, 1875. TOURXEUX ET VERDUN: Sur les premiers developpements de la Thyroide, du Thymus et des glandes parathyroidiennes chez Phomme. Jour. de. I' Anat. et. de la Physiol., T. XXXIII, 1897. CHAPTER XIII. THE DEVELOPMENT OF THE RESPIRATORY SYSTEM. The anlage of the respiratory system appears in human embryos of about 3.2 mm. A hollow, linear evagination the lung groove develops on the ventral side of the cesophageal portion of the primitive gut, extending caudally a short distance from the region of the fourth inner branchial groove. It was once thought that the evagination developed along practically the entire length of the oesophagus anlage, but more recent researches seem to prove that it is confined to the cephalic end. The lung groove soon becomes separated from Pharynx Hypophysis Branchial arches (pharynx) Lung Liver Stomach Pancreas Common mesentery Mesonephros Allantoic duct Hind-gut ^^ \^^^ w Kidney bud FIG. 320. Sagittal section of reconstruction of a human embryo of 5 mm. His, Kollmann. the gut by a constriction which appears at the caudal end and gradually pro- gresses forward. Thus there is formed a tube which lies ventral to the gut and which opens upon the floor of the latter at the boundary line between the oesophagus and pharynx (Figs. 320 and 284). From this simple tube the entire respiratory system develops. The cephalic end gives rise to the larynx, the opening into the gut being the aditus laryngis. The middle portion gives rise to the trachea. Two outgrowths from the caudal end of the tube, which appear about the time of separation from the 360 THE DEVELOPMENT OF THE RESPIRATORY SYSTEM. 361 oesophagus, develop into the bronchi and their continuations the lungs. The epithelial lining of the system is of course derived from the entoderm. The various kinds of connective tissue are derived from the mesoderm, since the anlage grows into the mesodermal tissue of the ventral mesentery. The Larynx. The opening from the gut into the respiratory tube becomes surrounded by a U-shaped elevation thefurcula which lies in the floor of the pharynx with its open end directed caudally. Toward the end of the first month each side of the opening (aditus laryngis) becomes elevated, forming the arytenoid ridge. From each of these a secondary elevation arises, forming the cunei- form ridge. The arytenoid ridges come so close together that they practically close the opening except at its cephalic side (Fig. 321). Along with the develop- ment of these ridges the apical portion of the furcula becomes a distinct trans- Tuberculum impar i ^B- Epiglottis ^^^^^- Aryepiglottic ridge -' / &JT~ Arytenoid ridge --/ I Cuneiform ridge j Aditus laryngis -__^_^_ Cuneiform ridge A FIG. 321. From a reconstruction of the larynx of a human embryo of 28 days. Seen from above. Kallius. verse fold at the cephalic rim of the opening. This fold is the anlage of the epiglottis. Laterally the epiglottic fold becomes continuous with the arytenoid ridges, forming the aryepiglottic ridges (Fig. 321). During the fourth month a groove-like depression appears on the medial side of each arytenoid ridge, gradually becomes deeper, and leaves on each side of it a fold or lip which bounds the opening. The external lips those nearer the pharynx form the superior or false vocal cords; the internal lips form the true vocal cords. At the same time the opening into the larynx, which was closed by the arytenoid ridges, is reestablished. The depression between the vocal cords on each side becomes still deeper to form the ventricle, and a further outgrowth from the ventricle produces the appendage of the ventricle (the laryn- geal pouch). 362 TEXT-BOOK OF EMBRYOLOGY. The mesodermal tissue external to the epithelium (entoderm) of the larynx gives rise to the various kinds of connective tissue including the laryngeal cartilages. By the end of the fourth week condensations appear in the mesen- chymal tissue, which are the forerunners of the cartilages, but true cartilage does not appear until the seventh week. The anlagen of the thyreoid cartilage Sup. hy. Inf. hy. Thyr. FIG. 322. From reconstructions of the mesenchymal condensations which represent the hyoid and thyreoid cartilages in an embryo of 40 days. A, Ventral view; B, lateral view from right. Kallius. Inf.hy., Inferior (greater) horn of hyoid; Sup.hy., superior (lesser) horn of hyoid; Thyr., thyreoid. The portions indicated by black lines represent chondrification centers. are two mesenchymal plates, one on each side, which are bilaterally sym- metrical and correspond to the lateral parts of the adult cartilage (Fig. 322, A). These plates gradually grow ventrally and unite and fuse in the midventral line (Fig. 323). Two centers of chondrification appear in each plate (Fig. 322, 4,) Pharynx . / Muscle "' '.-. Arytenoid cartilage i Thyreoid cartilage Muscle Copula FIG. 323. From a transverse section through the pharynx and larynx of a human embryo of 48 mm. Nicolas. and enlarge until the entire plate is converted into cartilage, the middle part becoming elastic in character, the rest hyalin. Originally the cephalic edge of each thyreoid plate is connected with the inferior horn of the hyoid cartilage (Fig. 322, B). This connection is subse- quently lost, but a remnant of the connecting cartilage persists as the triticeous THE DEVELOPMENT OF THE RESPIRATORY SYSTEM. 363 cartilage in the lateral hyothyreoid ligament. The anlagen of the arytenoid cartilages develop in the arytenoid ridges as condensations of the mesenchyme, which later are converted into true cartilage (Fig. 323). The apex and vocal process of each arytenoid become elastic, the main body becomes hyalin. The corniculate cartilages (cartilages of Santorini) are split off from the cephalic ends of the arytenoids and are of the elastic variety. The cricoid cartilage, like the others, is preceded by a condensation of mesenchyme. Chondrifica- tion begins on each side and then progresses around dorsally and ventrally until a complete hyalin ring is formed. From its developmental resemblance to the tracheal rings, the cricoid is sometimes regarded as the most cephalic of that series. The epiglottic cartilage develops in the epiglottic ridge as two sepa- rate pieces which subsequently fuse. It is of the elastic variety. The cuneiform cartilages (cartilages of Wrisberg) are split off from the two pieces of the epi- glottic, and are of the elastic type. Attempts have been made to determine which branchial arches are represented by the laryngeal cartilages. It seems quite definitely settled that the thyreoid is derived in part, at least, from the fourth arch. There is much doubt as regards the others, for there is great difficulty in determining their derivation in the human embryo, since the arches disappear at such an early stage. Furthermore, some of these cartilages may represent arches which are present in lower forms but do not appear in the higher Mammals. The larynx is situated much farther cranially in the foetus and in the new- born child than in the adult. In a five months foetus it extends into the naso- pharyngeal cavity, whence it migrates caudally to its adult position. The laryngeal skeleton becomes ossified during postnatal life. Ossification begins in the thyreoid and cricoid cartilages at the age of eighteen to twenty years, and in the arytenoids a few years later. Three centers appear in the thyreoid one on each side near the inferior cornu and one in the medial line between the two wings. In the cricoid, ossification begins near the upper border on each side, in the arytenoids at the lower borders. Ossification usually begins earlier and proceeds more rapidly in the male than in the female. As an example of the explanation which Embryology offers of certain peculiarities of structure in the adult, the case of the recurrent laryngeal nerve may be cited. The heart and aortic arches are primarily situated in the cervical region. At that time a branch of the vagus on each side, passes behind the fourth aortic arch to reach the larynx. As the heart and arches recede into the thorax, the nerve is pulled caudally between its origin and termination, so that in the adult the left nerve bends around the arch of the aorta and the right around the subclavian artery. The Trachea. The portion of the original tube between the larynx and the two caudal out- growths which form the bronchi and lungs, develops into the trachea. It lies ventral to the oesophagus and is surrounded by mesodermal tissue which is 364 TEXT-BOOK OF EMBRYOLOGY. destined to give rise to the connective tissue, includng the cartilage, of the adult trachea (Figs. 284 and 320). The development of the tracheal rings is very similar to that of the laryngeal cartilages. During the eighth or ninth week con- densations appear in the mesenchyme, which are later transformed into hyalin cartilage. The rings are not complete but remain open on the dorsal side. At birth the trachea is collapsed, the ventral side being concave and the dorsal ends of each ring being in contact. After respiration begins it is dilated and becomes more or less rigid. Ossification of the tracheal rings begins in the male at the age of about forty years, in the female at about sixty. The glands of the trachea represent e vagina tions from the epithelial linings. The Lungs. As has been stated (p. 360), the caudal end of the original tube evaginates to form two hollow buds which are the beginnings of the two lungs (Fig. 324). The evagination takes place soon after or even along with the separation of the lung groove from the gut. The right bud soon gives rise to three secondary Aorta Upper limb bud (Esophagus Body cavity Pericardial cavity FIG. 324. Transverse section of a 14 mm. pig embryo, at the level of the upper limb buds, showing especially the two bronchi. buds, the forerunners of the three lobes of the right lung. The left bud gives rise to two secondary buds, the forerunners of the two lobes of the left lung (Fig. 325). The primary buds may be said to represent the two bronchi arising from the trachea, the five secondary buds to represent the bronchial rami which extend into the five lobes of the lungs. Successive evaginations from each of the five buds take place and form an extensive arborization for each lobe (Figs. 326 and 327). THE DEVELOPMENT OF THE RESPIRATORY SYSTEM. 365 The manner in which the bronchial rami branch is not definitely known. Some maintain that the branching is dichotomous, that is, each bud gives rise to two equal buds and each of these to two others, and so on. In order to as- sume the adult form, however, one of the buds places itself in line with the preceding bud or bronchus while the other places itself as a lateral outgrowth. Others hold that the growth is monopodial, that is, that the original bud grows in a more or less direct line and the others develop as lateral outgrowths. When Upper right lobe Middle right lobe Trachea Upper left lobe Mesoderm (mesenchyme) Lower right lobe FIG. 325. Anlage of lungs of a human embryo of 4.3 mm. His. the evaginations that produce the bronchial rami are completed, each terminal (respiratory) bronchus subdivides into three to six narrow tubules, the alveolar ducts. The latter again branch into several wider compartments, the atria, from which several air sacs are given off. The walls of the air sacs are evagi- nated to form many closely set air cells which represent the ultimate branches of the air passages of the lungs. Trachea Right bronchus Left bronchus Bronchial ramus Mesoderm (mesenchyme) Bronchial ramus' FIG. 326. Anlage of lungs of a human embryo of 8.5 mm. His. While there is a general tendency toward bilateral symmetry in the various sets of bronchial rami, the lobes of the lungs are asymmetrical. This asym- metry is indicated in the five secondary buds that arise from the two primary, since three arise on the right side and only two on the left. The three on the right represent the upper, middle and lower lobes of the right lung (Fig. 325). The upper is known as the eparterial from the fact that its bronchus lies dorsal 366 TEXT-BOOK OF EMBRYOLOGY. to the pulmonary artery. No lobe develops on the left side corresponding to the upper (eparterial) on the right. There is a possibility that it is absent in order to allow the arch of the aorta to migrate caudally as it normally does (see p. 254). One of the larger ventral bronchial rami of the left lung is ab- sent, owing to the inclination of the heart toward the left side; but as a compensa- tion the corresponding ramus of the right lung develops more extensively and projects into the space between the pericardium and diaphragm as the infracardiac ramus. From the fact that the anlage of the respiratory system is enclosed within the mesentery between the gut and the pericardial cavity, and that its caudal end becomes enclosed within the dorsal edge of the septum transversum, it is obvious Pulmonary artery Right bronchu Upper right bronch. ramus Middle right bronch. ramus Lower right bronch. ramus Mesoderm (mesenchyme) Trachea Left bronchus Upper left bronch. ramus Lower left branch pulmonary vein Lower left bronch. ramus FIG. 327. Anlage of lungs of a human embryo of 10.5 mm. His, that the lungs will push their way into the dorsal parietal recesses or pleural cavities (Figs. 328 and 333). The way in which the lungs and pleural cavities enlarge and separate the pericardium from the body wall on each side and from the diaphragm is described on page 376 (see Figs. 334 and 335). The mesoder- mal tissue that surrounds the primary lung buds is in part pushed before the numerous outgrowths and in part remains among them (Figs. 325, 326, 327). The part around the lungs, with its covering of mesothelium, comes to form the visceral layer of the pleura which closely invests the entire surface of the lungs and dips down between the lobes. At the roots of the lungs it is continuous with the parietal layer of the pleura lining the inner surface of the pleural cavi- ties. The mesodermal tissue among the bronchi and their terminations gives rise to the connective tissue that separates the lobes and lobules and invests all the structures in the interior of the lungs. This connective tissue at first con- THE DEVELOPMENT OF THE RESPIRATORY SYSTEM. 367 stitutes a large part of the lungs, but as development proceeds, the more rapid growth of the respiratory parts results in the relatively small amount of connective tissue characteristic of the adult lung. Changes in the Lungs at Birth. At birth the lungs undergo rapid and remarkable changes in consequence of their assuming the respiratory function. These changes affect their size, form, position, texture, weight, etc., and furnish probably the only certain means of distinguishing between a still-born child and one that has breathed. In the foetus at term the lungs are small, possess rather sharp margins and lie in the dorsal part of the pleural cavities. Diaphragm Lungs Pleural ca vities FIG. 328. Transverse section of a pig embryo of 35 mm., showing the developing lungs (bronchial rami surrounded by mesoderm). The oesophagus is seen between the two lungs; above the oesophagus is the aorta. The dark mass in the lower part of the figure is the liver. Photograph. After respiration they enlarge, fill practically the entire pleural cavities and naturally become more rounded at their margins. The introduction of air into the air passages converts the compact, gland-like, fcetal lung into a loose, spongy tissue. The specific gravity is changed from 1.056 to 0.342. While there is a gradual increase in the weight of the lungs during development, there is a very sudden increase at birth when the blood is freely admitted to them through the pulmonary arteries. The weight of the lungs relative to that of the body changes from about i to 70 before birth, to about i to 35 or 40 after birth. 368 TEXT-BOOK OF EMBRYOLOGY. Anomalies. THE LARYNX. The larynx may be excessively large or unusually small. Occasionally the epiglottic cartilage consists of two pieces, indicating a failure of the two anlagen to fuse (p. 362). Similar defects may occur in the other cartilages that are derived from more than one anlage. The ventricle on either side may be abnormally large with an exaggerated appendage (laryngeal pouch) . This condition resembles that in the anthropoid apes. THE TRACHEA. The trachea is sometimes absent, in which case the bronchi arise immediately below the larynx, indicating a failure on the part of the original tube to elongate. The trachea may be abnormally short. Rarely there is a direct communication between the trachea and oesophagus, probably due to an incomplete separation of the lung groove from the gut (p. 360). The cartilaginous rings may vary in number as a result of abnormal splittings and fusions. THE LUNGS. Rarely the eparterial bronchial ramus on the right side arises as a branch of the trachea and not as a branch of the bronchus (p. 365). This condition is normal in certain Mammals (ox, sheep) . Rarely an eparterial bronchial ramus is present on the left side, thus producing a third lobe for the left lung. In some animals an eparterial ramus is normally present on each side, the larger bronchial rami thus being bilaterally symmetrical. Varia- tion in size and number of lobes is not infrequent. Supernumerary or acces- sory lobes, formed either by evaginations from the original anlage or by in- dependent evaginations from the gut, are met with in rare cases. Occasionally some portion of either lung is defective. The bronchial bud that would normally give rise to the lung tissue in that region fails to develop properly, and the result is a number of rami, without the ultimate terminations, surrounded by vascular tissue. The rami may remain normal or may become dilated and form large bronchial cysts. References for Further Study. BONNET, R.: Lehrbuch der Entwickelungsgeschichte. Berlin, 1907. FLINT, J. M.: The Development of the Lungs. American Jour, of Anat., Vol. VI, 1906. GOPPERT, E.: Die Entwickelung des Mundes und der Mundhohle mit Driisen irtid Zunge; die Entwickelung der Schwimmblase, der Lunge und des Kehlkopfes der Wirbeltiere. In Hertwig's Handbuch der vergleich. u. experiment. Entivickelungslehre der Wirbeltiere, Bd. II, Teil I, 1902. HERTWIG, O.: Lehrbuch der Entwickelungsgeschichte des Menschen und der Wirbel- tiere. Jena, 1906. His, W.: Zur Bildungsgeschichte der Lungen beim menschlichen Embryo. Arch. /. Anat. u. Physiol., Anat. Abth., 1887. KALLIUS, E.: Beitrage zur Entwickelungsgeschichte des Kehlkopfes. Anat. Hejte, Bd. IX, 1897. KOLLMANN, J.: Lehrbuch der Entwickelungsgeschichte des Menschen. Jena, 1898. KOLLMANN, J.: Handatlas der Entwickelungsgeschichte des Menschen. Jena, 1907. THE DEVELOPMENT OF THE RESPIRATORY SYSTEM. 369 McMuRRiCH, J. P.: The Development of the Human Body. Third Ed., 1907. PIERSOL, G. A.: Teratology. In Wood's Reference Handbook of the Medical Sciences, Vol. VII, 1904. SYMINGTON, J.: On the Relations of Larynx and Trachea to the Vertebral Column in the Foetus and Child. Journ. of Anat. and PhysioL, Vol. IX. CHAPTER XIV. THE DEVELOPMENT OF THE CGELOM (PERICARDIAL PLEURAL AND PERITONEAL CAVITIES), THE PERICARDIUM, PLEUROPERITONEUM, DIAPHRAGM, AND MESENTERIES. In the Chapter on the development of the germ layers, it is stated that the peripheral part of the mesoderm splits into two layers, an outer or parietal, and an inner or visceral (Fig. 81; see also p. 83). The parietal layer of mesoderm and the ectoderm constitute the somatopleure. The visceral layer and the entcderm constitute the splanchnopleure (Fig. 81). The cleft or cavity that appears between the parietal and visceral layers is the ccelom or body cavity and is lined with a layer of flattened mesodermal cells known as the mesothelium. It will be remembered that in the earlier stages of development a portion of the embryonic disk becomes constricted off from the yolk sac to form the simple cylindrical body (p. 137). Along each side of the axial portion of the germ disk, and also at its cephalic and caudal ends, the germ layers bend ven- trally and then medially until they meet and fuse in the midventral line (p. 141). In this way a part of the somatopleure forms the lateral and ventral portions of the body wall (Fig. 141). At the same time the axial portion of the entoderm is bent into a tube which is closed at both ends the primitive gut and is then pinched off from the rest of the entoderm except at one point, where the cavity of the gut remains in communication with the cavity of the yolk sac. The splanchnic mesoderm adjacent to the entoderm on each side comes in contact and fuses with the corresponding portion from the opposite side, thus forming a sheet of tissue which encloses the primitive gut and also forms a partition be- tween the two parts of the coelom. This sheet of tissue is the common mesentery and is attached to the dorsal and ventral body walls along the medial line. The portion between the gut and the dorsal body wall is the dorsal mesentery, the portion between the gut and the ventral body wall is the ventral mesentery. Thus the gut is suspended in the common mesentery (Figs. 235 and 320). When portions of the somatopleure and splanchnopleure are bent ventrally the coelom between the portions is naturally carried with them. This part of the coelom thus becomes enclosed within the cylindrical body and constitutes the intraembryonic or simply the embryonic coelom (body cavity proper). The part of the coelom which, while the germ layers were still flat, was situated more peripherally constitutes the extraembryonic coelom or eococcelom (extraembryonic 370 PERICARDIUM, PLEUROPERITOXEUM, DIAPHRAGM AND MESENTERIES. 371 body cavity). From the nature of the bending process, the embryonic ccelom is divided into bilaterally symmetrical parts by the common mesentery (Fig. 235). These two simple cavities are the forerunners of all the serous cavities of the body. The various partitions between the serous cavities, the walls of the cavities and the mesenteries proper are all derived from the somatic and splanchnic mesoderm with its covering of mesothelium. While the foregoing would represent a typical case of early ccelom and mesentery formation, there are certain modifications and peculiarities in the higher Mammals and in man. In all cases the splitting of the mesoderm to form the ccelom proceeds from the periphery of the germ disk toward the axial portion (p. 85). In the human embryo the bending ventrally and fusing of the germ layers to form the cylindrical body begins in the anterior region of the disk and is accomplished there before the splitting of the mesoderm is com- pleted. The peripheral splitting has resulted in the formation of the exoccelom, but at the time when the ventral fusion of the germ layers takes place, the split- ting has not extended axially to a sufficient degree to form the intraembryonic coelom. The latter, which appears later in this region, never communicates laterally, therefore, with the exoccelom. Caudal to this region the ccelom is formed as in the typical case. The more anterior part of the ccelom on each side is thus primarily a pocket-like cavity. It communicates with the rest of the coelom at about the level of the yolk stalk. In the region of the fore-gut, the future cesophagus, no distinct mesentery is formed, but the fore-gut remains broadly attached to the dorsal body wall. A ventral mesentery is lacking from a point just cranial -to the yolk stalk to the caudal end of the gut. There are no coelomic cavities in the branchial arches, the ccelom extending only to the last branchial groove. In very young human embryos the primitive segments contain small cavities. These cavities soon disappear, being filled with cells from the surrounding parts of the segments. Whether they represent isolated portions of the ccelom is not certain. In the lower Vertebrates, the cavities of the primitive segments regularly communicate with the ccelom, and in the sheep the cavities of the first formed segments are continuous with the ccelom. In the head there is no cavity analogous to the ccelom in the body. In but one human embryo have any cavities in the head resembling those of the primitive segments been observed (see p. 301). The Pericardial Cavity, Pleural Cavities and Diaphragm. The pericardial and pleural cavities and diaphragm are so closely related in their development that they must be considered together. In the region just caudal to the visceral arches, where the two anlagen of the heart appear, the embryonic coelom becomes dilated at a very early stage to form the primitive pericardial cavity (parietal cavity of His). After the two anlagen of the heart 372 TEXT-BOOK OF EMBRYOLOGY. unite to form a simple tubular structure (p. 227; also Fig. 194), the latter is suspended in the cavity by a mesentery which consists of a dorsal and a ventral part, a dorsal and a ventral mesocardium. By these the cavity is at first divided into two bilaterally symmetrically parts. The mesocardia soon disappear and leave the heart attached only to the large vascular trunks which suspend it in the single pericardial cavity. The early pericardial cavity is simply the cephalic end of the embryonic ccelom and is therefore directly continuous with the rest of the ccelom. As mentioned on p. 371 it does not, however, at any time communicate laterally with the extraembryonic coelom. The communication between the pericardial cavity and the rest of the em- bryonic coelom is soon partly cut off by the development of a transverse fold the septum transversum. This septum is formed in close relation with the omphalomesenteric veins. These vessels unite in the sinus venosus at the caudal end of the heart, whence they diverge in the splanchnic mesoderm. am vom rpr FIG. 329. Transverse sections of a rabbit embryo, showing how the omphalomesenteric veins (vom) push outward across the ccelom and fuse with the lateral body wall, forming the ductus pleuro-pericardiacus (rp } rpd) ; am, amnion. Ravn. They are thus embedded in the mesodermal layer of the splanchnopleure, and as the latter closes in from either side to form the gut, the vessels form ridge-like projections into the ccelom. As the vessels increase in size, the ridges become so large that the splanchnic mesoderm is pushed outward against the parietal mesoderm and fuses with it (Fig. 329). Thus a partition is formed on each side, which is attached on the one hand to the mesentery and on the other hand to the ventral and lateral body walls, and which contains the omphalomesenteric veins. It is obvious that these partitions, forming the septum transversum, close the ventral part of the communication between the pericardial cavity and the rest of the coelom. The dorsal part of the communication remains open on each side of the mesentery as the ductus pleuro-pericardiacus (dorsal parietal recess of His) (Figs. 329 and 330). As the heart develops it migrates caudally, and by corresponding migration the pericardial cavity draws the ventral edge of the septum transversum farther caudally, so that the cephalic surface of the latter faces ventrally and cranially. PERICARDIUM, PLEUROPERITONEUM, DIAPHRAGM AND MESENTERIES. 373 In other words the septum comes to lie in an oblique cranio-caudal plane. The pericardial cavity therefore comes to lie ventral to the ductus pleuro-pericardiaci. The latter one on each side of the mesentery are two passages which com- Pericardial cavity Lateral mesocardium \ Pericardium Septum transversum Liver Ductus choledochus Yolk stalk - Ventral aortic trunk Dorsal mesocardium Sinus venosus Duct of Cuvier Left umbilical vein Left omphalomes. vein Ductus pleuro-pericardiacus tomach Peritoneal cavity Pharynx s. R Dorsal mesocardium \ /, "c-w } C Ductus pleuro- pericardiacus FIG. 330. From a model of the septum transversum, liver, etc., of a human embryo of 3 mm. His, K oilman. municate on the one hand with the pericardial cavity and on the other hand with the peritoneal cavity ,- while they themselves form the cavities into which the lungs grow the pleural cavities. (Compare Figs. 330, 331 and 332.) Aorta Ductus pleuro- pericardiacus Duct of Cuvier Heart s> ^-- ^ Pericardial cavity FIG. 331. View (in perspective) of the pcricardial cavity and ductus pleuro-pericardiaci of a rabbit embryo of 9 days. Ravn. The pleural cavities also become separated from the pericardial cavity, ap- parently through the agency of the ducts of Cuvier. The anterior and posterior cardinal veins on each side unite to form the duct of Cuvier which then extends 374 TEXT-BOOK OF EMBRYOLOGY. from the body wall through the dorsal free edge of the septum transversum to join the sinus venosus (Fig. 330). This free edge is pushed farther and farther into the ductus pleuro-pericardiacus (Fig. 331) until it meets and fuses Pleural cavity \ \ Dorsal mesentery ^fj:, C" Lateral mesocardium Pericardial cavity ___ Lateral mesocardium Dorsal mesocardium Heart FIG. 332. View (in perspective) of the pericardia! and plcural cavities of a human embryo of 7.5 mm. Kollmann. The arrow points through the opening which forms the communication between the pleural and peritoneal cavities, and which is eventually closed by the pleuro-peritoneal membrane. with the mesentery or posterior mediastinum. This process thus produces a septum between each pleural cavity and the pericardial cavity. The septum transversum early acquires still more complicated relations Lung Pleuro-peritoneal membrane Mesentery of i __, inf. vena cava i " Inferior vena cava Mesonephros -V jig Lung ii Pleuro-peritoneal membrane ^Mesentery 1 "^ P 1 euro-peritoneal membrane - 1 CEsophagus -.' Dorsal mesogastrium FIG. 333. Ventral view (in perspective) of parts of the lungs, pleural cavities, peritoneal cavity, and the pleuro-peritoneal membranes in a rat embryo. Ravn. from the fact that the liver grows into its caudal part (Fig. 330) . It may, for this reason, be divided into a caudal part in which the liver is situated and which furnishes the fibrous capsule (of Glisson) and the connective tissue of the liver, and a cephalic part which may be called the primary diaphragm. These two parts at first are not separate, the separation taking place secondarily. After PERICARDIUM, PLEUROPERITOXEUM, DIAPHRAGM AND MESENTERIES. 375 the separation between the pericardial cavity and the pleural cavities, the latter for a time remain in open communication with the rest of the ccelom or peritoneal cavity. The lungs, as they develop, grow into the pleural cavities (Fig. 332) until their tips finally touch the cephalic surface of the liver. At this point folds grow from the lateral and dorsal body walls (Fig. 333) and unite ventrally with the primary diaphragm and medially with the mesentery. These folds the pleuroperitoneal membranes separate the pleural cavities from the perit- oneal cavity and complete the diaphragm. Thus the diaphragm, from the stand- a- PL cav. p.m. PC. cav. Lv.c. FIG. 335. FIG. 334. Transverse section through the thoracic region of a rabbit embryo of 15 days. Hochstetter. FIG. 335. Transverse section through the thoracic region of a cat embryo of 25 mm. Hochstetter. I.v.c.. Inferior vena cava; Inf.-c. 1., infracardiac lobe of lung; L. t lung; Oe.. oesophagus; PC. cav., pericardial cavity; PI. cav., pleural cavity; Pl.-p. m., pleuro- pericardial membrane; Pu.-h. r. t pulmo-hepatic recess. point of development, consists of two parts : a ventral part which is the cephalic portion of the original septum transversum, and a dorsal part which develops later from the body wall and is the closing membrane between the peritoneal and pleural cavities. The musculature of the diaphragm is considered in the chapter on the muscular system (p. 300). While the foregoing structures are being formed, decided changes take place in their positions and relations. At first the heart lies far forward in the cervi- cal region near the visceral arches. Later it migrates caudally and the pericardial 376 TEXT-BOOK OF EMBRYOLOGY. cavity comes to occupy much of the ventral part of the thorax, the pericardium having extensive attachments to the ventral body wall and to the cephalic sur- face of the primary diaphragm (Fig. 330). The diaphragm is much farther forward than in the adult and is broadly attached to the cephalic surface of the liver. The principal changes which bring about the adult conditions are the growth of the lungs, the separation of the diaphragm from the liver, and the caudal migration of the diaphragm itself. With the development of the lungs, the pleural cavities necessarily enlarge and push their way ventrally. In so doing they split the pericardium away from the lateral body walls and likewise from the dia- phragm (compare Figs. 334 and 335). Thus the pericardial cavity comes to be confined more and more closely to the medial ventral position. The separation of the liver from the primary diaphragm is caused by changes in the peritoneum which at first covers the caudal, lateral and ventral surfaces of the liver. The cephalic surface of the liver, as stated above, is covered by the primary diaphragm itself. The peritoneum is reflected from the surface of the liver on to the diaphragm, and at the line of reflection a groove appears on each side, extending from the midventral line around as far as the attachment of the liver to the diaphragm. The FIG. 336. Diagram showing the grooves gradually grow deeper, the peritoneum human^e^br^^^F^lerent pushing its way, as a flat sac, between the two stages. Mall. structures, until the separation is almost complete. The positions are those shown . in embryos of Mall's collection There is left, however, an area of attachment (except KO, which is a 10.2 between the liver and diaphragm, over which the mm. embryo of the His collec- m f r tion) ; xii being an embryo of peritoneum is reflected, the ligamenlum coronarium In the medial line there is also left a ix, of 17 mm.; XLin, of 15 broad thin lamella which is attached to the dia- mm.; VI, of 24 mm. The numerals on the right indicate phragm, the liver and the ventral body wall. This is a remnant of the ventral mesentery and forms the ligamenlum suspensorium (falciforme) hepatis. In its free caudal edge is embedded the ligamentum teres hepatis which is closely related to the umbilical vein (see p. 261). The diaphragm itself, during its development, migrates from a position in the cervical region, where the septum transversum first appears, to its final position opposite the last thoracic vertebrae. During the migration the plane of direction also changes several times, as may be seen in Fig. 336. PERICARDIUM, PLEUROPERITONEUM, DIAPHRAGM AND MESENTERIES. 377 The Pericardium and Pleura. Since the pericardial cavity represents a portion of the original ccelom, the lining of the cavity must be a derivative of either the parietal or the visceral layer of mesoderm or of both. The common mesentery in which the heart develops is derived from the visceral layer. Con- sequently the epicardium is a derivative of the visceral mesoderm (Fig. 203). The pericardium is derived from three regions of mesoderm. The greater part is derived from the parietal mesoderm, since the body wall which is com- posed of parietal mesoderm is also primarily the wall of the pericardial cavity. A small dorsal portion is probably derived from the mesoderm at the root of the dorsal mesocardium (Fig. 203). The septum transversum primarily forms the caudal wah 1 of the pericardial cavity, and, since the septum is a derivative of the visceral layer, the caudal wall is derived from this layer. The three portions are, of course, continuous. The lungs first appear in the common mesentery as an evagination from the primitive gut (Fig. 320, p. 360). As they develop further they grow into the pleural cavities, pushing a part of the mesentery before them. This part of the mesentery thus invests the lungs and forms the visceral layer of the pleura which is therefore a derivative of the visceral mesoderm. The parietal layer of the pleura is a derivative of the parietal mesoderm, since the wall of the pleural cavity is primarily the body wall. The lining of all these cavities is at first composed of mesothelium and mesenchyme. The latter is transformed into the delicate connective tissue of the serous membranes, and the mesothelium becomes the mesothelium of the membranes. The Omentum and Mesentery. From the septum transversum (or diaphragm) to the anus the gut is sus- pended in the ccelom (or abdominal cavity) by means of the dorsal mesentery. This is attached to the dorsal body wall along the medial line and lies in the medial sagittal plane (Fig. 301; compare with Fig. 235). On the ventral side of the gut a mesentery is lacking from the anus to a point just cranial to the yolk stalk (p. 371). There is, however, a small ventral mesentery extending a short distance caudally from the septum transversum. On account of its relation to the stomach this is known as the ventral mesogastrium (Fig. 301). These two sheets of tissue, the dorsal and ventral mesenteries, are destined to give rise to the omenta and mesenteries of the adult. Owing to the enormous elongation of the gut and its extensive coiling in the abdominal cavity, the primary mesen- teries are twisted and thrown into many folds which enclose certain pockets or bursas. Furthermore, certain parts of the gut which are originally free and movable become attached to other parts and to the body walls through fusions of certain parts of the mesentery with one another and with the body walls. 378 TEXT-BOOK OF EMBRYOLOGY. The Greater Omentum and Omental Bursa. A small part of the gut caudal to the diaphragm is destined to become the stomach, and the portion of the mesentery which attaches it to the dorsal body wall is known as the dorsal mesogastrium (Fig. 301). The latter is inserted along the greater curvature of the stomach and lies in the medial sagittal plane so long as the stomach lies in this plane. When the stomach turns so that its long axis lies in a transverse direction and its greater curvature is directed caudally (p. 336), the dorsal mesogastrium changes its position accordingly. From its attachment along the dorsal body wall it bends to the left and then ventrally to its attachment along the greater curvature of the stomach. Thus a sort of sac is formed dorsal to the stomach (Figs. 337 and 338). This sac is really a part of the abdominal or Yolk stalk Stomach Rectum Duodenum Caecum Appendix Mesentery Yolk stalk FIG. 337. Stomach Rectum FIG. 338. FIG. 337. Diagram of the gastrointestinal tract and its mesenteries at an early stage. Ventral view. Hertwig. FIG. 338. Same at a later stage Hertwig. The arrow points into the bursa omentalis. peritoneal cavity and opens toward the right side. The ventral wall is formed by the stomach, the dorsal and caudal walls by the mesogastrium. The cavity of the sac is the omental bursa (bursa omentalis) ; the mesogastrium forms the greater amentum (omentum majus) . The opening from the bursa into the general peritoneal cavity is the epiploic foramen (foramen of Winslow). (Fig. 314.) From the third month on, the greater omentum becomes larger and gradually extends toward the ventral abdominal wall, over the transverse colon, and then caudally between the body wall and the small intestine (Figs. 339 and 340). The portion between the body wall and intestine encloses merely a flat cavity continuous with the larger cavity dorsal to the stomach. From the fourth month on, the omentum fuses with certain other structures and becomes less free. The dorsal lamella fuses with the dorsal body wall on the left side and PERICARDIUM, PLEUROPERITONEUM, DIAPHRAGM AND MESENTERIES. 379 with the transverse mesocolon and transverse colon (Fig. 341). During the first or second year after birth the two lamellae fuse with each other caudal to the transverse colon to form the greater omentum of adult anatomy. Diaphragm . Lesser omentum Pancreas Bursa omentalis Stomach Greater omentum Duodenum Transverse mesocolon Transverse colon Mesentery of small intestine Small intestine ----- V\~ FIG. 339. Diaph. FIG. 340. FIG. 341. FIGS. 339, 340 and 341. Diagrams showing stages in the development of the bursa omentalis, the greater omentum, and the fusion of the latter with the transverse mesocolon. Diagrams represent sagittal sections. For explanation of lettering in Figs. 340 and 341 see Fig. 339. The Lesser Omentum. It has already been noted that the liver grows into the caudal portion of the septum transversum (p. 374). Since the ventral mesentery in the abdominal region, or the ventral mesogastrium, is primarily 380 TEXT-BOOK OF EMBRYOLOGY. directly continuous with the septum transversum, it is later attached to the liver. In other words it passes between the liver and the lesser curvature of the stomach and also extends along the duodenal portion of the gut for a short distance (Fig. 301). As the stomach turns to the left the ventral mesentery is also drawn toward the left and comes to lie almost at right angles to the sagittal plane of the body, forming the lesser omentum (omentum minus) or the hepato- gastric and hepatoduodenal ligaments of the adult (Figs. 341 and 342). The Mesenteries. So long as the intestine is a straight tube, the dorsal mesentery lies in the medial sagittal plane, its dorsal attachment being practi- cally of the same length as its ventral (intestinal) attachment. As development proceeds, the intestine elongates much more rapidly than the abdominal walls, and the intestinal attachment of the mesentery elongates accordingly. When the portion of the intestine to which the yolk stalk is attached grows out into the proximal end of the umbilical cord (p. 338), the corresponding portion of the mesentery is drawn out with it (Fig. 301). When the intestine returns to the abdominal cavity and forms the primary loop, with the caecum to the right side (p. 339), its mesenteric attachment is carried out of the medial sagittal plane. This results in a funnel-shaped twisting of the mesentery (Figs. 337 and 338). The portion of the mesentery which forms the funnel is destined to become the mesentery of the jejunum, ileum, and ascending and transverse colon, and is attached to the dorsal body wall at the apex of the funnel (Fig. 337, 338, 342). This condition is reached about the middle of the fourth month. Up to this time the mesentery and intestine are freely movable, that is, they have formed no secondary attachments. From this time on, as the intestine continues to elongate and forms loops and coils, the mesentery is thrown into folds, and certain parts of it fuse with other parts and with the body wall. Thus certain parts of the intestine become less free or less movable within the abdominal cavity. The duodenum changes from the original longitudinal position to a more nearly transverse position and, with its mesentery the mesoduodenum fuses with the dorsal body wall, thus becoming firmly fixed. Since the mesoduode- num fuses with the body wall, the duodenum has no mesentery in the adult. The pancreas, which is primarily enclosed within the mesoduodenum, also becomes firmly attached to the dorsal body wall (compare Figs. 339 and 340). The mesentery of the transverse colon, or the transverse mesocolon, which lies across the body ventral to the duodenum (Figs. 338 and 342), fuses with the ventral surface of the latter and with the peritoneum of the dorsal body wall. In this way the dorsal attachment of the transverse mesocolon is changed from its original sagittal direction to a transverse direction (Figs. 340 and 341). The mesocolon itself forms a transverse partition which divides the peritoneal cavity into two parts, an upper (or cranial) which contains the stomach and liver, and PERICARDIUM, PLEUROPERITONEUM, DIAPHRAGM AND MESENTERIES. 381 a lower (or caudal) which contains the rest of the digestive tube except the duodenum. The mesentery of the duodenum and pancreas changes from a serous membrane into subserous connective tissue, and these two organs as- sume the retroperitoneal position characteristic of the adult (Fig. 339). The mesentery of the descending colon, or the descending mesocolon, lies in the left side of the abdominal cavity, in contact with the peritoneum of the body wall (see Fig. 342). It usually fuses with the peritoneum, and the descending Dors, mesogastrium Lesser omentum (hep.-gast. Kg.) Bile duct Mesoduodenum Transv. colon Spleen Duo.-jej. flexure Desc. colon Desc. mesocolon Appendix Yolk stalk Medial line FIG. 342. Gastrointestinal tract and mesenteries in a human embryo. The arrow points into the bursa omentalis. Kollmann. colon thus becomes fixed. After the ascending colon is formed, the ascending mesocolon usually fuses with the peritoneum on the right side (see Fig. 342). In a large percentage (possibly 25 per cent.) of individuals, the fusion between the peritoneum and the ascending and descending mesocolon is incomplete or wanting. The sigmoid mesocolon bends to the left to reach the sigmoid colon, but forms no secondary attachments. It is continuous with the mesorectum which maintains its original sagittal position. A sheet of tissue the mesoappendix continuous with and resembling the mesentery, is attached to the cascum and vermiform appendix (Fig. 342). It probably represents a drawn out portion of 382 TEXT-BOOK OF EMBRYOLOGY. the original common mesentery, since the caecum and appendix together are formed as an evagination from the primitive gut. Normally the mesentery of the small intestine forms no secondary attach- ments, but is thrown into a number of folds which correspond to the coils of the intestine. The secondary attachments of the greater omentum and the fusion of the two lamellae have been described earlier in this chapter (p. 378). The mesen- teries of the urogenital organs are considered in connection with the develop- ment of those organs (Chapter XV). The Peritoneum. The thin layer of tissue composed of delicate fibrous connective tissue and mesothelium which lines the abdominal cavity and is re- flected over the various omenta, mesenteries and visceral organs, is derived wholly from the mesoderm. The lining of the coelom is composed of mesothe- lium and mesenchyme. The latter gives rise to the connective tissue of the serous membranes, and the mesothelial layer becomes the mesothelium of these membranes. Anomalies. THE PERICARDIUM. Anomalous conditions of the pericardium are usually, although not necessarily, associated with anomalies of the heart. They may also be associated with defects in the diaphragm. Displacement of the heart (ectopia cordis) is accompanied by displacement of the pericardium. The heart sometimes protrudes through the thoracic wall, and, as a rule, in such cases is covered by the protruding pericardium. In extensive cleft of the thoracic wall (thoracoschisis, Chap. XIX) the pericardium may be ruptured. THE DIAPHRAGM. The most common malformation of the diaphragm is a defect in its dorsal part, occurring much more frequently on the left than on the right side. The defect may affect but a small portion or may be extensive, the peritoneum being directly continuous with the parietal layer of the pleura. Such defects are due to the imperfect development of the pleuro-peritoneal mem- brane which normally grows from the dorso-lateral part of the body wall and fuses with the edge of the primary diaphragm, thus separating the pleural and and peritoneal cavities (p. 375). The most conspicuous result of defects in the dorsal part of the diaphragm is diaphragmatic hernia, in which parts of the stomach, liver, spleen and intestine project into the pleural cavity, either free or enclosed in a peritoneal sac. Defects in the ventral part of the diaphragm, due to imperfect development of portions of the septum transversum, are not common. THE MESENTERIES AND OMENTA. Extensive malformations of the mesen- teries apparently do not occur without extensive malformations of the digestive tract. One of the most striking anomalous conditions is a retained embryonic PERICARDIUM, PLEUROPERITONEUM, DIAPHRAGM AND MESENTERIES. 333 simplicity of the mesentery, concurrent with corresponding simplicity in the loops and coils of the intestine. In this anomaly the intestine has failed to arrive at its usual complicated condition and the mesentery has not undergone the usual processes of folding and fusion (p. 380 et seq.). Minor variations in the mesenteries and omenta are probably due largely to imperfect fusion of certain parts with one another and with the body wall. It is not uncommon to find the ascending or descending colon, or both, more or less free and mov- able. This condition is due to imperfect fusion of the mesocolon with the body wall (p. 381). If the greater omentum is wholly or partially divided into sheets of tissue, the two primary lamellae have failed to fuse completely (p. 379). This divided condition is normal in many Mammals. References for Further Study. BRACKET, A.: Recherches sur le developpement du diaphragme et du foie. Jour, de VAnat. et de la Physiol., T. XXXII, 1895. BROMAX, J. : Die Entwickelungsgeschichte der Bursa omentalis und ahnlicher Recess- bildungen bei den Wirbeltieren. Wiesbaden, 1904. BROMAX, I.: Ueber die Entwickelung und Bedeutung der Mesenterien und der Korper- hohlen bei den Wirbeltieren. Ergebnisse der Anat. u. Entwick., Bd. XV, 1906. BROSSIKE, G.: Ueber intraabdominale (retroperitoneale) Hernien und Bauchfelltaschen, nebst einer Darstellung der Entwickelung peritonealer Formationen. Berlin, 1891. HERTWIG, O.: Lehrbuch der Entwickelungsgeschichte des Menschen und der Wirbeltiere. Jena, 1906. KEIBEL, F., and MALL, F. P.: Manual of Human Embryology, Vol. I, 1910. KLAATSCH: Zur Morphologic der Mesenterialbildungen am Darmkanal der \Virbeltiere. Morph. Jahrbuch, Bd. XVIII, 1892. KOLLMAXX, J.: Lehrbuch der Entwickelungsgeschichte des Menschen. Jena, 1898. KOLLMAXX, J.: Handatlas der Entwickelungsgeschichte des Menschen. Bd. II, 1907. MALL, F. P.: Development of the Human Ccelom. Jour, of Morphol., Vol. XII, 1897. PIERSOL. G. A.: Teratology. In Wood's Reference Handbook of the Medical Sciences. 1904. RAVX, E.: Ueber die Bildung der Scheidewand zwischen Brust- und Bauchhohle in Saugetierembryonen. Arch. f. Anat. u. Physiol., Anat. Abth., 1889. STRAHL and CARIUS: Beitrage zur Entwickelungsgeschichte des Herzens und der Korperhohlen. Arch. f. Anat. u. Physiol., Anat. Abth., 1889. SWAEX, A.: Recherches sur le developpement du foie, du tube digestif, de Parriere- cavite du peritoine et du mesentere. Premiere partie, Lapin. Jour, de VAnat. et de la Physiol., T. XXXIII, 1896. Seconde partie. Embryons humains. T. XXXIII, 1897. TOLDT, C.: Bau und Wachstumsveranderung der Gekrose des menschlichen Darm- kanals. Denkschr. der kais. Akad. Wissensch. Wien. Math.-Naturivissen. Classe, Bd. XLI, 1879. CHAPTER XV. THE DEVELOPMENT OF THE UROGENITAL SYSTEM. No other system in the body presents such peculiarities of development as the urogenital system. In the first place, it is exceedingly complicated on ac- count of its many parts. It is derived from both mesoderm (mesothelium and mesenchyme) and entoderm. The urinary portion develops into a great com- plex of ducts for the carrying off of waste products. The genital portion in both sexes becomes highly specialized for the production and carrying off of the sexual elements. In the second place, instead of one set of urinary organs developing and persisting, three sets develop at different stages. The first set (the pronephroi) disappears in part, but leaves certain structures which are used, so to speak, in the development of the second. The second set (the meso- nephroi) disappears for the most part, leaving, however, some portions which are taken up in the development of the genital organs and other portions which persist as rudimentary structures in the adult. The third set (the metanephroi or kidneys) develops in part from the second and in part is of independent origin. These conditions afford one of the most striking examples of the repe- tition of the phylogenetic history by the ontogenetic, or, in other words, of von Baer's law that an individual, in its development, has a tendency to repeat its ancestral history; for the first and second sets of urinary organs in the human embryo represent systems that are permanent in the lower Vertebrates. In the third place, the ducts of the genital organs are not homologous in the two sexes. In the male the ducts (deferent duct, duct of the epididymis, efferent ductules) are derived from the second set of urinary organs; in the female they (the oviducts) are derived from other ducts which develop in the second set of urinary organs, but which are not functionally a part of the latter. THE PRONEPHROS. The pronephros, with the pronephric duct, is the first of the urinary organs to appear. In embryos of 2-3 mm. there are two pronephric tubules on each side, situated at the level of the heart. Although their mode of origin has not been observed in the human embryo, it is probable, judging from observations on lower Vertebrates, that they arise as evaginations of the mesothelium. The part of the mesothelium involved is that adjacent to the intermediate cell mass (Fig. 343) . (The intermediate cell mass is the portion of the mesoderm interven- ing between the primitive segments and the unsegmented parietal and visceral 384 THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 385 layers; p. 84.) The more cephalic of the two tubules becomes hollow and opens into the coelom; the more caudal is merely a solid cord of cells. Neither tubule forms any connection with the pronephric duct. At each side of the root of the mesentery a small elevation, which projects into the ccelom, probably represents a rudimentary glomerulus. A glomerulus in the lower Vertebrates, where the pronephros develops to a much greater degree than in Mammals, contains tortuous vessels derived from branches of the aorta (Fig. 344). The mesonephros (p. 389), beginning to develop almost as soon as the pro- nephros and in the same relative position, forms a ridge which projects into the coelom. The pronephric tubules thus become embedded in the mesonephric ridge. The pronephric duct begins to develop about the same time as the tubules. It appears as a longitudinal ridge on the outer side of the intermediate cell mass Sclerotorne Myotome Ectoderm Parietal mesodenn Visceral mesoderm Entodenrr Pronephric tubule FIG. 343. Transverse section of a dog embryo with 19 primitive segments. Bonnet. Section taken through sixth segment. at the level of the heart and projects into the space between the mesoderm and ectoderm. The ridge is at first solid but soon acquires a lumen, and gradually extends to the caudal end of the embryo where it bends medially to open into the gut. The origin of the caudal portion of the duct is a matter of dispute. It comes in contact and fuses with the ectoderm, but whether in the higher ani- mals the fusion is secondary or signifies a derivation from the ectoderm has not been determined. When first formed, the entire duct lies on the outer side of the intermediate cell mass, but later becomes embedded in the mesonephric ridge. The pronephric tubules are but transient structures and have no functional significance in man and the higher Vertebrates. The ducts, however, remain and become the ducts of the second set of urinary organs, the mesonephroi. The significance of the pronephros can be understood only by reference to the conditions in the lower animals. In the latter the pronephros acquires a relatively higher degree of de 386 TEXT-BOOK OF EMBRYOLOGY. velopment than in the higher forms. The tubules are segmentally arranged and are present in many segments of the body. They open at their outer ends into the ducts, and at their inner ends into the ccelom through ciliated funnel-shaped mouths or nephrostomes. Little masses of mesoderm, containing tortuous vessels derived from branches of the aorta, form glomeruli which project into the ccelom. Waste products are removed from the blood through the agency of the glomeruli and are collected in the ccelom. They are then taken up by the pronephric tubules and carried away by the ducts. In some of the Round Worms there is not even a longitudinal duct, but the tubules open directly on the outer surface of the body. In the lowest Fishes all the tubules on each side open into a longitudinal duct which opens into the cloaca. In these lower forms of animal life the pronephroi constitute the permanent urinary apparatus. In the ascending scale the mesonephroi appear (higher x-x . u^.,' r^ Pron. t. - Glom. FIG. 344. Diagram of the pronephric system in an amphibian. Bonnet. C&L, Coelom; Glom., glomerulus, containing ramifications of a branch of the aorta; Nch., notochord; Pron. t., pronephric tubule. Fishes, Amphibia) and assume the function of carrying off waste products. The prone- phroi also develop, but to a lesser degree. Still higher in the scale (Reptiles, Birds, Mam- mals) the kidneys (metanephroi) appear and the mesonephroi lose their functional sig- nificance. But even in the very highest Mammals the pronephroi appear, in a very rudimen- tary form, in each individual in the earliest embryonic stages, thus repeating the ancestral history. THE MESONEPHROS. The mesonephroi, which constitute the second set of urinary organs, appear in embryos of 2.6-3.0 mm., immediately following the pronephroi. They be- gin to develop just caudal to the pronephric tubules and in the same relative position as the latter, that is, in the intermediate cell mass. Condensations* appear in the mesenchyme and become more or less tortuous. At their inner ends they form secondary connections with the mesothelium and at their outer ends they join the pronephric duct which now becomes the mesonephric (or Wolffian) duct. The cells acquire an epithelial character, lumina appear, and the tortuous mesenchymal condensations thus become true tubules. Their connections with the mesothelium soon disappear (Fig. 345). *The term " condensation " is here used to mean increased density of tissue due mainly to proliferation of cells. THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 387 After the tubules are formed, other condensations of the mesenchyme appear near their inner ends. A branch from the aorta enters each condensation and breaks up into a number of smaller vessels which ramify inside, the entire structure thus becoming a glomerulus. Each glomerulus pushes against the corresponding tubule, the latter becoming flattened and then growing around the glomerulus. In this way the glomerulus becomes surrounded by two layers of epithelium, except at the point where the vessels enter, and the whole structure the Malpighian corpuscle resembles very closely a renal corpuscle of the adult Roof Spinal plate ganglion Amnion Glomerulus Mesentery Intestine Post, cardinal vein Mesonephric (Wolffian) duct Blood vessel Mesonephric (Wolffian) ridge Coelom Body wall with umbilical vein FIG. 345. From a transverse section of a sheep embryo of 21 days (15 mm.), showing the developing mesonephros. Bonnet. kidney. Waste products are removed from the blood through the agency of the glomeruli and are carried to the ducts by the mesonephric tubules (Fig. 345). The tubules themselves increase in length and become much coiled. Sec- ondary and tertiary tubules also develop and become branches of the primary. Whether these develop from condensations of the mesenchyme or as buds from the primary tubules has not been determined. Each tubule consists of two parts (i) a dilated part around the glomerulus, composed of large flat cells and forming Bowman's capsule, and (2) a narrower coiled part leading from 388 TEXT-BOOK OF EMBRYOLOGY. the glomerulus to the duct and composed of smaller cuboidal cells (Fig. 345). The primary mesonephric tubules are arranged segmentally, one appearing in each segment as far back as the pelvic region. Thus the intermediate cell mass may be considered as a series of nephrotomes, corresponding to the sclerotomes and myotomes. The segmental character is soon lost, however, owing to the inequality of growth between the mesonephros and the other seg- mental structures, and to the development of the secondary and tertiary tubules. As stated above, the first mesonephric tubules appear immediately caudal to Mid-brain B ^ -Fore-brain Hind-brain Branchial groove I Heart- i - Lung f V-fiPJF ' '" 1 -. -' ' Intestine Mesonephros- ffl Genital ridge Coelom tH^Ki^k V \ HK3B& . t j*- : / Body wall Lower limb bud Tail FIG. 346. Human embryo of 5 weeks. The ventral body wall has been removed to disclose the mesonephroi. Kollmann. the pronephros. From this point their formation gradually progresses in a caudal direction as far as the pelvic region. By the further development of the primary and by the addition of the secondary and tertiary tubules and the glomeruli, the mesonephros as a whole increases in size and forms a large structure which projects into the ccelom on each side of the body, forming the so-called mesonephric or Wolffian ridge. It reaches the height of its develop- ment in the human embryo about the fifth or sixth week, at which time it ex- tends from the region of the heart to the pelvic region (Fig. 346) . Each organ THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 389 is attached to the dorsal body wall by a distinct mesentery which, at its cephalic end, also sends off a band to the diaphragm the diaphragmatic ligament of the mesonephros. The peritoneum is reflected over the surface of the meso- nephros, and on the ventro-medial side the mesothelium becomes thickened to form the genital ridge (p. 404; Figs. 314 and 346). The mesonephric ducts are embedded in the lateral parts of the organs and extend throughout practically their entire length. Since the ducts are identical with the pronephric ducts, they open at first into the caudal end of the gut, or cloaca (p. 385; Fig. 360). At a little later period, when the urogenital sinus is formed, they open at the junction of the latter with the bladder (Fig. 363). Still later they open into the Appendage t * oftes ' Testicle Appendage of epididymis Mesonephric duct '(duct of epididymis) -Paradidymis ._ Aberrant ductule _ Mullerian duct _ Urogenital sinus FIG. 347. Diagram representing certain persistent portions of the mesonephros in the male (see table). Kollmann. sinus itself (p. 400) . A description of their further development is best deferred to the section on the male genital organs, since they become the genital ducts (p. 416). The mesonephroi function as urinary organs during the period of their existence in the embryos of all higher Vertebrates. Excretory products are con- veyed directly to the tubules by means of the glomeruli instead of being de- posited in the ccelom and then taken up by the tubules, as is the case in func- tional pronephroi (p. 386). The main excretory ducts are the same as in the pronephroi. Aside from the vessels in the glomeruli the mesonephroi are ex- ceedingly vascular organs. Large and small branches of the posterior cardinal veins ramify among the tubules (Figs. 314 and 232). The blood undergoes 390 TEXT-BOOK OF EMBRYOLOGY. purifying processes in its close contact with the tubules and is returned to the heart by the posterior cardinals, or, after the cephalic ends of the latter atrophy, by the subcardinals and the inferior vena cava (see p. 256; also Fig. 232, B). There is thus present a true renal portal system, similar to the hepatic portal system. Although the mesonephroi become large functional organs during the earlier stages of development, they atrophy and disappear for the most part, coinci- dently with the appearance and development of the kidneys. The degeneration begins during the sixth or seventh week and goes on rapidly until, by the end of the fourth month, little remains but the ducts and a few tubules. The degenera- o. t. a. Ovd. Epo. 1. Epo. t. FIG. 348. Diagram representing certain persistent portions of the mesonephros in the female (see table). Epo. /., Longitudinal duct of the epoophoron; Epo. t., transverse ductules of the epoophoron; O. /. a., ostium abdominale tubse; Ovd., oviduct; X represents a small duct which, if present, leads from the epoophoron to one of the fimbriae of the oviduct. tive processes consist of (i) an ingrowth of connective tissue among the tubules, (2) atrophy of the epithelium of the tubules, and (3) atrophy of the glomeruli. The portions which remain differ in the two sexes, and since the remnants are taken up in the formation of the male and female genital organs it seems best to discuss them more fully under those heads (pp. 413, 416). The accom- panying table, however, will give a clue to their fate (see also Figs. 347 and 348). A more comprehensive table will be found on p. 423. Male Female Mesonephros f Cephalic part Caudal part Duct of mesonephros Efferent ductules (vasa efferentia) Paradidymis | Vasa aberrantia f Deferent duct I Ejaculatory duct [ Seminal vesicles Epoophoron Paroophoron Gartner's canals The significance of the mesonephroi, which, as well as the pronephroi, are present in the embryos of ail higher Vertebrates, can be understood only by referring to the conditions in the lower Vertebrates. In the majority of the Fishes and in the Amphibia the mesonephroi con- stitute the functional urinary organs of the adult and possess essentially the same structure as THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 391 in the embryos of higher forms. Beginning in the Reptiles and continuing up through the series of Birds and Mammals, another set of urinary organs the kidneys develops. The meson ephroi also develop in these forms, even to a high degree, thus repeating the ancestral history, but retain their original function only in the earlier embryonic stages. THE KIDNEY (METANEPHROS). The kidneys are the third set of urinary organs to develop. They assume the function of the mesonephroi as the latter atrophy, and constitute the per- manent urinary apparatus. Each kidney is derived from two separate anlagen which unite secondarily. The epithelium of the ureter, renal pelvis, and straight renal tubules (collecting tubules) is derived from the mesonephric duct Mesonephros Mesonephric duct ^^L. ^ " ^I's^ / Metanephric blastema Metanephric blastema (inner zone) Primitive renal pelvis Cloacal membrane -^& Urete FIG. 349. From a reconstruction of the anlage of the kidney (metanephros) , etc., of a human embryo at the beginning of the 5th week. Schreiner. by a process of evagination. The convoluted renal tubules and glomeruli are derived directly from the mesenchyme, and in this respect resemble the meso- nephric tubules and glomeruli. The Ureter, Renal Pelvis and Straight Renal Tubules. During the fourth week (in embryos of about 5 mm.) a small, hollow, bud-like evagination appears on the dorsal side of each mesonephric duct near its opening into the cloaca. The evagination continues to grow dorsally in the mesenchyme toward the vertebral column, and at the same time becomes differentiated into two parts, a narrow stalk and a dilated terminal portion. The stalk is the forerunner of the ureter, the dilated end is the primitive renal pelvis (Figs. 349 and 351). When the dilated end reaches the ventral side of the vertebral 392 TEXT-BOOK OF EMBRYOLOGY. column it turns and grows cranially between the latter and the mesonephros. The stalk (or ureter) elongates accordingly (Fig. 350). About the fifth week, four evaginations from the primitive renal pelvis appear one cephalic, one caudal and two central (Figs. 350 and 352). These may be considered as straight renal tubules of the first order. The distal end of each then enlarges to form a sort of ampulla, and from each ampulla two other evaginations develop, forming tubules of the second order. From the ampulla of each secondary tubule two tertiary tubules grow out; and this process con- Mesonephros Mesonephric duct Junction of meson, duct and ureter Cephalic e vagi nation .Metanephric blastema Central evaginations Caudal evagination FIG. 350. From a reconstruction of the anlage of the kidney, etc., of a human embryo of 11.5 mm. Schreiner. tinues in a similar manner until twelve or thirteen divisions occur, the final divisions occurring during the fifth month. The tubules grow into the mesen- chyme which surrounds the pelvis and which forms the so-called metanephric blastema, or nephro genie tissue (Fig. 351). If the straight tubules were to remain in this condition, only four would open directly into the pelvis, corresponding with the four primary evaginations. In the adult, however, many hundreds open into the pelvis; consequently extensive changes of the early condition must take place. These changes are similar to THE DEVELOPMENT OF THE UROGEXITAL SYSTEM. 393 the process by which the proximal ends of some of the blood vessels come to be included in the wall of the heart (p. 235). The proximal ends of the tubules become wider, the pelvis swells out, and the walls of the tubules become in- cluded in the wall of the pelvis. In certain parts of the pelvic wall this process goes on until deep bays the calyces are formed, into which a large number of tubules open. In the other parts of the wall the process does not go so far, thus leaving promontories the renal papilla upon which larger tubules or papil- lary ducts open. The adult renal pelvis thus consists of the primitive pelvis plus the proximal ends of the straight tubules. Metanephric I blastema | Primitive renal pelvis Ureter Mesonephric duct Intestine . Bladder FIG. 351. From a transverse section of a human embryo at the beginning of the 5th week. The plane of the section is indicated in Fig. 349. Schreiner. The Convoluted Renal Tubules and Glomeruli. As stated above, the metanephric blastema or nephrogenic tissue surrounds the renal pelvis and the straight tubules. It represents a condensation of the mesenchyme and is destined to give rise to the convoluted tubules and glomeruli. The cells of the blastema in the region of the ampullae of the terminal straight tubules acquire an epithelial character and become arranged in solid masses (Fig. 353). Each mass unites with an ampulla and acquires a lumen, which becomes continuous with the lumen of the straight tubule, then elongates and forms an S-shaped structure (Figs. 354 and 355). The loop of the S nearer the straight tubules elongates still more and grows toward the pelvis, parallel with the straight 394 TEXT-BOOK OF EMBRYOLOGY. tubules, to form Henle's loop. The part between Henle's loop and the straight tubule elongates and becomes convoluted to form the proximal part of a con- voluted renal tubule (second convoluted tubule). The part between the distal end and Henle's loop elongates and becomes convoluted to form the distal part of a convoluted renal tubule (first convoluted tubule) (Figs. 356 and 357). To avoid confusion it may be well to call attention to the fact that what has here been called the proximal part of a convoluted tubule corresponds with what is usually described as the second or distal convoluted tubule, and that the distal part of a convoluted tubule corresponds with the first or proximal convoluted tubule. In histology the distal and proxi- mal convoluted tubules are spoken of in relation to the renal corpuscle, but in development it is more convenient to speak of the terminal part of a tubule as its distal part. Cephalic evagination Caudal evagination Ureter FIG. 352. From a model of the primitive renal pelvis and the evaginations which form the cephalic, central and caudal straight renal tubules of the first order. Human embryo of 4! months. Compare with Fig. 350. Schreiner A glomerulus develops in connection with the extreme distal end of a con- voluted tubule or, in other words, with the distal loop of the S (p. 393). There occurs here a further condensation of the mesenchyme, into which grows a branch from the renal artery. This, as the afferent vessel of the glomerulus, breaks up into several arterioles, each of which gives rise to a tuft of capillaries. These tufts are separated from one another by somewhat more mesenchymal tissue than separates the capillaries within a tuft. The tufts with the asso- ciated mesenchymal tissue constitute a glomerulus, and it is the mesenchymal septa between the tufts that give to the glomerulus its characteristic tabulated appearance. The capillaries of each tuft empty into an arteriole, and the several arterioles unite to form the efferent vessel of the glomerulus, which passes out along side of the afferent vessel. The renal tubule becomes flattened on the side next the condensation of the mesenchyme, and as the glomerulus develops, the epithelium of the tubule grows around it except at the point where the blood \ THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 395 vessels enter and leave. Thus a double layer of epithelium comes to surround the glomerulus, the space between the two layers being the extreme distal part of the lumen of a renal tubule. The inner layer is closely applied to the surface I Anlagen of > convoluted renal tubules Renal pelvis Capsule Anlage of convoluted renal tubule Ampulla of straight renal tubule FIG. 353. Sagittal section of the anlage of the left kidney in a rabbit embryo of 15 days. Schreiner. The straight renal tubules (sections of which are shown) are embedded in the metanephric blastema. Condensations of the latter form the anlagen of the convoluted renal tubules. At the left of the figure several mesonephric tubules are shown. Amp. Con. r. t. Met. bl. Con. r. t. FIG. 354. From a section of the kidney of a human foetus of 7 months. Schreiner. Amp., Ampulla of a straight renal tubule; Con. r. /., anlagen of convoluted renal tubules, above and between which are two ampullae (compare Fig. 355); met. bl., metanephric blastema. of the glomerulus and even dips down into the latter between the tufts. The outer layer forms Bowman's capsule, the flat epithelium of which passes over into the cuboidal epithelium of the "neck" of the tubule, and this in turn is 396 TEXT-BOOK OF EMBRYOLOGY. Pros, convoluted tubule Dist. convoluted tubul Henle's loo FIG. 355- Ampulla of straight tubule Henle's loop Distal part of convoluted tubule Bowman's capsule Proximal part of convoluted tubule Distal part of convoluted tubule "Neck" Bowman's capsule FIG. 356. Prox. convoluted tubule Dist. convoluted tubule Henle's loop Prox. convoluted tubule^ Bowman's capsule Straight tubule Prox. convoluted tubule Dist. convoluted tubule Prox. convoluted tubule Dist. convoluted tubule Bowman's capsule Ascending } > arm of Henle's loop Descending J FIG. 357. F;GS - 355> 35 6 and 357- From reconstructions of convoluted renal tubules in successive stages of development. Stoerk. THE DEVELOPMENT OF THE UROGEXITAL SYSTEM. 397 continuous with the pyramidal epithelium of the distal convoluted tubule. The entire structure is a renal corpuscle. The formation of renal corpuscles begins in embryos of 30 mm. and continues until after birth. The Renal Pyramids and Renal Columns. The tubules arising from the four primary evaginations of the renal pelvis together form four distinct groups or primary renal (Malpighian) pyramids one cephalic, one caudal, and two central. The central pyramids are crowded in between the end pyramids, (cephalic and caudal) and do not develop as rapidly as the latter which soon bend around toward the ureter, thus resulting in the formation of the convex side of the kidney and a depression or hilus opposite (compare Figs. 352 and 358) . Between these four pyramids the mesenchyme remains for some time as Primary renal pyramid 'Primary renal column Cephalic straight tubule- Primary renal pyramid Central straight tubule = ___^^^^^_^^_^^^^_ Primary renal column Caudal straight tubule Urett Primary renal pyramid FIG. 358. Frontal section of the kidney of a human foetus of 3! months (10 cm.). Hauch. rather distinct septa, forming the primary renal columns (columns of Bertini) which are marked by corresponding depressions on the surface of the kidney and extend to the renal pelvis. The four primary pyramids may be considered as lobes (Fig. 358). It should also be stated that the parts of the tubules derived from the mesenchyme form the bases of the renal pyramids. Be- tween the groups of straight tubules derived from evaginations of the second or third order (see p. 392) there are also septa of mesenchyme which divide each primary pyramid into two or three secondary pyramids. These septa may be considered as secondary renal columns (Fig. 359). Thus the entire kidney is divided into from eight to twelve secondary pyramids. Tertiary renal columns then divide incompletely the secondary pyramids into tertiary pyra- 398 TEXT-BOOK OF EMBRYOLOGY. mids. These are apparent on the surface of the kidney and constitute the surface tabulation, but are not clearly denned in the interior. The formation of renal papillae (p. 393) corresponds to the formation of pyramids only to a certain point, for some of the tertiary pyramids appear only near the surface and consequently do not have corresponding papillae. This accounts for the fact that frequently the number of pyramids apparent on the surface does not correspond with the number of papillae. The surface lobula- tion is very plainly marked in kidneys up to and for a short time after birth. It then disappears and the surface becomes smooth. At the same time the con- nective (mesenchymal) tissue of the renal columns is largely replaced by the Secondary renal column Secondary renal pyramid Secondary renal column FIG. 359. Frontal section of the kidney of a human foetus of 19 weeks (17.5 cm.). Hauch. epithelial elements of the gland so that in the adult kidney the columns are not clearly denned. The capsule of the kidney is derived from the mesenchyme which surrounds the anlage of the organ (Fig. 353) . This mesenchyme is transformed into fibrous connective tissue and a small amount of smooth muscle, forming a layer which closely invests the kidney and dips into the hilus where it surrounds the blood vessels and the end of the ureter. The connective tissue and muscle of the ureter are also derived from the mesenchyme. CORTEX AND MEDULLA. As the convoluted renal tubules develop in the metanephric blastema (p. 393), they form a cap-like mass around the group of THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 399 straight tubules. This is the beginning of the renal cortex. A true cortex, however, can be spoken of only after the appearance of the glomeruli (in embryos of 30 mm.). Its peripheral boundary is the capsule, and the renal corpuscles nearest the pelvis mark its inner boundary. The mass of straight tubules forms the bulk of the medulla. It does not at this stage contain Henle's loops, the latter developing later (during the fourth month). Both cortex and medulla increase until the kidney reaches its adult size. The cortex increases relatively faster than the medulla up to the seventh year; after this the increase is practically equal. The medullary rays are probably secondary formations, being formed by groups of straight tubules which grow out into the cortex; later, ascending arms of Henle's loops are added to these groups. Some of the glomeruli of the first generation are much larger than any found in the adult. In some of the lower Mammals these "giant" glomeruli disappear and it is probable that the same occurs in the human embryo. Some of the tubules also degenerate and disappear. The cause of these phenomena is not known. Changes in the Position of the Kidneys. As has already been described (p. 391), the kidney buds first grow dorsally from the mesonephric ducts toward the vertebral column. They then grow cranially, with a corresponding elongation of the ureters, and in embryos of 20 mm. they lie for the most part cranial to the common iliac arteries. This migration continues until the time of birth when the cephalic ends of both kidneys reach the eleventh thoracic ver- tebra. When the kidneys begin to move cranially the hilus is directed caudally. Later they rotate and the hilus is turned toward the medial sagittal plane. Since the ureter, renal pelvis and straight tubules develop from the mesonephric ducts, and since the convoluted tubules and glomeruli develop directly from the same tissue as the mesonephric tubules, namely, the mesenchyme, the renal tubules may be said to represent the third generation of urinary tubules. But no definite reason for the appearance of the third generation can be given. The atrophy of the mesonephroi would, of course, make necessary the compensatory development of new structures; but this only carries the problem a step further back, for the cause of the atrophy of the mesonephroi is not clear. In regard to this atrophy, however, there is a suggestion of a cause in the fact that in the Amphibia the mesonephroi are in part used for conveying the sexual elements, which leaves the meso- nephroi less free to function as urinary organs. Possibly the loss of freedom to function leads to the development of new structures the kidneys in the higher forms (Reptiles, Birds and Mammals). In these forms the kidneys assume the urinary function after the early embryonic stages, and only the ducts and a part of the tubules of the mesonephroi persist in the male to convey the sexual elements. Thus the persistent parts of the mesonephroi as- sume a new function as the old one is lost. But, on the other hand, complications arise on account of the fact that in the female the sexual products are carried off by another set of ducts (the Mullerian ducts), which develop in both sexes but disappear in the male, while the mesonephroi and their ducts disappear almost entirely. 400 TEXT-BOOK OF EMBRYOLOGY. THE URINARY BLADDER, URETHRA AND UROGENITAL SINUS. As described elsewhere, the allantois appears at an early stage as an evagi- nation from the ventral side of the caudal end of the primitive gut (Fig. 282), grows out into the belly stalk, and finally becomes enclosed in the umbilical cord (p. 114). As the embryo develops, the proximal end of the allantois becomes elongated to form a stalk or duct which extends from the caudal end of the gut to the umbilicus (Fig. 285). The portion of the gut immediately caudal to the attachment of the allantoic duct becomes dilated to form the cloaca which at first is a blind sac, its cavity being separated from the outer surface of the embryo by the cloacal membrane (Fig. 360) . The latter is composed of a layer of entoderm and a layer of ectoderm, with a thin layer of mesoderm between. The cloaca then becomes separated into two parts a larger ventral part which forms Intestine Kidney bud Mesonephric duct Urachus Cloaca Cloacal membrane Caudal gut Notochord \ Neural tube FIG. 360. From a model of the cloaca and the surrounding structures in a human embryo of 6.5 mm. Keibel. the urogenital sinus and a smaller dorsal part which forms the rectum. This is accomplished by a fold or ridge which grows from the lateral wall into the lumen and meets and fuses with its fellow of the opposite side. The fusion be- gins at the cephalic end, in the angle between the allantoic duct and the gut, and gradually proceeds caudally until the separation is complete as far as the cloacal membrane. The mass of tissue forming the partition is called the uro- rectaljold, (Fig. 361) . The openings of the mesonephric ducts, which primarily were situated in the lateral cloacal wall (p. 389), are situated after the separation in the dorso-lateral wall of the urogenital sinus (compare Figs. 360, 361, 362). During the separation of the urogenital sinus from the rectum, certain changes take place in the proximal ends of the mesonephric ducts and ureters. The ends of the ducts become dilated and are gradually taken up into the wall of the sinus. This process of absorption continues until the ends of the ureters are included, with the result that the ducts and ureters open separately, the latter THE DEVELOPMENT OF THE UROGEXITAL SYSTEM. 401 slightly cranial and lateral to the former. (Compare Figs. 362 and 363.) This condition is reached in embryos of 12 to 14 mm. The point at which these two sets of ducts open marks the boundary between a slightly larger cephalic part of the sinus, the anlage of the bladder, and a smaller caudal part which becomes the urethra and urogenital sinus (Fig. 363). After the second month the bladder becomes larger and more sac-like, and the openings of the ureters migrate farther cranially to their final position. The lumen of the bladder is at first continuous with the lumen of the allantoic duct, but the duct degenerates into a solid cord of cells, the urachus. The latter degenerates still further and finally remains only as the middle umbilical liga- Urorectal fold Mesonephric duct ^^^ ^^^^ Kidney bud. Urachus Cloaca Urogenital sinus Cloacal membrane ~ * Rectum audal gut FIG. 361. From a model of the cloacal region of a human embryo slightly older than that shown in Fig. 360. Keibel. The arrow points to the developing partition (urorectal fold) between the rectum and urogenital sinus. The opening of the mesonephric duct into the urogenital sinus is indicated by a small seeker. ment. It seems quite probable that the bladder is derived almost wholly from the cloaca. A small part arises from the inclusion of the ends of the mesoneph- ric ducts. If any part is derived from the allantoic duct, it is only the apex. After the bladder begins to enlarge, the adjacent portion of the urogenital sinus becomes slightly constricted. This marks the beginning of the urethra. In the female the constricted part represents practically the entire urethra. In the male it represents only the proximal end, the other portion developing in connection with the penis (p. 428). The urogenital sinus is narrow and tubular at its junction with the urethra; more distally it is wider and is shut off from the exterior by the cloacal membrane. After the embryo reaches a length of 1 6 to 17 mm., the membrane ruptures and the sinus opens on the surface. 402 TEXT-BOOK OF EMBRYOLOGY. The narrow part of the sinus is gradually taken up into the wider, resulting in the formation of a sort of vestibule. In both sexes the urethra opens into the deeper end of the vestibule. In the male the mesonephric (seminiferous) Cloaca (undivided portion) Cloacal membrane Tail Mesonephric ducts Ccelom Primitive renal pelvis Rectum FIG. 362. From a reconstruction of the caudal end of a human embryo of 11.5 mm. (4^ weeks). Keibel. Umbilical artery Bladder Symphysis pubis Urogenital si Genital tubercle Urethra Ovary Broad ligament of uterus - Mullerian duct Mesonephric duct Ureter Recto-uterine excavation Rectum Tail FIG. 363. From a reconstruction of the caudal end of a human embryo of 25 mm. (8^-9 weeks). Keibel. The asterisk (*) indicates the urorectal fold. ducts open near the external orifice. In the female the opening of the develop- ing vagina is situated on the dorsal side near the external orifice. The epithelium of the prostate gland is derived by evagination from the proxi- THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 403 mal part of the urethra. The first evagination appears during the third month. In the male the process continues to form a rather large gland; in the female the structure remains in a rudimentary condition. During the fourth month two evaginations arise from the urethra and develop into the bulbo-urethral (Cowper's) glands in the male, into the larger vestibular (Bartholin's) glands in the female. From the course of development it is seen that the epithelium of most of the bladder, of the female urethra and proximal end of the male urethra, of the Germinal j|a . Stroma epithelium t mm (mesenchyme) (mesothelium) FIG. 364. Transverse section through the germinal epithelium of a pig embryo of n mm. Nagel. The larger cells in the epithelium represent the sex cells, the smaller ones the undifferentiated mesothelial cells. prostate, of the urogenital sinus, and of the bulbo-urethral and vestibular glands is of entodermal origin. A very small part of the bladder epithelium is of mesodermal origin, since the proximal ends of the mesonephric ducts, which are mesodermal derivatives, are taken up into the wall. All the connec- tive tissue and smooth muscle associated with these organs are derived from the mesoderm (mesenchyme) which surrounds the anlagen. THE GENITAL GLANDS. The Germinal Epithelium and Genital Ridge. At a very early stage in the formation of the mesonephros, a narrow strip of mesothelium extending along the medial surface becomes thicker and the cells become arranged in several layers (Figs. 314 and 346). The cells become differentiated into two kinds (i) small cuboidal cells with cytoplasm which stains rather intensely, and (2) larger spherical cells with clearer cytoplasm and 404 TEXT-BOOK OF EMBRYOLOGY. large vesicular nuclei (Fig. 364). The latter are the sex cells; and the whole epithelial (mesothelial) band is known as the germinal epithelium. The sex cells are destined to give rise to the sexual elements in the female to the ova, in the male to the spermatozoa. In the earlier stages, however, it is impossible to determine whether the sex cells will give rise to male or female elements. The differentiation of sex and the corresponding histological differentiation of the sex cells occur at a later period. In his recent work on the ovary and testis in Mammals, Allen has ob- served in very early stages (pig embryos of 6 mm., rabbit embryos of 13 days) certain large cells, with large clear nuclei, in the mesenchymal tissue of the mesentery, outside of the genital ridge. These, from their resemblance to the sex cells within the genital ridge, should probably also be classed as sex cells. Their origin in these animals, however, is not known with certainty; but the fact that in turtle embryos Allen has found cells of a similar character apparently migrating from the entoderm through the mesoderm to the site of the genital glands suggests the possibility that they are entodermal derivatives. It is doubtful whether these aberrant sex cells take part in the development of the mature sexual elements, the latter in all probability being derived from the sex cells of the mesothelium of the genital ridge. Beard, Eigenmann, Rabl, Woods, and others, have described sex cells, undoubtedly homologous with the aberrant sex cells mentioned above, as occurring in various regions of the embryos of certain Fishes. These investigators also assert that the sex cells become specialized and, so to speak, segregated at a very early period of development, even at the stage of blastomere formation. Beard contends that the early differentiated sex (or germ) cells are significant in the origin of certain teratomata (see Chapter on Teratogenesis). The cells of the germinal epithelium increase in number by mitotic division and, for some time at least, the sex cells continue to increase in number by differentiation from the small cuboidal (indifferent) cells, as indicated by the presence of intermediate stages between the two types. The germinal epi- thelium soon becomes separated into two layers (i) a superficial layer which retains its epithelial character and contains the sex cells, and (2) a deeper layer composed of smaller cells which resemble those of the mesenchyme and which give rise to a part, at least, of the stroma of the genital glands. The elevation formed by these two layers projects into the body cavity from the medial side of the mesonephros and constitutes the genital ridge (Fig. 346). From the superficial epithelial layer, columns or cords of cells, containing some of the sex cells, grow into the underlying tissue. This ingrowth, however, does not occur equally in all parts of the genital ridge, for three fairly distinct regions can be recognized. In the cephalic end comparatively few columns appear, but these few grow far down into the underlying tissue and constitute the rete cords. In the middle region a greater number of columns grow into the THE DEVELOPMENT OF THE UROGEXITAL SYSTEM. 405 stroma, forming the sex cords. In the caudal region there are practically no columns. At first the line of demarkation between the cell columns and the stroma is not clearly defined^ The changes thus far described are common to both sexes and are completed during the fourth or fifth week. The genital ridges or anlagen of the genital glands constitute "indifferent" structures which later become differentiated into either ovaries or testicles. Differentiation of the Genital Glands. After the fourth or fifth week, certain changes occur in the genital ridges which differ accordingly as the ridges form ovaries or testicles. While the differences are at first not particularly obvious, there are four which become clearer as the changes progress, (i) If the ridge is to become a testicle, the cells of the surface epithelium become arranged in a single layer and become Rete cords (Rete testis) Mesorchium Mesothelium Tunica albuginea Mesonephros Sex cords (convoluted semin- iferous tubules) Glomerulus FIG. 365. Transverse section of the left testicle of a pig embryo of 62 mm. Bonnet. flat. (2) In a developing testicle a layer of dense connective tissue grows be- tween the surface epithelium and the sex cords, forming the tunica albuginea. (3) In a testicle there also appears a sharper line of demarkation between the cell columns and the stroma, and the latter shows a more extensive growth. (4) Another feature of the testicle is that the sex cells begin to be less con- spicuous and do not increase further in size, but come to resemble the other epithelial elements. The ovarian characters are to a certain extent the oppo- site, (i) The surface epithelium does not become flattened. (2) A layer of connective tissue, corresponding to the albuginea of the testicle, grows be* 406 TEXT-BOOK OF EMBRYOLOGY. tween the epithelium and the deeper parts, but is of a looser nature. (3) There is a less sharp line of demarkation between the cell columns and the stroma. (4) The sex cells continue to increase in size and become more conspicuous. (Compare Figs. 365 and 366.) During these processes of development, the anlage of each genital gland be- comes more or less constricted from the mesonephros and finally is attached only by a thin sheet of tissue the mesovarium in the female or the mesorchium in the Oviduct (Ostium abdom- inale tubae) Cortex Medullary cords (Medulla) ~ -4 Epoophoron Rete cords - (Rete ovarii) -Mesonephros Oviduct FIG. 366. Longitudinal section of the ovary of a cat embryo of 94 mm. Semidiagrammatic. Coert. male (p. 419). At the same time the anlage grows more rapidly in thickness than in length and assumes an oval shape. The Ovary. As stated above, a layer of loose connective tissue, correspond- ing to the albuginea of the testicle, grows in between the surface epithelium and the cell columns (sex cords) and effects a more or less complete separation. The sex cords are thus pushed farther from the surface, become more clearly marked off from the surrounding stroma and constitute the so-called medullary cords. The cortex of the ovary at this stage is represented only by the surface (germinal) epithelium, which is composed of several layers of cells and contains THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 407 numerous sex cells in various stages of differentiation (Fig. 367). The rete cords which arise in the cranial end of the "indifferent" gland (p. 404) come to lie in what will be the hilus of the ovary. The ovary may thus be said to be composed of two parts (i) the rete anlage and (2) the stratum ger- minativum. The latter is subdivided by the albuginea into (a) medulla and (b) cortex. i. The rete cords develop into a group of anastomosing trabeculae which con- stitute the rete ovarii, situated in the hilus but nearer the cephalic end of the gland (Fig. 366). They are the homologues of the rete testis. The cells com- posing them are smaller and darker than those of the medullary cords. Sprouts grow out from the rete cords and unite with the medullary cords and the meso- nephric tubules. (The same process occurs in the testicle, where the rete cords give rise to the functional rete testis and straight seminiferous tubules.) In Cortex :^R**.v, '.'*\\ V"- f&.f-'r'Ji^^^^m^^. Mesothelium (Germinal epithelium) Medulla -i Mesovarium Re te ovarii FIG. 367. Transverse section of the ovary of a fox embryo. Biihler in Hertwig's Handbuch. The large clear cells are the primitive ova. some of the cords lumina appear and are lined with irregular epithelium. Such a condition represents the height of their development in the ovary. From this time on, they degenerate and finally disappear. The time of their disappearance varies in different individuals; they usually persist until birth, sometimes until puberty. Formerly it was thought that the rete cords were derived from the meso- nephric tubules and entered the genital glands secondarily. More recent re- searches have demonstrated quite conclusively, however, that they are deriva- tives of the germinal epithelium and unite with the mesonephric tubules secondarily. 2 (a). The medullary cords are composed of small epithelial cells, contain a number of larger sex cells or primitive ova, and are surrounded by stroma (Figs. 367, 368). They are connected with the rete cords and in some places with the germinal epithelium. During foetal life they give rise to primary ovarian (Graafian) follicles; later they degenerate and finally disappear. 408 TEXT-BOOK OF EMBRYOLOGY. 2(b). The cortex of the ovary, as stated above, at first consists of several layers of small, darkly staining cells, among which are many large, clearer sex cells or primitive ova (Fig. 367). From the epithelium, masses or cords of cells grow into the underlying tissue, carrying with them some of the primitive ova. These masses are known as P finger's egg cords. In some cases several ova are grouped together, forming egg nests (Fig. 368). The epithelial cells are the progenitors of the follicular cells and constantly undergo mitotic division. The primitive ova, on the other hand, increase in size and their nuclei show distinct intranuclear networks. The egg cords become separated from the surface epithelium and are broken up so that in most cases a single ovum is surrounded by a single layer of Germinal epithelium Cortex Medulla FIG. 368. From a section through the ovary of a human foetus of 4 months. Meyer-Ruegg, Btih/er. The large cells are the primitive ova. epithelial cells. This constitutes a primary Graafian follicle. Rarely a follicle contains more than one ovum. In the case of the egg nests, the ova may become separated, or two or more may lie in one follicle. If two or more ova are present at first in any follicle, usually only one continues to develop and the others either degenerate or are used as nutritive materials. In very rare cases, however, two ova may develop in a single follicle, but whether they reach maturity or not is uncertain. The formation of egg cords is usually com- pleted before birth, but in some cases may continue for one or two years after birth. During the processes thus far described, the stroma also has been in- creasing, and the egg cords and follicles come to be separated by a considerable amount of connective tissue. The germinal epithelium becomes reduced to a single layer of cuboidal cells. THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 409 Each primary ovarian follicle, containing a primitive ovum (egg cell, sex cell) , is composed of a single layer of flat or cuboidal cells, plus a layer of stroma which gives rise to the theca folliculi. As the ovum continues to enlarge, the follicular cells become higher and arranged in a radial manner (Fig. 369, a) . By proliferation, the follicular cells come to form several layers, the innermost layer retaining the radial character and forming the zona radiata. The inner or basal ends of the cells of the zona radiata become clear to form the zona pellucida. In the latter, radial striations appear which have been described as minute c d FIG. 369. Four stages in the development of the ovarian (Graafian) follicle From photographs of sections of a cat's ovary Hertivig. The ovum is not shown in a, b and c. channels in the cells, through which nutriment may pass to the ovum. After the follicular epithelium has become several layers thick, a fluid substance known as the liquor folliculi, and probably derived from the cells themselves, comes to lie in little pools among the cells (Fig. 369, b and c ) . While the follicle as a whole enlarges, these pools gradually coalesce and form a single large pool which fills the interior of the follicle (Fib. 369, d). Thus the epithelium is crowded out toward the periphery where it forms a layer several cells in thick- ness, known as the stratum granulosum. The ovum itself, with the zona radiata and some other surrounding cells, is also crowded off to the periphery of the 410 TEXT-BOOK OF EMBRYOLOGY. follicle. The little elevation of the stratum granulosum in which the ovum is embedded is known as the cumulus ovigerus or germ hill (see Fig. 18). The primary ovarian follicles at first lie rather near the surface of the ovary, but as they enlarge and as the ovary enlarges they come to lie deeper. As the follicle approaches maturity it increases greatly in size (5=fc mm.) and finally extends through the entire thickness of the cortex, its theca touching the tunica albuginea. In speaking of the development of the follicles, it must be remembered that they develop slowly and do not reach maturity until near the age of puberty, and furthermore that one, or very few at most, reach maturity at the same time. In other words, when one follicle has reached maturity there are all intermediate stages of development between this and the primitive follicles. When a follicle reaches maturity it ruptures at the surface of the ovary and the ovum is set free (p. 30). The ovum itself undergoes certain changes by which the somatic number of chromosomes is reduced one-half (p. 21). It then unites with the mature spermatozoon, which also contains one-half the somatic number of chromosomes, and forms the starting point, so to speak, for a new individual. At this point the processes by which an individual is carried through its life period from its beginning as a fertilized ovum to the time when it produces the next generation of mature sexual elements are ended. The developmental cycle of one generation is complete. It has been estimated that approximately 36,000 primitive ova appear in each human ovary. Since, as a rule, only one ovum escapes from the ovary at a menstrual period or between two succeeding periods, it is obvious that the vast majority of these never reach maturity. They probably degenerate, and, as a matter of fact, atretic follicles may be found in an ovary at any time. CORPUS LUTEUM. After the rupture of the mature follicle at the surface of the ovary and the escape of the ovum and liquor folliculi, blood from the rup- tured vessels fills the interior of the follicle and forms a clot the corpus h&mor- rhagicum. The cells of the stratum granulosum proliferate and migrate into the clot and gradually form a mass which replaces the blood. It is held by some that the cells are derived from the theca folliculi. Whatever their origin, they become infiltrated with a fatty substance known as lutein. Trabeculse of connective tissue grow into the mass of cells, carrying small blood vessels with them. The (lutein) cells disintegrate and the products of disintegration are probably carried off by the blood, and finally the entire corpus luteum is trans- formed into a mass of connective tissue (Figs. 19, 20 and 21, and p. 31). Whether the escaped ovum is fertilized or not has an influence upon the development of the corpus luteum. In case of fertilization, the corpus luteum becomes quite large, increasing in size up to the fourth month of pregnancy, and then degenerates. In case the ovum is not fertilized, the corpus luteum re- THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 411 mains smaller. In both cases, however, the histological changes are essentially the same (p. 33). The Testicle. The processes that give rise to the "indifferent" genital glands have been described (p. 403 et seq.) . It has also been stated that there appears during the fourth or fifth week a structure that forms one of the char- acteristic features of the testicle. This is a layer of dense connective tissue which develops beneath the surface epithelium and constitutes the tunica albuginea (p. 405), and which separates the surface epithelium from the sex cords (Fig. 365) . The epithelium becomes reduced to a single layer of flat cells, although the cells on the tip of the gland usually remain high until after birth. Naturally this epithelium is continuous around the hilus of the testicle with the epithelium (mesothelium) of the abdominal cavity. Within the gland are the sex cords the progenitors of the convoluted seminiferous tubules, which become quite distinctly marked off from the stroma by a basement membrane. In the Interstitial cell Sex cell - *^- * ~* -~, *.*--** m Mesothelium *Tunica Supporting cell albuginea (of Sertoli) FIG. 370. From a section of the testicle of a human foetus of 35 mm., showing a developing convoluted seminiferous tubule. Meyer-Rilegg, Biihler. hilus region lie the rete cords the progenitors of the rete testis and the straight seminiferous tubules (Fig. 365) . The rete cords of the testicle are homologues of the rete cords of the ovary, and are derivatives of the germinal epithelium on the cephalic portion of the "indifferent" gland (p. 404). The sex cords at first are solid masses composed of several layers of cells. The latter are of two kinds, as in the ovary (i) smaller, darkly staining indiffer- ent cells, and (2) larger, clearer sex cells (Fig. 370). The sex cells lose their clearness and come to resemble again the undifferentiated epithelial cells. They represent the spermatogonia, which correspond to the primitive ova. The spermatogonia proliferate very rapidly and become much more numerous than the epithelial cells. The sex cords become more and more coiled during development and anastomose with one another near the convex surface of the testicle. Beginning after birth and continuing up to the time of puberty, lumina appear in them by displacement of the central cells, and 412 TEXT-BOOK OF EMBRYOLOGY. they thus give rise to the convoluted seminiferous tubules. The supporting cells (of Sertoli) are probably derived from the undifferentiated epithelial cells. The details of the further development of the spermatogonia to form the the spermatozoa have been described in the Chapter on Maturation. At this point, that is, with the formation of the spermatozoon, the life cycle from a mature male sexual element in an individual to a mature male sexual element in an individual of the succeeding generation is completed. The rete cords constitute an anastomosing network of solid cords of small, darkly staining cells, situated in the hilus region. These cords later acquire irregular lumina, which are lined with cuboidal cells, and form the rete testis. Evaginations grow out from the rete and fuse with the ends of the convoluted tubules, thus forming the straight tubules. On the other hand, outgrowths from the rete unite with the tubules in the cephalic portion of the mesonephros, so that a direct communication is established between the convoluted semi- niferous tubules and the mesonephric tubules. There is thus formed the proxi- mal part of the efferent duct system of the testicle (Fig. 365). That portion of the tunica albuginea in which the rete testis lies, becomes somewhat thickened to form the mediastinum testis. The stroma of the testicle is derived for the most part from the mesenchyme of the "indifferent" gland or genital ridge. Probably a smaller part is derived from the germinal epithelium (see p. 404). During development, however, the glandular elements increase more rapidly than the stroma, so that in the adult they predominate. There is a tendency for the convoluted tubules to become arranged in groups which are separated by trabeculae of connective tissue radiating from the mediastinum. The interstitial cells of the stroma are direct derivatives of the connective tissue cells (Fig. 370). Determination of Sex. The views regarding the determination of sex are discussed in the chapter on Maturation (page 27) in connection with the question of Mendelian heredity. THE DEVELOPMENT OF THE UROGEXITAL SYSTEM. 413 The Ducts of the Genital Glands and the Atrophy of the Mesonephroi. In the Female. Strictly speaking, the ovaries are ductless glands; for neither developmentally nor anatomically are the ducts which convey their specific secretion directly connected with them. Furthermore, these ducts are in part transformed into certain organs for the reception and retention of both kinds of sexual elements. In other words, the ducts in part become specially modified to form the vagina and uterus, of which the latter serves as an organ of maintenance for the embryos of the next generation. The ducts originate in connection with the mesonephroi, and are known at first as the Mullerian ducts. They appear in both sexes alike but persist only in the female. In the lower Vertebrates they are split off from the mesonephric ducts. In the higher forms, however, their mode of origin is not known with Ureter Intestine Mesonephric duct Liver. Genital cord Mullerian duct Left umbilical artery Bladder Right umbilical artery FIG. 371. From a transverse section through the pelvic region of a human embryo of 25 mm. (82-9 weeks). Keibel. certainty, but the present evidence favors the view that they arise independ- ently of the mesonephric ducts. They appear in human embryos of 8-14 mm. The mesothelium on the lateral surface of the cephalic end of each mesonephros becomes thickened and then invaginates or dips into the underlying mesen- chyme. By proliferation of the cells at its tip, the invaginated mass grows caudally as a duct parallel with and close to the mesonephric duct. The two ducts come to be embedded in a ridge which at the cephalic end of the meso- nephros is situated laterally, but toward the caudal end bends around and comes to lie ventrally. Beyond (caudal to) the mesonephros the ridge is attached to the lateral body wall, and near the urogenital sinus it meets and fuses with its fellow of the opposite side (Fig. 371). The two Mullerian ducts, contained in the ridges, also approach each other and fuse. The fusion begins in embryos of 25 to 28 mm. (end of second month), and about the same time they open into the dorsal side of the urogenital sinus. The relations of the Mullerian 414 TEXT-BOOK OF EMBRYOLOGY. and mesonephric ducts are different in different parts of their courses. At the cephalic end the Miillerian lies dorsal to the mesonephric, but farther back it runs more laterally, then ventrally, and finally opens into the urogenital sinus on the medial side of the mesonephric duct. THE OVIDUCT. The single part of each Mullerian duct gives rise to the oviduct. The opening at the cephalic end remains as the ostium abdominale tuba, which from the beginning communicates directly with the abdominal cavity (coelom) and never becomes connected with the ovary (Fig. 366). The rim of the opening sends from three to five projections into the abdominal cavity to form the primary fimbrice. Secondary branches grow out from these and form the numerous fimbriae of the adult oviduct. The part of each Bladder Uterus Rectum Symphysis pubis \\ ' ' - , .;:. Cervix uteri Labium majus I Hymen Labium minus Vagina FIG. 372. Right half of the pelvic region of a female human foetus of 7 months. Nagel. Miillerian duct between the fimbriated end and the fused caudal end, grows in length as the embryo develops, but not proportionately, so that in the adult the oviduct is relatively shorter than in the embryo. At first it is lined with simple cylindrical epithelium, but later the cells become cuboidal, and during the second half of f cetal life acquire distinct cilia. The connective tissue and muscle of the oviduct are derived from the mesenchyme that primarily surrounds the Mullerian duct. In connection with one of the fimbrias of the oviduct there is sometimes found a small vesicle lined with ciliated epithelium, forming the non-stalked hydatid (of Morgagni), which possibly represents the extreme cephalic end of the Miillerian duct (Fig. 380). In this case the permanent ostium of the tube would be of secondary origin. THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 415 THE UTERUS AND VAGINA. The fused caudal ends of the two Mullerian ducts form the anlage of the uterus and vagina, which is a single medial tube opening into the urogenital sinus (Fig. 363). During the third month certain histological changes bring about a differentiation between the cephalic end or uterus and the caudal end or vagina. The simple columnar epithelium of the vaginal portion changes to stratified squamous, and during the fourth month the lumen becomes closed. Near the external orifice a semicircular fold ap- pears, which represents the hymen (Fig. 372). During the sixth month the lumen reappears by a breaking down of the central cells. The epithelium of the uterus, primarily high columnar, becomes lower and toward the end of foetal life acquires cilia. Many irregular folds appear in the mucosa of the vagina, a smaller number in the uterus (Fig. 372). Some of the folds in the Ovary Mesovarium Broad ligament with paroophoron Oviduct Mesosalpinx with epoophoron FIG. 373. Transverse section through the ovary and broad ligament of a human foetus of 3 months. Nagel. uterus constitute the regular plica palmatcz of the cervix. The uterine glands represent evaginations from the epithelial lining. They do not begin to develop until after birth (one to five years), and their development is usually not com- pleted until the age of puberty. The muscle and connective tissue of the walls of the uterus and vagina are derived from the mesenchyme which surrounds the Mullerian ducts. The muscle develops relatively late (after the fourth month of foetal life). ATROPHY OF THE MESONEPHROI. By far the greater part of each meso- nephros degenerates and disappears, and the parts that do persist are rudimentary and possess no functional significance. The cephalic portion leaves ten to twenty coiled tubules which terminate blindly at one end and at the other end open into a common duct that represents the cephalic end of the mesonephric duct. These tubules constitute the epoophoron (parovarium, organ of Rosen- 416 TEXT-BOOK OF EMBRYOLOGY. miiller) which comes to lie in the mesosalpinx between the oviduct and the mesovarium, and later in the mesentery between the oviduct and the ovary (Fig. 373). At the height of their development the tubules are lined with columnar, ciliated epithelium. The rete cords of the ovary (rete ovarii, p. 407) during their development unite with the tubules in the cephalic portion of the mesonephros, but later disappear. The epoophoron is homologous with the tubules of the head of the epididymis in the male. The caudal portion of the mesonephros leaves a few tubular remnants which come to lie in the broad ligament near the hilus of the ovary. These con- stitute the paroophoron which is homologous with the paradidymis in the male (Fig. 373). They may disappear before birth or may persist through life. The mesonephric duct also leaves certain remnants which are situated (i) in the broad ligament, (2) in the lateral wall of the uterus, (3) in the lateral wall of the vagina, and (4) in the tissue lateral to the external genital opening. These rem- nants are known as the canals of Gartner, and they naturally lie in the course of the duct in the embryo. All the rudimentary structures derived from the mesonephroi and their ducts are extremely variable. In the Male. In the male all the efferent ducts of the genital glands, except the rete testis, are derived from the mesonephroi and their ducts. As described earlier in this chapter (p. 411), the rete testis acquires a connection with some of the tubules in the cephalic end of the mesonephros and with the sex cords or anlagen of the convoluted and straight seminiferous tubules (see Fig. 365). This establishes a communication between the seminiferous tubules and the tubules of the mesonephros. Those mesonephric tubules with which the rete testis unites persist as the efferent ductules (or vasa eff erentia) . The latter form a set of coiled ducts which are situated in the head of the epididymis and which open into the cephalic part of the mesonephric duct (Fig. 347). They are homologous with the epoophoron in the female. The next succeeding portion of the mesonephric duct becomes the duct of the epididymis which in its tortuous course constitutes the bulk of the body and tail of the epididymis and passes over into the caudal portion of the mesonephric duct. The latter portion becomes the deferent duct (vas def erens) . The caudal end of the deferent duct forms the ejaculatory duct which opens into the urogeni- tal sinus. The seminal vesicles appear during the third month as lateral evaginations from the ejaculatory ducts. The portions of the mesonephros not involved in the formation of the duct system of the testicle atrophy and for the most part disappear. They leave certain tubules, however, which persist as rudimentary structures connected with the testicle. In the cephalic end, some of the tubules persist in part and come to lie among the efferent ductules, being either attached to the latter or un- connected, and forming the appendage of the epididymis. The caudal part of THE DEVELOPMENT OF THE UROGEXITAL SYSTEM. 417 the mesonephros leaves a few tubules which come to lie near the head of the epi- didymis and form the paradidymis (or organ of Giraldes) , the tubules of which are lined with columnar, ciliated epithelium. Near the transition from the duct of the epididymis to the deferent duct there is almost invariably a tubule (sometimes branched) which also represents a remnant of the mesonephros and is known as the aberrant ductule. It usually opens into the duct of the epididy- mis, but may lie free in the tissue around it (Fig. 347). ATROPHY OF THE MULLERIAN DUCTS. These ducts persist in the female and become the oviducts, uterus and vagina; in the male they degenerate and disappear almost entirely. The degeneration begins about the time they open Diaphragmatic ligament of mesonephros Genital gland Mesonephros Mesonephric duct Urachus Mesonephric duct Inguinal ligament Umbilical artery FIG. 374. Crogenital organs in a human embryo of 17 mm. (6 weeks). Kollmann's Atlas. into the urogenital sinus (embryos of 25 to 28 mm.) ; by the time the embryo reaches a length of 60 mm. only the extreme cephalic end and the caudal third remain, and at 90 mm. the entire duct is gone except the extreme ends. The cephalic end persists as the appendix testis (or hydatid of Morgagni) (Figs. 347, 379). The caudal end persists as the utriculus prostaticus (uterus masculinus). Changes in the Positions of the Genital Glands and the Development of their Ligaments. During the early stages of development the genital glands testicles or ovaries are situated far forward in the abdominal cavity. During the eighth week they lie opposite the lumbar vertebrae. During the succeeding months, up to the time of birth, they gradually move caudally to the positions they 418 TEXT-BOOK OF EMBRYOLOGY. occupy in the adult. This migration is brought about, to some extent at least, by the influence of certain bands of tissue which are primarily like mesenteries. As the mesonephros develops and projects into the body cavity. Ureter Deferent duct Inguinal ligament (Gubernaculum testis) Processus vaginalis peritonasi .--Umbilical cord FIG. 375. From a dissection of the pelvic region of a male human foetus of 21 cm. Kollmanri's Atlas. it comes to be attached along the dorsal body wall, lateral to the dorsal mesen- tery, by a sheet of tissue which is called the mesonephric mesentery. Cranial to the mesonephros, this mesentery is continued as the diaphragmatic ligament 1>- Spermatic cord A ' \ *n Inguinal ring Tunica vaginalis Tunica vaginalis communis Inguinal cone Scrotum Raphe* FIG. 376. From a dissection of the scrotal region of a human foetus of 25 cm. Kollmann's Atlas. of the mesonephros, which as the name indicates, is attached to the diaphragm; caudally it is continued to the inguinal region as the inguinal ligament of the THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 419 mesonephros (Fig. 374). The genital gland lies on the medial side of the mesonephros and is attached to the latter by a sort of mesentery which becomes the mesovarium in the female or the mesorchium in the male. The cephalic portions of the ducts (Miillerian and mesonephric) lie close together in a ridge on the lateral surface of the mesonephros; as they pass caudally they extend around to the ventral surface of the mesonephros and approach the medial line, and finally, in the pelvic region, the two ridges meet and fuse, forming the so- called genital cord (Fig. 371). The genital cord thus contains the mesonephric and Mullerian ducts, the latter fusing to form a single tube (the anlage of the uterus and vagina, p. 415). It also contains the umbilical arteries. Kidney Suprarenal gland Intestine Round ligament ("Inguinal ligament) Umbilical artery Umbilical vein FlG 377- From a dissection of the pelvic region of a female human foetus of 7.5 cm. Kollmann's Atlas. Such a condition is found in embryos of about eight weeks. From this time on, the processes of development follow divergent lines in the two sexes, the differences becoming more marked from month to month. Certain struc- tures persist and other disappear, according to the sex. The mesenteries and ligaments undergo metamorphoses and the genital glands migrate caudally. Descent of the Testicles. As the mesonephros atrophies, its mesentery and the mesentery of the testicle are combined to form a single band of tissue which, of course, is continuous with the inguinal ligament. The latter now becomes the so-called gubernaculum testis (Hunteri), a strong band or cord composed of connective tissue and smooth muscle. Its cephalic end is attached to the epididymis; its caudal end pierces the body wall in the inguinal region and 420 TEXT-BOOK OF EMBRYOLOGY. is attached to the corium of the skin (Fig. 375). It plays an important part in the descent of the testicle. The descent is brought about through the principle of unequal growth. As the body grows in length, the gubernaculum grows much less rapidly and, since the caudal end of the latter is fixed, the natural result is the drawing downward of the testicle. This takes place gradually, and at the end of the third month the testicle lies in the false pelvis ; at the end of the sixth month close to the body wall at the inguinal ring. During the third month a second factor in the descent of the testicle appears. This is an evagination of the peritoneum at the point where the gubernaculum pierces the body wall. The evagination at first is a shallow depression, known Kidney Mullerian duct Genital gland Mesonephros Ureter Inguinal ligament Mesonephric duct Mullerian duct Apex of bladder Bladder Opening of ureter Opening of mesonephric duct Opening of Mullerian ducts Rectum Urogenital sinus Cloaca Genital tubercle Genital ridge Opening of cloaca FIG. 378. Diagrammatic representation of the urogenital organs in the " indifferent " stage. Hertivig* as the processus vaginalis peritonei, but continues to burrow through the body wall and causes an elevation in the skin which is destined to become one side of the scrotum (see p. 426) . The opening of the peritoneal sac into the body cavity is the inguinal ring. In its descent the testicle passes through the inguinal ring and comes to lie in the elevation in the skin or scrotum (ninth month) . Whether its passage into the scrotum is the result of a traction by the gubernaculum is not certain. The inguinal ring then closes by apposition of its walls and the testicle lies in a closed sac which has been pinched off, so to speak, from the body cavity (Fig. 376). THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 421 Kidney Appendage of testicle (hydatid of Morgagm) Epididymis Testicle Paradidymis Deferent duct Mullerian duct Gubernaculum testis Ureter Seminal vesicle Deferent duct Epididymis Testicle Gubernaculum testis Kidney Hydatid Oviduct (fimbrise) Epoophoron Ovary Paroophoron Mesonephric duct Oviduct Epoophoron Ovary Ovarian ligament Uterus Round ligament Vagina Apex of bladder Bladder Opening of ureter Urethra Opening of ejacul. duct Prostate Urethra Sinus prostaticus FIG. 379. Apex of bladder Urethra Vestibulum vaginae FlG. 380. FIG. 379. Diagram of the development of the male genital organs from the ;< indifferent " anlagen. Hertuuig. FIG. 380. Diagram of the development of the female genital organs from the " indifferent " anlagen. Hertwig. These diagrams should be compared with Fig. 378. The dotted lines represent the organs in the relative positions they occupy in the adult (with the exception of the Miillerian duct in the male and the mesonephric duct in the female, which ducts disappear for the most part). 422 TEXT-BOOK OF EMBRYOLOGY. Since the testicle is invested by peritoneum from the beginning of its develop- ment, it must be understood that in its passage into the scrotum it passes along under the peritoneum. Consequently when it reaches the scrotum it is sur- rounded by a double layer of peritoneum, the tunica vaginalis propria. The descent of the testicle also produces marked changes in the course of the deferent duct. Primarily the (mesonephric) duct extends cranially from the urogenital sinus in a longitudinal direction. But as the testicle migrates, the cephalic end of the duct is drawn caudally so that in the adult the deferent duct extends cranially from the scrotum to the ventral side of the urinary bladder and then bends caudally again to open into the urethra. Descent of the Ovaries. The ovaries undergo a change of position cor- responding to the descent of the testicles, although the change is not so extensive. Primarily the Miillerian and mesonephric ducts lie in a ridge on the surface of the mesonephros (p. 413). As the mesonephros and its duct atrophy, the Miil- lerian duct (oviduct) comes to lie in a fold, the mesosalpinx, which is attached to the mesovarium (Fig. 373) . At the same time the mesovarium becomes directly continuous with and really a part of the inguinal ligament. The latter cor- responds, of course, to the gubernaculum testis, and plays a role in the descent of the ovaries. It may be conveniently divided into three parts, (i) a cephalic part which is attached to the hilus of the ovary, (2) a middle part which ex- tends from the ovary to the uterus, forming the ovarian ligament, and (3) a cau- dal part which extends from the uterus to the inguinal region, forming the round ligament of the uterus (Fig. 377). The round ligament pierces the body wall and is attached to the corium of the skin. At the point where it passes through the body wall there is a slight evagination of the peritoneum, the diverticulum of Nuck, which corresponds to the processus vaginalis peritonei in the male. The ovaries gradually migrate caudally from their original position into the false pelvis (third month) and thence into the true pelvis (at birth). Obviously no traction can be exerted upon them by the round ligament (or caudal part of the inguinal ligament), since the latter extends from the uterus to the inguinal region. Their descent into the pelvic seems to be due to the unequal growth of the ovarian ligaments, or in other words, to the fact that the ovarian liga- ments grow proportionally less than the surrounding parts. During their descent the ovaries become embedded in the broad ligaments of the uterus, which represent further development of the peritoneal folds of the genital cord. In this way the mesovarium becomes merged with the broad ligament. On pages 420 and 421 are three diagrammatic representations of the changes that take place in the genital systems of the two sexes. Fig. 378 represents the " indifferent " stage in which all the embryonic structures are present; Fig. 379 represents the changes that occur in the male; Fig. 380 represents the THE DEVELOPMENT OF THE UROGEXITAL SYSTEM. 423 changes that occur in the female. A careful study of the diagrams will assist the student materially in understanding the processes of development which have been described in the preceding paragraphs. Below is a table that is meant to set forth briefly the various structures which belong to the internal genital organs in the two sexes, and which are derived from the structures in the "indifferent" stage. The words in italics are the names of structures that persist in a rudimentary form. Indifferent Male Female Germinal epithelium (meso- Convoluted seminiferous tubules 1 with spermatozoa / Ovarian (Graafian) follicles with ova. Medullary cords Straight seminiferous tubules . . 1 Rete testis j Rete cords. Part of stroma of testicle .... Part of stroma of ovary. f cephalic part Mesonephros \ [ caudal part < r i i Efferent ductules (vasa efferentia) \ A ppendage of epididymis . . . J Paradidymis (organ of Giraldes) \ Aberrant ductules(vasa aberrantia) J EpoopJioron, transverse duc- tules. Paroophoron. Duct of epididymis (vas epididy- midis) Vesicular appendage (of Morgagni} (?) Mesonephric duct . . . . < Deferent duct (vas deferens) . . Ejaculatorv duct Epoophoron, longitudinal duct. Seminal vesicle Gartner's canals. t Morgagnfs appendage of testicle 1 (hydatid of Morgagni) . . . j Fimbriae of oviduct Oviduct. . Prostatic utricle (uterus masculinus) Uterus. Vagina. Inguinal ligament of meso- " nephros \ Gubernaculum testis (Hunteri) . . k Ovarian ligament. Round ligament of uterus. Urethra ( prost ? ticpart ) \ membranous part . . J Prostate f Urethra. \ Vestibule of vagina. Prostate. Bulbo-urethral gland (Cowpers) Larger vestib alar gland (Bar* tholin's. THE EXTERNAL GENITAL ORGANS. In addition to the internal organs of generation, to which the description has thus far been confined, certain other structures appear on the outside of the body to form the external genitalia. In the case of these also there is an "indif- ferent" stage from which the courses of development diverge in the two sexes. During the sixth week a depression appearing on the ventral surface of the caudal end of the body indicates the position of the cloacal membrane (p. 400). This becomes surrounded by a slight elevation, produced by the thickening of the mesoderm which is known as the genital ridge (Fig. 381). The cephalic 424 TEXT-BOOK OF EMBRYOLOGY. side of the ridge becomes raised still farther above the surface, forming a dis- tinct protrusion, the genital tubercle. The tubercle continues to increase in size, and the distal end forms a knob-like enlargement. Along the ventral (or rather caudal) side a groove appears, which extends distally as far as the base of the enlarged end. The ridges along the sides of the groove increase in size and form the genital folds. In the meantime a second pair of elevations appears lateral to the genital folds to form the genital swellings (Fig. 382). After the cloacal membrane ruptures, a single opening is produced which leads from the exterior into the cloaca. This opening is then separated by the further growth of the urorectal fold (p. 400) into the opening of the urogenital tract and the anal opening. The caudal part of the fold then enlarges to form the perineal body, which serves to push the anus farther away from the genital ridges. The latter, together with the genital tubercle and swellings, all of which lie in the immediate vicinity of the urogenital opening, constitute the anlagen of the external genital organs (Fig. 383). These at this time are in the "indifferent" stage, from which development proceeds in one of two directions, accordingly as the embryo is a male or a female. Up to the fourth month there is little difference between the structures in the two sexes. After this the differences become more and more obvious. In the female the changes in the originally "indifferent" structures are comparatively slight. The genital tubercle grows slowly and becomes the clitoris. The enlarged extremity becomes more clearly marked off from the other part to form the glans clitoridis. The skin covering the glans is converted by a process of folding into a sort of prepuce. The genital folds, which bound the opening of the urogenital tract, become elongated and form the labia minora. The opening of the urogenital tract is the vestibulum vagina. The genital swellings enlarge still more than the genital folds, by a deposition of a considerable mass of fat in the mesenchyme, and become the labia majora. The latter are the structures (mentioned on p. 420) which mark the points at which the inguinal ligaments of the mesonephroi pierce the body wall, and are homologous with the scrotum in the male (Figs. 384 and 385). In the male the "indifferent" anlagen undergo more extensive changes than in the female. The genital tubercle continues to grow more rapidly and forms the penis, which is homologous with the clitoris. The enlarged extremity becomes the glans penis, and an extensive folding of the skin over the glans forms the prepuce. The groove on the caudal or lower side of the tubercle elongates as the latter elongates and becomes deeper. Finally the ridge (or genital fold) on each side of the groove meets and fuses with its fellow of the opposite side, thus enclosing within the penis a canal the penile portion of the urethra. The groove is primarily continuous with the opening of the uro- genital tract, and as the fusion takes place the penile portion forms a direct Gen. r. THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 425 Umb. c. ":< ..^ ^ -*.'. Umb. c. Gen. tub. do. and gen. f. GI. p. FIG. 385. FIG. 386. FIGS. 381-386. Stages in the development of the external genital organs. Kollmann's Atlas. FIG. 381, " indifferent " stage embryo of 17 mm.; Fig. 382, " indifferent " stage embryo of 23 mm-; Fig. 383, " indifferent " stage embryo of 29 mm. (beginning of 3d month); Fig. 384, female embryo of 70 mm. (n weeks); Fig. 385, female embryo of 150 mm. (16 weeks); Fig. 386, male embryo of 145 mm. (16 weeks). An.y Anus; Cl., clitoris; Clo.and gen. /., cloaca and genital folds; CL m., cloacal membrane; Ext., lower extremity; Gen. /., genital folds; Gen. r., genital ridge; Gen. yw., genital swelling; Gen. tub., genital tubercle; Gl. p., glans penis; Lab. ma., labium majus; Lab. mi., labiura minus; Ra., raphe of scrotum; Scr., scrotum; Ta., tail; Ug. s., urogenital sinus; Umb. c^ umbilical cord. 426 TEXT-BOOK OF EMBRYOLOGY. continuation of the internal (membranous and prostatic) portion of the urethra. The genital swellings also fuse and form the scrotum, the line of fusion in the medial line becoming the raphe (Fig. 386). Primarily the inguinal ligaments of the mesonephroi are attached to the corium of the skin in the genital swellings, and as the testicles descend they pass through the inguinal ring into the scro- tum. In a sense the scrotum represents an evagination of the body wall THE DEVELOPMENT OF THE SUPRARENAL GLANDS. Although the suprarenal glands do not logically come under the head of the urogenital system, being neither functionally nor developmentally a part of the latter, it is most convenient to consider them in this chapter. In Mammals including man these glands are composed of two parts which can be differentiated histologically and topographically the cortex and medulla. The cortex is composed of trabeculae and spheroidal masses of cells Phaeochrome cells i Nerve fibers \ Phaeochrome Connective Sympathetic cells tissue ganglion cells FIG. 387. Section of a sympathetic ganglion in the cceliac region of a frog (Rana esculenta), showing differentiating phaeochrome cells. Giacomini. which do not have a strong affinity for the ordinary cytoplasmic stains and which contain granules of a fat-like substance known as lipoid granules. The medulla is composed of irregularly arranged sympathetic ganglion cells and other granular cells which, after treatment with chrome salts, acquire a peculiar brownish color. The brown cells are known as chromaffin (or phaeochrome) cells and their granules as chromaffin (or phaeochrome) granules. As cortex and medulla are distinct anatomically, they are also distinct developmentally, being derived from two distinct and different parent tissues which unite secondarily. Furthermore, it is an interesting fact that in the lower Vertebrates (Fishes) the two parts remain permanently separate; that in the ascending scale of animal life (Amphibia, Reptiles, Birds) they become more closely associated; and that finally (in Mammals) they unite to form a single glandular structure. In Mammals the phylogenetic history is repeated with remarkable THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 427 precision during the development of an individual : The two parts arise sepa- rately, come closer together, and finally unite. The Cortical Substance. The cortex is of mesothelial (mesodermal) origin. In embryos of five to six mm. the mesothelium at the level of the cephalic third of the mesonephros proliferates and sends buds or sprouts into the mesenchyme at each side of the root of the dorsal mesentery. These sprouts soon lose their connection with the parent mesothelium and unite with one another to form a rather compact mass of epithelial-like cells ventro-lateral to the aorta (Fig. 314). Frequently the two masses fuse across the medial line ventral to the aorta. They constitute the anlagen of the cortical substance of Connective tissue MS Cortex Medulla (Phaeochrome cells) FIG. 388. From a transverse section of a 40 mm. pig embryo, showing the growth of the medullary substance into the cortical substance of the suprarenal gland. The vessel in the center of the figure is the aorta. Wiesel. the two suprarenal glands. From the fact that in the lower forms they remain separate from the medullary substance and lie between the urinary organs, they are known as the interrenal organs. The Medullary Substance. A little later than the appearance of the cortical anlage, the cells of some of the developing sympathetic ganglia become differentiated into two types (i) the so-called sympathoblasts which develop into sympathetic ganglion cells, and (2) ph&ochromoblasts which are destined to give rise to the phceochome or chromafiin cells (Fig. 387). Hence the chromafrin cells are derivatives of the ectoderm, since the ganglia are of ectodermal origin. They soon become more or less separated from the ganglia, migrate to the 428 TEXT-BOOK OF EMBRYOLOGY. region of the cortical anlagen and then penetrate the latter in cord-like masses (Fig. 388) . Finally these masses unite in the interior of the cortical substance to form a single compact mass (Fig. 389). Along with the phaeochrome masses, sympathoblasts also are carried in and give rise to the sympathetic ganglion cells within the gland. The two types of cells together constitute the medullary substance. In the lower forms the phseochrome masses remain separate from the cortical substance and are known as the suprarenal organs. In Mammals the two sets of organs (interrenal and suprarenal) unite to form the suprarenal gland. |fe ill '> s -''-'# V : '.??V^v '*V Med. Cor. Cor. 1 FIG. 389. Section of the suprarenal gland of a 119 mm. pig embryo. Cor., Cortex; Cor.*, some cortical substance in the center of the gland; Med., medulla. Wiesel. At the time when the mesonephros is fully developed, the cortical substance forms a small oval body near its cephalic end. During the union of the cortex and medulla and the atrophy of the mesonephros, the suprarenal gland becomes more closely associated with the cephalic end of the kidney, and by the middle of the third month has practically reached its adult position. During the third month and the first half of the fourth month the glands increase in size and become relatively large structures, larger in fact than the kidneys. From the fourth month on, they grow proportionately less than the neighboring organs, and by the sixth month are about half as large as the kidneys. At birth the ratio of their weight to that of the kidneys is about 1:3; in the adult about i : 28. While perhaps in a normal course of development all the anlagen are united in the adult suprarenal gland, it is not unusual to find accessory structures in various places. Some of these consist of cortical tissue only and are usually THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 429 found in or near the capsule of the gland. Others may consist of both cortical and medullary substances, and are found in the vicinity of or embedded in the kidneys, in the retroperitoneal tissue near the kidneys, in the walls of neighbor- ing blood vessels, or associated with the internal genital organs in the rete testis or epididymis, or in the broad ligament. These accessory structures may arise inde- pendently of the main gland, or they may be portions of the main gland which were separated during the union of the different anlagen of the latter and were carried away in the descent of the genital glands. In addition to the chromamn tissue which enters into the formation of the main gland or of accessory glands, there are other small masses of this tissue which remain permanently associated with some of the prevertebral and peripheral sympathetic ganglia. Recent researches have shown that the Carotid Skein (glomus caroticum, intercarotid ganglion, carotid gland) , which formerly was believed to be a derivative of the epithelial lining of one of the branchial grooves, is of sympathetic origin and that the cells acquire the charac- teristic chromamn reaction. These facts indicate that it is closely allied with the medullary substance of the suprarenal gland. FIG. 390. Diagram of the developing phoeo- chrome masses in a human foetus of 50 mm. A y Aorta; N, cortical substance (in- terrenal gland) ; U y ureter; R, rectum. Kohn. Anomalies. THE KIDNEYS. Rarely is there congenital absence of both kidneys. More often there is a high degree of aplasia in both organs in otherwise well-developed children. In either case death necessarily soon follows. Not infrequently one kidney, usually the left, is poorly developed or absent and a compensatory enlargement of the other exists. Such malformations are due to deficient development of the organs, but the causes underlying the deficient development are obscure. One of the most common malformations is the abnormal position of one or both kidneys (ectopia of the kidneys). Usually they occupy a position lower than the normal in the abdominal cavity, which indicates that they have failed, during development, to migrate forward to the normal limit (see p. 399). Very rarely one or both organs migrate beyond the normal limit, in which case they occupy positions cranial to the normal. Not infrequently the lower ends of the two kidneys are fused across the medial line, giving rise to the so-called "horseshoe kidney." Two renal pelves and ureters are usually present. Occasionally the fusion is so extensive 430 TEXT-BOOK OF EMBRYOLOGY. that a single flat mass is formed. This occupies a medial position or lies at either side of the medial line, and may be situated at the normal level or lower. The renal pelvis may be single or double, with one or two ureters. In cases of double ureters and pelves it seems most likely that the anlagen of the kidneys have fused secondarily, that is, after the evagination from the mesonephric ducts (p. 391). In cases where the pelvis and ureter are single, the fusion may have occurred secondarily, although there is the possibility that only a single anlage appeared. Occasionally in children and even in adults the kidneys show a distinct lobulation. This is due to the persistence of the lobulation that normally exists in the foetus (p. 397). The kidney may be more or less movable owing to laxity of the surrounding tissue, or it may be floating, in which case it has a distinct mesentery. These cases should be distinguished from those in which similar conditions have been acquired, usually as the result of trauma. Congenital cysts of the kidney are not uncommon. They vary in size and number, sometimes being so numerous that they crowd out the greater part of the renal tissue. Rarely they are so large and numerous that the affected organ fills a large part of the abdominal cavity, resulting in serious or even fatal disturbances of the functions of other organs. There are three views con- cerning the origin of these cysts, (i) They may be the result of dilatation of certain renal tubules derived from the nephrogenic tissue, which failed to unite with the straight tubules (p. 393). (2) Inflammation in the medulla of the foetal kidney may effect a closure of the lumina of some of the tubules, with subsequent dilatation of the portions (tubules or renal corpuscles) that are cut off from communication with the renal pelvis. (3) Normally some of the renal corpuscles and tubules degenerate (p. 399) , and the cysts may arise as dilatations of incompletely degenerated corpuscles or tubules or both. While these views appear reasonable, none of them has been proven. All three views express possibilities, and there is no good reason for believing that any one of them expresses the only possibility. THE URETERS. The renal pelvis is sometimes absent, the calyces uniting to form two or more tubes which in turn unite to form the ureter. This prob- ably is the result of abnormal branching of the ureter during development and the failure of the ends of the branches to become dilated. Occasionally the ureter is double or triple throughout the whole or a part of its length. The most reasonable explanation of two or three complete ureters on either side is that two or three separate evaginations arose from the mesonephric duct (p. 391.) Where the tube is double in only a part of its length, an abnormal branching of the single original evagination is indicated. Atresia of one or both ureters is occasionally met with. This probably THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 431 represents a secondary constriction after the ureter is formed since both evag- inations are hollow from the beginning (p. 391), but the cause of the constric- tion is not understood. The atresia results in dilatation of the portion of the ureter on the side toward the kidney. Abnormal situations of the openings are sometimes seen, the explanation of which is to be found in the relations of these tubes to the mesonephric ducts, to the cloaca, and to the Miillerian ducts. In the male the ureters may open into the seminal vesicles, the prostatic urethra, or the rectum. If one recalls that the ureter arises as an evagination from the mesonephric duct near the opening of the latter into the cloaca (p. 391), that the cloaca becomes separated into a dorsal part (the rectum) and a ventral part (the urogenital sinus) (p. 400) , and that the proximal end of the mesonephric duct is so far taken up into the wall of the urogenital sinus (or bladder) that the ureter opens separately (p. 400), it is readily seen that any interference with these normal processes of development will result in abnormal opening of the ureter. If the ureter does not become separated from the mesonephric duct, it will open into the deferent duct (vas deferens), the latter being the proximal part of the mesonephric duct. And since the seminal vesicle is an outgrowth from the proximal end of the meso- nephric duct, the opening of the ureter is likely to be associated with the vesicle. If the separation between the ureter and mesonephric duct is complete, but the opening of the ureter does not migrate cranially on the wall of the bladder, the opening comes to lie in the wall of the prostatic urethra. If the wall (urorectal fold) separating the urogenital sinus and rectum is situated too far dorsally, the opening of the ureter comes to be in the wall of the rectum. (Con- sult Figs. 360, 361, 362, 363.) In the female the ureters may open into the urethra, the vagina, or the uterus. The explanation of the opening into the urethra is the same as in the male (see preceding paragraph). The opening into the genital tract is probably to be explained on the ground that the ureters fail to migrate cranially along the wall of the urogenital sinus to the bladder, and as the fused ends of the Miillerian ducts enlarge to form the uterus and vagina, the openings of the ureters are taken up into their walls. THE BLADDER. Absence of the bladder is very rare. Abnormal small- ness, due to imperfect dilatation of the urogenital sinus (p. 401), is not infre- quent. The urachus, which represents the portion of the allantoic duct between the bladder and the umbilicus (p. 401), not infrequently persists as a whole or in part, giving rise to certain anomalous conditions in the region of the middle umbilical ligament. The urachus may persist as a complete tube, lined with epithelium, thus forming a means by which urine can escape at the umbilicus. This condition is usually associated with obstruction of the 432 TEXT-BOOK OF EMBRYOLOGY. urethra and is known as uracho-vesical fistula. The urachus may degenerate in part, leaving disconnected portions which frequently become dilated to form cysts. Vesical fissure, the most serious malformation of the bladder, is associated with fissure of the lower abdominal wall. The edges of the cleft in the bladder are continuous with those of the cleft in abdominal wall, the integument being continuous with the lining of the bladder. In some cases the bladder is everted through the cleft, and the cleft may even be so extensive as to involve the external and internal genital organs. Vesical fissure is much more com- mon in the male than in the female. No very satisfactory explanation of this malformation has yet been given. It is in some way connected with imperfect formation of the ventral abdominal wall resulting from influences acting at a very early period of development. THE URETHRA in both sexes may be abnormally small or abnormally large or partly occluded, owing to faulty development of the urogenital sinus. In the male the penile portion also maybe malformed, being represented merely by a furrow on the lower side of the penis. This condition, known as hypo- spadias, is due to the incomplete fusion or lack of fusion between the genital folds along the lower side of the genital tubercle (p. 424) . In extreme cases the de- fect may involve the scrotum and extend back as far as the prostate gland, the two halves of the scrotum being separated. Epispadias, in which the urethral cleft extends along the upper side of the penis (or the clitoris) is rare, and is usually associated with vesico-abdominal fissure. Its mode of origin is not understood. THE TESTICLES. One of the most common malformations affecting the male genital glands is the condition known as chryptorchism, in which the glands, instead of descending into the scrotum, are retained within the ab- dominal cavity. One or both testicles may be affected. They may occupy their original position far forward in the abdominal cavity or may be situated near the inguinal canal, or may lie at some intermediate point. The malposi- tion is due to a failure in the normal descent into the scrotum (p. 419). The cause of the failure is obscure. Not infrequently the ectopic testicles atrophy or fail to develop properly at puberty. Congenital absence of one or both testicles is rare. More frequently the gland or efferent system of ducts is defective in part, owing to imperfect development. In case of absence of the testicles the individual is small and poorly developed ; when the glands are imperfectly developed the individual is effeminate. Cysts which are sometimes met with in the epididymis are possibly due to dilatation of incompletely degenerated portions of the mesonephric tubules or Miillerian ducts. Teratoid tumors and chorio-epitheliomata are occasionally THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 433 found in the testicle. For a further discussion of these see chapter on Terato- genesis (XIX). THE OVARIES. Congenital absence of both ovaries is rare; defective development of one is more common. Either anomaly may occur with or without defects in the other genital organs. Occasionally the ovaries remain rudimentary, their function as egg-producing organs never being assumed. Malpositions, due to partial or complete failure in the normal descent into the pelvis (p. 422), are not infrequent. Sometimes, on the other hand, they descend to the inguinal canal and may even pass through the latter into the labia majora. Ovarian cysts occur frequently. Some of these (follicular cysts) may arise during postnatal life as dilatations of Graafian follicles. Others probably arise during foetal life in the same manner. Certain other forms of ovarian tumors, known as cystadenomata, are possibly to be considered as derivatives of the epithelium of the medullary cords which in normal cases disappear entirely (p. 407; also Fig. 366). A discussion of the origin of teratoid tumors of the ovary will be found in the chapter on Teratogenesis (XIX). THE OVIDUCTS, UTERUS AND VAGINA. Absence of the oviducts is usually associated with malformations of other parts of the genital tract. On the other hand, normal oviducts may be present in conjunction with defective uterus and vagina. Atresia may occur at the uterine or fimbriated end, or at any intermediate point. The majority of the malformations of the uterus and vagina can be at- tributed to defective processes of development in the caudal ends of the Miiller- ian ducts. It will be remembered that the caudal ends of these ducts normally fuse to form a single medial tube which opens into the urogenital sinus, and which constitutes the anlage of the uterus and vagina (p. 415; Fig. 363). It is obvious that any defect in this fusion will result in some degree of duplicity in the two organs in question. The fusion may be almost complete, the result- ing abnormality being merely a small pocket which forms, at each side of the fundus, a continuation of the cavity of the uterus. There may be a greater degree of imperfection in the fusion, resulting in a partial division of the uterus into two horns bicornuate uterus. The wall between the two Miillerian ducts may remain patent in the entire uterine portion of the tract, thus giving rise to a bipartite uterus. If the wall between the ducts remains intact throughout both uterine and vaginal portions, the result is a complete division of the utero- vaginal tract uterus didelphys. Occasionally the uterine portion of one Miillerian duct may fail to develop properly and becomes a solid cord, resulting in an unicornuate uterus. Not infrequently the uterus remains rudimentary infantile uterus. This anomaly is usually accompanied by stenosis of the vagina. Stenosis or other 434 TEXT-BOOK OF EMBRYOLOGY. defects in the vagina may occur, however, when the uterus is normal. In rare instances the hymen is absent; in other cases it closes the entrance to the vagina a condition known as imperf orate hymen. Malformations of the uterus and vagina resulting from persistence of the cloaca and atresia of the anus are mentioned on page 357. HERMAPHRODITISM. This condition implies a combination of the male and female sexual organs in one individual, accompanied by a blending oi the general characteristics of the two sexes When such an individual possesses both ovary and testicle, the condition is known as true hermaphroditism; when the individual possesses ovaries or testicles, the condition is known as false hermaphroditism. TRUE HERMAPHRODITISM. The presence of both ovary and testicle in one individual is one of the rarest anomalies in man. Furthermore, one or both of the organs are sexually immature. Three forms can be recognized (Klebs) : 1. Lateral hermaphroditism, in which an ovary is present on one side and a testicle on the other; 2. Unilateral hermaphroditism, in which both ovary and testicle are present on one side, either ovary or testicle, or neither, on the other side; 3. Bilateral hermaphroditism, in which both ovary and testicle are present on both sides. In all these cases the general character of the body is of an intermediate type, sometimes tending toward the male, sometimes toward the female. The external genitalia are also of an intermediate type, with hypospadias, small penis, separate scrotal halves, and small vaginal orifice. The uterus usually shows some degree of duplicity. FALSE HERMAPHRODITISM. In this type of hermaphroditism, in which either ovaries or testicles are present in an individual with mixed general sexual characteristics, two varieties can be recognized : 1. Masculine false hermaphroditism, the more common, in which testicles are present but the external genitalia and general character of the body approximate the female; 2. Feminine false hermaphroditism, in which ovaries are present but other- wise male characteristics predominate. The causes underlying the origin of hermaphroditism are among the most obscure in teratogenesis. It is well known that up to the fourth or fifth week the anlagen of the sexual glands are histologically "indifferent," and later be- come differentiated into ovaries or testicles (p. 405). Since the secondary sexual characteristics are dependent upon the development of the primary, they also are brought out later. If the " indifferent " glands give rise to both ovaries THE DEVELOPMENT OF THE UROGENITAL SYSTEM. 435 and testicles, true hermaphroditism is the result; if they give rise to either ovaries or testicles but the external genitalia and general characteristics develop in the opposite direction, false hermaphroditism is the result. Thus the her- maphroditic condition is potentially present in every individual during the earlier stages of development; the most remarkable fact is that it is not more common. Recent researches in cytology have added a new phase to the question of the origin of hermaphroditism. Accessory chromosomes have been demonstrated in the ova and spermatozoa of many species of insects (McClung, Wilson, Morgan) and in ova and pollen of dioecious plants (Correns). It has been suggested that these have some significance in the determination of sex, the female elements containing the additional chromatin elements (see p. 27). Carrying this a step further, Adami has suggested that " hermaphroditism is based upon aberration in the distribution of the chromosomes in either the ovum, or the spermatozoon." References for Further Study. ADAMI, J. G.: The Principles of Pathology. Vol. I, 1908. AICHEL, O.: Vergleichende Entwickelungsgeschichte und Stammesgeschichte der Nebennieren. Arch. f. mik. Anat.. Bd. LVL, 190x5. ALLEN, B. M.: The Embryonic Development of the Ovary and Testis in Mammals. Am. Jour, of Anat., Vol. Ill, 1904. BEARD, J.: The Germ-cells of Prisdurus. Anat. Anz., Bd. XXI, 1902. BEARD, J.: The Morphological Continuity of the Germ Cells in Raja batis. Anat. Anz., Bd. XVIII, 1900. BONNET, R.: Lehrbuch der Entwickelungsgeschichte. Berlin, 1907. EIGENMANN, C. H.: On the Precocious Segregation of the Sex-cells of Micrometrus aggregatus. Jour of Morphol., Vol. V, 1891. FELIX, W.: Entwickelungsgeschichte des Excretions-systems. Ergebnisse der Anat. u. Entwick., Bd. XIII, 1903. FELIX, W., and BUHLER^ A.: Die Entwickelung der Harn- und Geschlechtsorgane. In Hert wig's Handbuch d. vergleich. u. experiment. Entwickelungslehre der Wirbeltiere, Bd. III. Teil I, 1904. GAGE, S. P.: A Three Weeks' Human Embryo, with Especial Reference to the Brain and Nephric System. Am. Jour, of Anat., Vol. IV, 1905. GERHARDT, U.: Zur Entwickelung der bleibenden Nieren. Arch. f. mik. Anat , Bd ILVII, 1901 HERTWIG, O.: Lehrbuch der Entwickelungsgeschichte des Menschen und der Wirbel- tiere. Jena, 1906. HILL, E. C.: On the Gross Development and Vascularization of the Testis. Am. Jour. of. Anat., Vol. VI, 1907. HUBER, G. C.: On the Development and Shape of the Uriniferous Tubules of Certain of the Higher Mammals. Am. Jour, of Anat., Vol. IV, Suppl., 1905. KEIBEL, F.: Zur Entwickelungsgeschichte des menschlichen Urogenitalapparatus. Arch.f. Anat. u. Physiol., Anat. Abth. y 1896. KOHN, A.: Das chromaffine Gewebe. Ergebnisse der Anat. u. Entwick., Bd. XII, 1903, 436 TEXT-BOOK OF EMBRYOLOGY. KOLLMAX, J.: Lehrbuch der Entwickelungsgeschichte des Menschen. Jena, 1898. KOLLMAX J.: Handatlas der Entwickelungsgeschichte des Menschen. Jena, 1907, Bd. II. M\RCHAXD, F.: Missbildungen. In Eulenburg's Real-Encyclopadie der gesammten Heilkunde, Bd. XV, 1897. McMuRRiCH, J. P.: The Development of the Human Body. Philadelphia, 1907. MIXOT, C. S.: Laboratory Text-book of Embryology. Philadelphia, 1903. MORGAN, T. H.: The Cause of Gynandromorphism in Insects. Am. Xaturalist, Vol. XLI, 1907. NAGEL, W.: Ueber die Entwickelung des Urogenitalsystems des Menschen. Arch. f. Mik. Anal., Bd. XXXIV, 1889. NAGEL, W.: Ueber die Entwickelung der Urethra und des Dammes beim Menschen. Arch.f. mik. Anat., Bd. XL, 1892. XAGEL, W.: U/eber die Entwickelung des Uterus und der Vagina beim Menschen. Arch. f. mik. Anat., Bd. XXXVII, 1891. PIERSOL, G. A. : Teratology. In Wood's Reference Handbook of the Medical Sciences, Vol. VII, 1904. POLL, H.: Die Entwickelung der Xebennierensysteme. In Hertwig's Handbuch der vergleich. u. experiment. Entwickelungslehre der Wirbeltiere, Bd. Ill, Teil I, 1905. RABL, C.: Ueber die Entwickelung des Urogenitalsystems der Selachier. MarpJwl. Jahrbuch, Bd. XXFV, 1896. Theorie des Mesoderms. Ueber die erste Entwickelung der Keimdruse. Morphol. Jahrbuch, Bd. XXTV, 1896. SCHREIXER, H. E.: Ueber die Entwickelung der Amniotenniere. Zeitschr.f. ivissensch. Zoologie, Bd. LXXI, 1902. SOULIE, A.: Sur le mecham'sme de la migration des testicules. Com p. Rend, de la Soc. de Biol., Paris, Ser. 10, T. II, 1895. SOULIE, A.: Recherches sur le developpement des capsules surrenales chez les vertebres superieurs. Jour. de. FAnat. et de la Physiol., T. XXXIX, 1903. STOERK, O.: Beitrag zur Kenntnis des Aufbaus der menschlichen Xiere. Anat. Hefte, Bd. XXIII, 1904. TAXDLER, J.: Ueber Vornieren-Rudimente beim menschlichen Embryo. Anat. HefU^ Bd. XXVIII, 1905. TAUSSIG, F. J.: The Development of the Hymen. Am. Jour, of Anat., Vol. VIII, 1908. WLESEL, J.: Ueber die Entwickelung der Xebennieren des Schweins, besonders der Marksubstanz. Anat. Hefte, Bd. XVI, 1900. WLXTWARTER, H.: Recherches sur Povogenese et Porganogenese de Povaire des Mammi- feres. Arch, de Biol., T. XVII, 1900. WOODS, F. W.: Origin and Migration of the Germ-cells in Acanthias. Am. Jour, of Anal., Vol. I, No. 3, 1902. CHAPTER XVI. THE DEVELOPMENT OF THE IHTEGUMENTARY SYSTEM. The integument consists of the skin and certain accessory structures. The skin is composed of the dermis (or corium) and the epidermis. The accessory structures comprise the hairs, nails, sudoriferous glands, sebaceous glands, and mammary glands. The epidermis (or epithelial layer) and all the accessory structures are derived from the ectoderm; the dermis is mesodermal in its origin. Other appendages of the skin such as scales, feathers, claws, hoofs, and horns which are found only in the lower animals, are ectodermal derivatives and belong in the same class as the accessory structures in man. The Skin. THE EPIDERMIS. The embryonic ectoderm consists primarily of a single layer of cells (Fig. 81). During the latter part of the first month, the single layer gives rise to two layers, of which the outer is composed of irregular flat cells and is known as the epitrichium or periderm, the inner or basal, of larger cuboidal cells which are the progenitors of the epidermal cells and of the acces- sory structures. The epitrichial cells later become dome-shaped and acquire a vesicular structure,' the nuclei becoming less distinct. They persist until the middle of foetal life and are then cast off and mingle with the secretion of the ly formed sebaceous glands as a constituent of the vernix caseosa (see p. 442) . The epidermal cells, constantly increasing in number, soon come to form several layers (4 to 6 in the sixth month). The innermost layer rests upon the base- ment membrane and is composed of cuboidal or columnar cells rich in cytoplasm ; the outer layers consist of irregular cells with clearer contents and less distinct nuclei. As development proceeds, the basal layer gives rise to several layers which together constitute the stratum germinativum. The cells of the innermost layers are constantly proliferating and thus forming new cells which are pushed toward the surface. During the seventh month keratohyalin granules appear in two or three layers which are then known collectively as the stratum granu- losum. The clearer cells of the superficial layers undergo a process of de- generation by which their contents are transformed into a horny substance, the nuclei becoming fainter and finally disappearing. These modified or degen- erated cells, which are constantly being cast off and replaced by others from 437 438 TEXT-BOOK OF EMBRYOLOGY. the deeper layers, constitute the stratum corneum (Fig. 392). In the thick epidermis, on the palms of the hands and the soles of the feet, for example, a few layers of cells just outside of the stratum granulosum become specially modified (keratinized) to form the stratum lucidum. THE DERMIS. In the first month the dermis is represented by closely ar- ranged, spindle-shaped mesenchymal (mesodermal) cells underlying the epidermis, and is separated from the latter by a delicate basement membrane. This mesenchymal tissue gives rise to fibrous connective tissue which, about the third month, becomes differentiated into two layers the dermis proper and the deeper subcutaneous tissue. The papillae develop as little projections of the dermis which grow into the stratum germinativum of the epidermis. In some of these, many blood vessels appear, while in others nerve endings Eponychium Root of nail Nail Sole plate Phalanx II Sweat glands FIG. 391. Longitudinal section through the end of the middle finger of a 5 months human foetus. Bonnet. (tactile corpuscles of Meissner) develop, thus giving rise to vascular and nerve papillae. Usually a considerable amount of fat develops in the subcutaneous tissue. Some of the mesencnymal cells of the dermis are transformed into smooth muscle cells which are found in connection with the hairs (arrectores pilorum), in the scrotum (tunica dartos), and in the nipples. The dermis has generally been considered as a derivative of the cutis plates (p. 163) which, with the myotomes, constitute the outer walls of the primitive segments, but it is probable that the outer walls of the segments are trans- formed wholly into muscle tissue (McMurrich). The pigment in the dermis develops in the form of granules in the connect- ive tissue cells; that in the epidermis appears as granules in the cells of the deeper layers (white races) or of all the layers (dark races). Whether the pigment in the epidermis arises independently or is carried from the dermis by wandering cells is not known. THE DEVELOPMENT OF THE INTEGUMENTARY SYSTEM. 439 The Nails. The nails are derivatives of the epidermal layer of the ectoderm, and cor- respond morphologically to the claws and hoofs of lower animals. The epidermis on the end of each finger and toe forms a thickening, known as the primitive nail, which is encircled by a faint groove (Zander). This occurs about the ninth week. Later the nail area migrates to the dorsal side of the digit and becomes somewhat sunken below the surface of the surrounding epithelium (Fig. 391). These observations have led to the conclusion that primarily the nails in man occupied positions on the ends of the digits, cor- responding to the positions of the claws in low r er forms. Furthermore, the fact that the nails (or their anlagen) are at first situated on the ends of the digits and subsequently migrate dorsally would exolain the innervation of the nail region by the palmar (and plantar) nerves. Strat. corneum "I 1 Epidermis #> " I Strat. germinativum J /.-*I^ V-V **: *i I SfSP@f- HairBerm (*' Hf Hair papa papilla _- i--,.^ , w.w - , Con. tis. follicle Hair germ Hair papilla Connective tissue follicle FIG. 392. Vertical section of the skin of a mouse embryo of 18 mm., showing early hair germs. Maurer. After the dorsal migration of the nail area, the epithelium and dermis along the proximal and lateral edges become still more elevated to form the nail wall, the furrow between the latter and the nail being the nail groove. At the distal edge of the nail area, the epithelium becomes thickened to form the so-called sole plate, which is probably homologous with the more highly developed sole plate in animals with hoofs or claws. The epithelium of the nail area increases in thickness, and, as in the skin, becomes differentiated into three layers (Fig. 391). The outer layers of cells become transformed into the stratum corneum. The cells of the next deeper layers, which acquire keratin granules and constitute the stratum lucidum, degenerate and give rise to the nail sub- stance. Thus the nail is a modified portion of the stratum lucidum. The layers of epithelium beneath the nail form the stratum germinativum, which, with the subjacent dermis, is thrown into longitudinal ridges. 440 TEXT-BOOK OF EMBRYOLOGY. After its first formation, the nail is covered by the stratum corneum and the epitrichium, the two together forming the eponychium. The epitrichium soon disappears; later the stratum corneum also disappears with the exception of a narrow band along the base of the nail. The formation of nail substance begins during the third or fourth month in the proximal part of the nail area. The nail grows from the root and from the under surface in the region marked by the whitish color (the lumda). New keratinized cells are added from the subjacent stratum germinativum and be- come degenerated to form new nail substance which takes the place of the old as the latter grows distally. The Hair. The hairs, like the nails, are derivatives of the epidermal layer of the ecto- derm. In embryos of about three months, local thickenings of the epidermis appear (beginning in the region of the forehead and eye-brows) and grow obliquely into the underlying dermis in the form of solid buds the hair germs (Fig. 393, I, II). As the buds continue to elongate they become club-shaped and the epithelium at the end of each molds itself over a little portion of the dermis in which the cells have become more numerous and which is known as the hair papilla (Fig. 392). As the epidermal bud grows deeper, its central cells become spindle-shaped and undergo keratinization to form the beginning of the hair shaft; the peripheral layers constitute the anlage of the root sheath (Fig. 393, III, IV). The hair shaft grows from its basal end, new keratinized cells being added from the epithelium nearest the papilla as the older cells are pushed toward the surface of the skin. The surface cells of the hair shaft become flattened to form the cuticle of the hair (Fig. 393, V). The hairs appear above the surface about the fifth month. Of the cells of the root sheath, those nearest the hair become scale-like to form the cuticle of the root sheath; the next few layers become modified (keratinized) to form Huxley's and Henle's layers. Outside of these is the stratum germinativum, the basal layer of which is composed of columnar cells resting upon a distinct basement membrane. The stratum germinativum is continued over the tip of the papilla, where its cells give rise to new cells for the hair shaft (Fig. 393, V). The connective tissue around the root sheath becomes differentiated into an inner highly vascular layer, the fibers of which run circularly, and an outer layer, the fibers of which extend along the sheath. The two layers together con- stitute the connective tissue follicle. The first formed hairs, which are exceedingly fine and silky, develop in vast numbers over the surface of the embryonic body and are known collectively as the lanugo. This growth is lost (beginning before birth and continuing during THE DEVELOPMENT OF THE INTEGUMENTARY SYSTEM. 441 the first and second years after), except over the face, and is replaced by coarser hairs. These in turn are constantly being shed during the life of the individual t \ ^m^7 MM \^^p^r ^m l s^*&* i >V f tr<-2&? : ***f& '<< ^ ft FIG. 393. Five stages in the development of a human hair. C, Papilla; 5, arrector pili muscle; c, beginning of hair shaft; d, point where hair shaft grows through epidermis; e, anlage of sebaceous gland; /, hair germ; g, hair shaft; h, Henle's layer; , Huxley's layer; k, cuticle of root sheath; /, inner root sheath; m, outer root sheath in tangential section; n, outer root sheath; o, connective tissue follicle. and replaced by new ones. The new hairs probably in most cases develop from the old follicles, the cells over the old papillae proliferating and the newly 442 TEXT-BOOK OF EMBRYOLOGY. formed hairs growing up through the old sheaths. In some cases, however, new follicles are formed directly from the epidermis and dermis. In some of the lower Mammals, new hair germs appear as outgrows from the sheaths of old follicles, thus giving rise to tufts of hair. The arrectores pilorum muscles arise from the dermal (mesenchymal) cells and become attached to the follicles below the sebaceous glands. The Glands of the Skin. THE SEBACEOUS GLANDS. These structures usually develop in connection with hairs. From the root sheath a solid bud of cells grows out into the dermis (Fig. 393, IV) and becomes lobed. The central cells of the mass undergo fatty degeneration and the products of degeneration pass to the surface of the skin through the space between the hair and its root sheath. The more peripheral cells proliferate and give rise to new central cells which in turn are transformed into the specific secretion of the gland, the whole process being continuous. On the margins of the lips, on the labia minora and on the glans penis and prepuce, glands similar in character to the sebaceous glands arise directly from the epidermis independently of hairs. THE SUDORIFEROUS GLANDS. The sweat glands begin to develop during the fifth month as solid cylindrical growths from the deeper layers of the epider- mis into the dermis (Fig. 391). Later the deeper ends of the cylinders become coiled and lumina appear. The lumina do not at first open upon the surface but gradually approach it as the deeper epidermal layers replace the more superficial. THE VERNIX CASEOSA. During fcetal life the secretion of the sebaceous glands becomes mingled with the cast-off epitrichial and epidermal cells to form the whitish oleaginous substance (sometimes called the smegma embryonum) that covers the skin of the new-born child. It is collected especially in the axilla, groin and folds of the neck. THE MAMMARY GLANDS. In embryos of six to seven mm., or even less, a thickening of the epidermis occurs in a narrow zone along the ventro-lateral surface of the body (Strahl). In embryos of 1 5 mm. this thickening, known as the milk ridge, extends from the upper extremity to the inguinal region (Kallius, Schmidt). Later the caudal end of the ridge disappears, while the cephalic portion becomes more prominent. The further history of the ridge has not been traced, but in embryos considerably older the anlage of each gland is a circular thickening of the epidermis in the thoracic region, projecting into the underlying dermis. It seems most probable that this local thickening represents a portion of the original ridge, the remainder THE DEVELOPMENT OF THE INTEGUMENTARY SYSTEM. 443 having disappeared. Later the central cells of the epidermal mass become cornified and are cast off, leaving a depression in the skin (Fig. 394). In em- bryos of 250 mm. a number of Solid secondary buds have grown out (Fig. 395). These resemble the anlagen of the sweat glands, to which they are generally considered as closely allied (Hertwig, Wiedersheim and others), and represent the excretory ducts. Continued evaginations from the terminal parts of the excretory ducts form the lobular ducts and acini. The acini, however, are scarcely demonstrable in the male, and not even in the female until pregnancy. Lumina appear by a separation and breaking down of the central cells of the ducts and acini, the peripheral cells remaining as their lining. Nipple Epitrichium depression Dermis Stratum germinativura Dermis (Areolar zone) Vv v:.v -. ' ^ ?5a ! S3?sgES#S - * ' " FIG. 394. Vertical section through the anlage of the mammary gland of a human foetus of 16 cm. Bonnet. Late in foetal life, or sometimes after birth, the original depressed gland area becomes elevated above the surface to form the nipple. The excretory ducts (15 to 20 in number) which at first opened into the depression, thus come to open on the surface of the nipple. In the area around the nipple the areola numerous sudoriferous and sebaceous glands develop, some of which come to open into the lacteal ducts. Sometimes rudimentary hairs appear. Other glands known as areolar glands (of Montgomery) resembling rudi- mentary mammary glands also develop from the epidermis of the areola. After birth the mammary glands continue to grow slowly in both sexes up to the time of puberty. After this they cease to grow in the male, and then atrophy. In the female, growth of the glandular elements goes on, but very slowly, and usually a considerable amount of fat develops in the surrounding tissue, causing the enlargement of the breasts. The Mammary Glands of Pregnancy. Even in the female, as stated before, acini are scarcely demonstrable until pregnancy. The mamma consists 444 TEXT-BOOK OF EMBRYOLOGY. mostly of connective tissue and fat, with scattered groups of duct-like tubules. During pregnancy the tubules give rise to the acini by a process of evagination, the cells increasing in number by mitosis. Toward the end of pregnancy each excretory duct and its smaller ducts and acini form a distinct lobe with a rela- tively small amount of connective tissue. The epithelium is low or cuboidal, and fat begins to accumulate, in the seventh or eighth month, as droplets in the basal parts of the cells. The droplets increase in number and in size, approach- ing the inner end of the cell, until finally the cell is practically filled. At the beginning of lactation the fat escapes into the lumen of the acinus, leaving a bit of ragged cytoplasm with a nucleus. This regenerates into a cell capable of Stroma (dermis) Stroma FIG. 395. Vertical section of the anlage of the mammary gland of a human foetus of 25 cm. Nagel. further activity; and it is probable that the same cell may become filled with fat and discharge its contents several times during lactation. During pregnancy and lactation the acini also contain leucocytes which have wandered through the epithelium from the surrounding tissue. These contain fat droplets and are known as colostrum corpuscles. At the end of lactation the acini atrophy and disappear, the lobules becoming masses of connective tissue and fat, which contain groups of duct-like tubules and which are so closely joined with one another that they are indistinguishable as lobules. ' Anomalies. ANOMALIES or THE SKIN. The epidermis may develop to an abnormal de- gree over the entire surface of the body, forming a horny layer which is broken only where the skin is folded by the movement of the members of the body a condition known as hyperkeratosis. Or the abnormal development may give rise to irregular patches of thick epithelium ichihyosis. In either case, hairs and sebaceous glands are usually absent over the affected areas. THE DEVELOPMENT OF THE INTEGUMENTARY SYSTEM. 445 Occasionally pigment develops in excess over larger or smaller areas of the skin, giving rise to the so-called navi pigmentosi. In some cases, on the other hand, there is total or almost total lack of pigment in the skin and hair (usually accompanied by defective pigmentation of the iris, chorioid and retina) a condition known as albinism. There are also instances of partial albinism. The influence of heredity in albinism is doubtful, for albinos are usually the children of ordinary parents. The angiomata (lymphangiomata, haemangiomata) found in the skin are due to dilated lymphatic or blood channels, the color in haemangiomata being due to the haemoglobin in the blood. Dermoid Cysts. The congenital dermoid cysts not infrequently found in or under the skin are usually situated in or near the line of fusion of embryonic structures, as in the region of the branchial arches, along the ventral body wall and on the back. During the fusion of adjacent structures, portions of the epidermis become constricted from the parent tissue and come to lie in the der- mis, where they continue to grow and produce cystic masses and sometimes give rise to hairs and sebaceous glands. This type of dermoid is to be dis- tinguished from that found for example in the ovary, in which derivatives of all three germ layers are present (see Chap. XIX). ANOMALIES OF THE EPIDERMAL DERIVATIVES. Occasionally hair develops in profusion over areas of the skin that naturally possess only a fine, silky growth, such, for example, as a woman's face. Or nearly the entire body may be covered by an unusual amount of hair. Such conditions known as hyper- trichosis possibly represent the persistence and continued growth of the lanugo (p. 440) and in this sense are to be regarded as the result of arrested development (Unna, Brandt). Congenital absence of the hair (hypotrichosis, alopecia) is a rare anomaly and is usually accompanied by defective develop- ment of the teeth and nails. Sebaceous cysts, generally regarded as due to accumulation of secretion in the sebaceous glands, sometimes probably represent remnants of displaced pieces of epidermis apart from the hairs (Chiari) . Supernumerary mammary glands (hypermastia) and nipples (hyperthelia) are not infrequently present in both males and females. They are usually situated below the normal mammae (rarely in the axillary region) , in a line drawn from the axilla to the groin, and probably represent persistent and abnormally de- veloped portions of the milk ridge (see p. 442) In very rare cases a super- numerary gland develops in some other region (even on the thigh) . If the mammary glands are morphologically allied to the sweat glands (p. 443), these misplaced mammae are suggestive of anomalous development of some of the sweat gland anlagen. 446 TEXT-BOOK OF EMBRYOLOGY. References for Further Study. BROUHA: Recherches sur les di verses phases du developpement et de 1'activite de la mammelle. Arch, de BioL, T. XXI, 1905. BONNET, R.: Die Mammarorgane im Lichte der Ontogenie und Phylogenie. Ergebnisse d. Anat. u. Entwick., Bd. II, 1892; Bd. VII, 1898. KALLIUS, E.: Ein Fall von Milchleiste bei einem menschlichen Embryo. Anat. Hefte, Bd. VIII, 1897. KEIBEL, F., and MALL, F. P.: Manual of Human Embryology, Vol. I, 1910. KRAUSE, W.: Die Entwickelung der Haut und ihrer Nebenorgane. In Hertwig's Handbuch d. vergleich. u. experiment. Entwick elungslehre der Wirbeltiere, Bd. II, Teil I, 1902. OKAMURA, T.: Ueber die Entwickelung des Nagels beim Menschen. Arch. /. Der- matol. u. Syphilol., Bd. XXV, 1900. PIERSOL, G. A. : Teratology. In Wood's Reference Handbook of the Medical Sciences, Vol. VII, 1904. SCHMIDT, H.: Ueber normale Hyperthelie menschlicher Embryonen und tiber die erste Anlage der menschlichen MilchdrUsen iiberhaupt. Morphol. Arbeiten, Bd. XVII, 1897. SCHULTZE, O.: Ueber die erste Anlage des MilchdrUsen Apparates. Anat. Anz., Bd. VIII, 1892. STOHR, P.: Entwiokelungsgeschichte des menschlichen Wollhaares. Anat. Hefte, Bd. XXIII, 1903. STRAHL, H.: Die erste Entwickelung der Mammarorgane beim Menschen. Verhandl. d. Anat. Gesellsch., Bd. XII, 1898. ZANDER, R.: Bie friihesten Stadien der Nagelentwickelung und ihre Beziehungen zu den Digitalnerven. Arch. f. Anat. u. Physiol., Anat. Abth., 1884. CHAPTER XVII. THE NERVOUS SYSTEM. BY OLIVER S. STRONG. GENERAL CONSIDERATIONS. There are certain features of the nervous system in general and particularly of the vertebrate nervous system, the comprehension of which makes the processes of development of the nervous system in man more intelligible. First, the nervous systems of the lower Vertebrates are in many respects simpler than those of higher forms and their variations throw light upon the causes which determine neural structures. Second, as the nervous systems of all Vertebrates develop from the same germ plasm, there are resemblances between certain features of both the embryonic and adult systems of lower vertebrates and certain developmental stages in the higher. Certain struc- tures met with in lower adult forms may be regarded as representing stages of arrested development although specialized and aberrant in many respects of structures found in higher forms. Vestigial structures in the developing nervous systems of higher forms may be regarded as recurring developmental necessities in the attainment of the adult form. Stated in the most general terms, coordination of bodily activities in response to both external and internal conditions is the biological significance of the nervous system. This implies a transmission of some form of change from one part to another or, in other words, conduction. This functional necessity is shown structurally in the elongated form of the histological elements of the nervous system. That such changes habitually pass along each element or neurone in some one direction seems to find a natural structural expression in the receptive body and dendrites of the neurone, and in its long transmitting axone. It is also evident that coordination can only be performed by a transmission of a change from some given structure either back to that structure or to some other structure to cause a responsive change. We thus have not only in the vertebrate, but at a very early stage in the invertebrate nervous system, a dif- ferentiation into afferent and efferent components, the two together usually being termed the peripheral nervous system. The histological elements of these components are the afferent and efferent peripheral neurones. All structures which are so affected as to transmit the change to the afferent peripheral neu- 447 448 TEXT-BOOK OF EMBRYOLOGY. rones may be conveniently termed receptors, those structures affected by the efferent peripheral neurones may be termed effectors (Sherrington). Receptors include various "sensory" structures whose principal function appears to be to limit to some particular kind of stimulus the changes affecting the afferent nervous elements connected with them. Effectors include various structures (muscles, glandular epithelia) whose activities are influenced by the nervous system (Fig. 396). A primitive nervous mechanism, thus composed of (i) afferent peripheral neurones which transmit the stimulus from a receptor to (2) efferent peripheral neurones which in turn transmit the stimulus to an effector, is a simple, two-neurone reflex arc (Fig. 396). At the same time these neurones, as they increase in number, are obviously brought into relation with each other with more economy of space by having Receptor Effector FIG. 396. A two-neurone reflex arc in a Vertebrate, gg.. Ganglion, van Gehuchten* common meeting places. This, together with the factor noted below, leads to the concentration of an originally diffuse nervous system, spread out principally in connection with the outer (ectodermal) surface, into a more centralized (ganglionic) type of nervous system, which at the same time has in part re- treated from the surface layer (ectoderm) from which it was originally derived (Fig. 397)- Furthermore, when we consider the great number of receptors and effectors in even simple forms, it is apparent that for effective coordination there must be a considerable degree of complexity of association between the afferent and efferent neurones. These associations may be to some extent accomplished by various branches of the afferent and efferent neurones coming directly into various relations with each other, but it is also evident that when a certain THE NERVOUS SYSTEM. 449 degree of complexity is reached, such an arrangement would necessitate an extraordinary number of afferent and efferent neurones or an extraordinary development of branches of each where they connect. Accordingly we find a second category of neurones, the intermediate or central neurones which mediate Lumbricus Nereis. Vertebrata FIG. 397. Illustrating the withdrawal from the surface of the bodies of the afferent peripheral neurones. After Retzius. between the afferent and efferent peripheral neurones. These central neurones, together with portions of peripheral neurones in immediate relation with them, form, in all fairly well differentiated nervous systems, including those of all Vertebrates, the central as distinguished from the peripheral nervous system. FIG. 398. A three-neurone reflex arc. van Gehuchten. I, Afferent peripheral neurone; 2, intermediate or central neurone; 3, efferent peripheral neurones. The change or stimulus would now pass from receptor through (i) afferent peripheral neurones, (2) intermediate neurones, (3) efferent peripheral neu- rones to effector. This arrangement constitutes a three-neurone reflex arc 450 TEXT-BOOK OF EMBRYOLOGY. (Fig. 398), and is evidently capable of complicated combinations which may be further increased in complexity by the intercalation in the arc of other intermediate neurones. Finally, in the central nervous system certain struc- tures consisting of intermediate neurones are developed which represent the mechanisms for certain coordinations of the highest order. Such are the higher coordinating centers (suprasegmental structures of Adolf Meyer) . As a result of the preceding, it follows that in seeking the explanation for various nervous structures there must always be kept in mind, first, their correla- tion with peripheral structures and, second, the degree of development of the central coordinating mechanism represented by the intermediate or central neurones. The most important features common to the nervous systems of all Vertebrates owe their uniformity either to a corresponding uniformity in the peripheral receptors and effectors, or to a uniformity in the coordinations of the stimuli received and given out by the central nervous system. Variations in structure are due to variations of either the peripheral or central factor above mentioned. In the lower Vertebrates the former factor plays a relatively more important part than in the higher Vertebrates, the central apparatus being simpler; while in the development of the higher vertebrate nervous systems the dominating factor is the increasing complexity of the central mechanism. The superiority of the nervous system of man does not consist, in the main, of supe- riority in sense organs or motor apparatus, but in the enormous development of the intermediate neurone system. GENERAL PLAN OF THE VERTEBRATE NERVOUS SYSTEM. The Vertebrate is an elongated bilaterally symmetrical animal progressing in a definite direction, primitively perhaps by alternating lateral contractions performed by a segmented lateral musculature. Associated with these char- acteristics are the bilateral character of the nervous system and its transverse segmentation, shown by its series of nerves, a pair to each muscle segment. The definite direction of progression involves a differentiation of the forward extremity of the animal, such as the location there of the mouth and respiratory apparatus and the development there of specialized sense organs, the nose, eye, ear, lateral line organs, and taste buds, which increase the range of stimuli received by the animal and thereby render possible a greater range of responsive activities in obtaining food and in reproduction. As a natural outgrowth of these specializations, the highest development of the central coordinating mechanism also takes place at the forward end or head. This concentration and development of various mechanisms in the anterior end is usually termed cephalization, and is a tendency exhibited also by various groups of Inverte- brates in which the same general conditions are present. The typical vertebrate nervous system, then, consists of a bilateral central THE NERVOUS SYSTEM. 451 nervous system connected by means of a series of segmental nerves with per- ipheral structures (receptors and effectors) and exhibiting at its anterior ex- tremity a higher development .and specialization in both its peripheral and central parts. The general features of the typical vertebrate nervous system are best revealed by a brief examination of certain stages in its development. The entire nervous system, except the olfactory epithelium and parts of certain ganglia (see p. 452), is derived ontogenetically from an elonga f ed plate of thickened ectoderm, the neural plate. This plate extends longitudinally in the axis of the developing embryo, its position being usually first indicated externally by a median groove, the neural groove (Fig. 410), the edges of the plate being elevated into the neural folds (Fig. 411). The neural folds are continuous around the cephalic end of the plate, but diverge at the caudal end, enclosing between them in this region the blastopore. Even at this stage, the neural plate is usually broader at its cephalic end, thereby indicating already the future differentiation into brain and spinal cord (Fig. 413). The neural folds now become more and more elevated (Fig. 412), presumably due in part to the growth of the whole neural plate, and finally meet dorsally and fuse, thus forming the neural tube (Figs. 72 and 429). The fusion of the lips of the neural plate to form the neural tube usually begins somewhere in the middle region of the plate and thence proceeds both forward and backward (Fig. 119). The last point to close anteriorly is usually considered as marking the cephalic extremity of the neural tube, and is called the anterior neuropore. Even before the neural plate closes to form the tube, there is often a differen- tiation of cells along each edge, forming an intermediate zone between the neural plate and the non-neural ectoderm (Fig. 429). As the neural plate becomes folded dorsally into the neural tube these two zones are naturally brought together at the point of fusion of the dorsal lips of the neural plate. The two zones thus brought together are not included in the wall of the neural tube, but form a paired or unpaired ridge of cells lying along its dorsal surface. This ridge of cells is called the neural crest (Fig. 429). Later, each half of the neural crest separates from the other half and from the neural tube and passes ventrally down along the sides of the tube, at the same time becoming trans- versely divided into blocks of cells (Fig. 434). These masses of cells are the rudiments of the cerebrospinal ganglia and differentiate into the afferent per- ipheral neurones, and into some at least of the efferent peripheral visceral neu- rones (sympathetic) as well as some other accessory structures (see pp. 489 to 494). The peripheral processes of these ganglion cells (afferent peripheral nerve fibers) pass to the receptors, the central processes (afferent root fibers) enter the dorsal part of the nerve tube (Fig. 430). In the case of the special sense organs there is an interesting tendency on the part of portions of the neural 452 TEXT-BOOK OF EMBRYOLOGY. tube, either evaginations (optic vesicles, olfactory bulbs), or ganglia, to fuse with ectodermal thickenings (placodes) at the site of the future sense organs. There appear to be often two series of ganglionic placodes in the head, a dorsal (suprabranchial) series and a ventral (epibranchial) series, the latter being often known as gill cleft organs. The former appear to be especially connected with the development of the acustico-lateral system, the latter prob- ably with the gustatory (see p. 462). (Fig. 399). The bodies of the efferent Neural crest cells - Suprabranchial placode Mesoderm Epibranchial placode ^Bj^^^^HQBS ''^'j&vO 6 Rudiment of nerve -piC. 1- Notochord 3T Preoralgut FIG. 399. Transverse section through the head of a 7 day Ammocoetes in the region of the trigeminal ganglion, von Kupffer. neurones (except the sympathetic) remain in the neural tube, lying in its ventral half, and send their axones out as the efferent peripheral nerve fibers to the effectors. The formation of the neural plate and its closure into a tube are the em- bryological expression of the above noted tendency of highly specialized neural structures to concentrate and withdraw from the surface (p. 448). The same is true of the less highly specialized placodes, in which this process is not carried so far. The neural plate may thus be regarded as the oldest placode. The afferent peripheral neurones would naturally originate from the borders of this plate, such portions being the last to separate from the non-neural ectoderm or outer surface. They may be regarded as the youngest portions, phylo- genetically, of the plate, and there seems to be some variation among Chordates as to the degree of inclusion of the afferent peripheral neurones in the plate. In the neural tube thus formed, there can be distinguished four longitudinal THE NERVOUS SYSTEM. 453 plates or zones : A ventral median plate (floor plate] , a dorsal median plate (roof plate], where the fusion occurred, and two lateral plates (e.g., Fig. 442). Two points are to be noted: First, that the neural plate is a bilateral struc- ture and the future development of the tube will naturally take place principally in the side walls or lateral plates of the formed tube; second, that the primary connection between the two side walls is the ventral median plate, the dorsal median plate having been produced by a secondary fusion. This being the case, the ventral connection between the two lateral plates will naturally be more extensive and possibly more primitive than the dorsal. The ventral and dorsal median plates do not usually develop nervous tissue, but bands of vertical elongated ependyma cells. In places the roof plate expands into thin mem- branes which are covered with vascular mesodermal tissue forming chorioid plexuses, such as the chorioid plexuses of the lateral, third and fourth ventricles (Fig. 408). FIG. 400. Scheme of a median sagittal section through a vertebrate brain before the closure of the neuropore. von Kupffer, A., Archencephalon; >., deuterencephalon; Ms., medulla spinalis (spinal cord); cd., notochord; en., neuronteric canal; ek., ectoderm; en., entodernv /., infundibulum; up., neuropore; pv. t ventral cephalic fold; tp., tuberculum posterius. It has already been seen that even at its first appearance the neural plate exhibits a differentiation into an anterior expanded part, the brain, and a posterior narrower part, the spinal cord. After closure, in many Vertebrates at least, a three-fold division can be made out: (i) A caudal part of the neural tube, the spinal cord, which gradually expands cranially into (2) the caudal part of the brain (deuterencephalon, v. Kupffer) (Fig. 400). These two parts lie above the notochord and all the typical cerebrospinal nerves are connected with them. (3) Cranially, at the anterior end of the notochord, the brain wall expands ventrally forming the third portion (archencephalon) . At the forward extremity is seen the anterior neuropore. The deuterencephalon is thus an epichordal part of the brain, while the archencephalon is prechordal. At the boundary between the two is a ventral infolding of the brain wall the ventral cephalic fold (plica encephali ventralis) . At this stage the brain resembles that of Amphioxus in many respects. From each side w r all of the archencephalon 454 TEXT-BOOK OF EMBRYOLOGY. an evagination appears, the optic vesicle (Fig. 414) which develops into the retina and optic nerve. In the next stage (Fig. 401), there is a tendency for the neural tube to bend ventrally around the anterior end of the notochord. This bending is the cephalic flexure. At the same time the dorsal wall above the cephalic fold be- comes expanded and is marked off from that part of the dorsal wall lying caudally by a transverse constriction, the rhombo-mesencephalic fold, and from the part of the dorsal wall lying cranially by another transverse fold at the site of the future posterior commissure. The middle part of the brain, the roof of which is thus marked off, is the mid-brain or mesencephalon. Its floor is the middle projecting part of the ventral cephalic fold. The cephalic expansion of the brain, practically the former archencephalon, is now the FIG. 401. Scheme of a median sagittal section through a vertebrate brain after the formation of the three primary brain expansions, von Kupfter, P.. prosencephalon; M., mesencephalon; R., rhombencephalon; Ms., spinal cord; civ., chiasma emi- nence; /., infundibulum; It., lamina terminalis; pv., ventral cephalic fold; pn., processus neuroporicus; pr., rhombo-mesencephalic fold; r. 1 , unpaired olfactory placode; ro., recessus (prae-?) opticus; tp., tuberculum posterius. fore-brain or prosencephalon and the caudal expansion is the rhombic brain or rhombencephalon. These three primary brain expansions ("vesicles"), the fore-brain, mid- brain and rhombic brain, are constant throughout the Vertebrates. Beginning at the location of the former neuropore (processus neuroporicus) and passing caudally along the floor of the fore-brain we have the lamina terminalis or end- wall of the brain, containing a thickening which indicates the site of the future anterior (cerebral) commissure, next the recessus prceopticus, then another thick- ening, the chiasma eminence, and finally a diverticulum, the recessus postopticus and injundibulum (Fig. 401). At a later stage (Fig. 402), there appear two evaginations in the roof of the fore-brain, the anterior epiphysis or paraphysis and the posterior epiphysis or epiphysis proper (pineal body). Immediately caudal to the paraphysis is a transverse infolding of the brain roof, the velum transversum. The line aa THE NERVOUS SYSTEM. 455 (Fig. 402) extending from this fold to the optic recess indicates the location of a fold in the side walls in some forms and is taken by some as the boundary be- tween two subdivisions of the fore-brain, the end-brain or telenccphalon and the inter-brain or diencephalon. Cranial to the epiphysis proper, is a commissure in the dorsal wall (commissura habemdaris^ connecting two structures which develop in the crests of the side walls, the ganglia habenula. From the dorsal part of the telencephalon is developed the pallium. The ventral anterior part evaginates toward the olfactory pit, its end receiving the olfactory fibers. This region is often termed the rhinencefhalon. Thickenings of the basal lateral walls of the telencephalon form \h^cozpora striata. FIG. 402. Scheme of a median sagittal section through a vertebrate brain showing the five-fold division of the brain, von Kupfler. T., Telencephalon; D. : diencephalon; M., mesencephalon; Mt., metencephalon; Ml., myelence- phalon; c. y cerebellum; cc., cerebellar commissure; ch., habenular commissure; cp., posterior commissure; cw., chiasma eminence; e., epiphysis; e 1 ., paraphysis; J., infundibulum; //., lamina terminalis; />., processusneuroporicus; pr., rhombo-mesencephalicfold; pv., ventral cephalic fold; ro. } recessus (prae-) opticus; si., sulcus intraencephalicus posterior; tp., tuber- culum posterius. The lines aa., dd and ft indicate the boundaries between four divisions. The roof of the mesencephalon finally develops the "optic lobes" The thickened part of the roof lying immediately caudal to the rhombo-mesen- cephalic fold develops into the cerebellum. The part of the tube of which this forms the roof is often called the hind-brain or metencephalon, while the rest of the rhombencephalon is then termed the after-brain or myelencephalon. The roof of this portion, which has become very thin in the course of its development, forms the epithelial part of the tela chorioidea of the fourth ventricle. The con- stricted portion of the tube between the rhombic brain and mid-brain is the isthmus. The above subdivisions of the three primary expansions into five parts (end-, inter-, mid-, hind- and after-brains), especially the subdivisions of the rhombic brain, do not have the morphological value of the three primary 456 TEXT-BOOK OF EMBRYOLOGY. divisions but have a certain value for descriptive purposes. The cavities of the brain are the ventricles and their connecting passages, namely, the third ventricle of the diencephalon and the fourth ventricle of the rhombencephalon, the two being connected by the mid-brain cavity (aquceductus Sylvii) . The telencephalon usually develops a more or less paired character, its cavities being then paired diverticula of the unpaired fore-brain cavity and known as the lateral ventricles. Before the closure of the brain part of the neural tube, transverse constric- tions appear across the neural plate. The transverse rings into which the FIG. 403. Chick embryos; i, of 22 hours' incubation; 2, of 24 hours; 3, of 25^ hours; 4, of 26 hours, showing respectively 2, 5, 6, and 7 primitive segments. Hill. cp., Caudal limit of fore-brain; />-., caudal limit of mid -brain; ., first primitive segment; ps. } primitive streak; i-n, neuromeres. tube, when completed, is thus divided are known as neuromeres. They are held to represent a primitive segmentation of the head, similar, perhaps, to that exhibited by the spinal nerves and segmental somatic musculature (primi- tive segments) of the trunk. The neuromeres may appear before the head somites. To what extent they correspond to the somites or to the visceral segmentation (p. 460) and also to the cranial nerves is a matter of dispute. Concerning their number there have been various views, the evidence inclining to three in the fore-brain, two in the mid-brain and six in the rhombic brain (Fig. 403). Their presence and number are most in doubt in the cephalic end of the tube, the highly modified prosencephalon. THE NERVOUS SYSTEM. 457 The general features of the vertebrate nervous system which especially illuminate conditions met with in the human nervous system are the following: (i) The correlation between the peripheral structures (receptors and effectors) and the nervous system. (2) The distinction between the epichordal and pre- chordal portions of the brain. The latter (fore-brain) is, in accordance with its anterior position (comp. p. 450), the most highly modified part of the neural tube. (3) The distinction between the segmented and suprasegmental parts of the brain (Adolf Meyer).* The segmental part of the brain is that portion in more immediate connection with peripheral segmental structures. Its epi- chordal part is spinal-like and most clearly segmental. Its prechordal part, both as to its peripheral and central portions, is so highly modified that its segmental character is more obscure. It and the rest of the prechordal brain are most conveniently treated together as fore-brain. The suprasegmental parts of the brain, or higher coordinating centers, are the cerebellum, mid- brain roof and the pallium (cerebral hemispheres). Their general functional significance has been mentioned (p. 450). Some of their general structural characteristics are : First, that they are each expansions of the dorso-lateral walls of the neural tube; second, that in them the neurone bodies are placed externally and in layers (cortex), the nerve fibers (white matter) lying within; third, that each appears to have originally had an especially close relation with some one of the three great sense organs of the head, the olfactory, \isual or acustico-lateral system; fourth, that each is connected with the rest of the brain by bundles of centripetal and centrifugal fibers, and often there are specialized groups of neurone bodies in other parts of the brain for the origin or recep- tion of such bundles. Each higher center has also its own system of association neurones. It will accordingly be most convenient to consider: (i) the spinal cord, (2) the segmental part of the epichordal brain, (3) the cerebellum, (4) the mid- brain roof, (5) the prosencephalon. Spinal Cord and Nerves. As already brought out, there are two principal morphological differences between the afferent and efferent peripheral neurones. First, the neurone bodies of the former are located outside the neural tube, w^hile the neurone bodies of the latter lie within the walls of the neural tube. Second, the afferent * This distinction apparently ignores the fact that the primitive neuromeric segmentation of the neural tube involves its dorsal as well as its ventral walls and thus "suprasegmental" as well as "seg- mental " structures were originally segmental. This may be granted, but while the demonstration of the primitive segmentation of the neural tube may be valuable as showing the primitive mechan- ism which has undergone later modifications, the importance of such later modifications renders the above distinction necessary. The main significance of the nervous system is its associative character and its progressive development is not as a segmental, but as a more and more highly developed associating mechanism. 458 TEXT-BOOK OF EMBRYOLOGY. nerves enter the dorsal part of the lateral walls of the tube, while the efferent nerves leave the ventral part of the lateral walls, their neurone bodies lying in this ventral part. The effect of this upon the structural arrangements within the tube is the production in the tube of two columns of neurone bodies, a dorsal gray column for the reception of the dorsal or afferent roots and a ventral gray column containing the efferent neurone bodies. Another important differentiation arises apparently from the important physiological difference in general character between the activities of what may FIG. 404. Transverse section through the body of a typical Vertebrate, showing the peripheral (segmental) nervous apparatus. Froriep. Small dots, afferent visceral neurones; coarse dots, afferent somatic neurones; dashes, efferent visceral (ventral root and sympathetic) neurones; lines, efferent somatic neurones. Darm, gut; Ggl. spin., spinal ganglion; Ggl. vert., vertebral sympathetic ganglion; Ggl. mesent., mesenteric sympathetic ganglion. The peripheral sympathetic ganglionic plexuses (Auer- bach and Meissner) are not shown. Muse., muscle; Rad. dors., dorsal root; Rad. vent., ventral root; R. comm., white ramus communicans. Two sympathetic neurones are represented as intercalated in the visceral efferent pathway. It is doubtful if there should be more than one. be termed the internal (visceral or splanchnic} and the external (somatic) struc- tures. Internal activities are to a certain extent independent of activities which have to do more with the reactions of the organism to the external world, and consequently their nervous mechanisms have a more or less independent character, forming what is often called the autonomic (sympathetic) system. This independence is exhibited structurally by the intercalation in the per- ipheral pathway of additional neurones, whose bodies form visceral ganglia THE NERVOUS SYSTEM. 459 connected in various ways among themselves and probably having their own reflex arcs or plexuses. These ganglia are nevertheless to some extent under the control of the efferent neurones of the central nervous system, some of which send their axones to such ganglia (Fig. 404). There are thus in the central nervous system two categories of efferent peripheral neurones, those innervating visceral structures "via sympathetic ganglia and those innervating somatic structures. The bodies of the somatic efferent neurones are located in the ventral gray matter of the nerve tube, while the bodies of the splanchnic efferent neurones are believed to occupy more central and lateral positions in the lower half of the gray matter of the neural tube (Fig. 404). It is uncer- tain whether there are similar afferent splanchnic neurones in the sympathetic ganglia, and thus distinct from those in the spinal ganglia, or whether these all lie in the spinal ganglia and are consequently not fully differentiated from the somatic afferent neurones. The muscular segmentation of the trunk has already been mentioned and also the corresponding segmental arrangement of the spinal nerves. Local extensions of this musculature and of its overlying cutaneous surface in the form of fins and limbs cause corresponding increase in the size of those seg- ments of the cord innervating them. This is due to the increased number of afferent fibers and consequent increase in the dorsal white columns and in the receptive dorsal gray columns, also to the increase in the number of efferent peripheral neurones whose bodies occupy the ventral gray column (e.g., cervi- cal and lumbar enlargements). (Compare also the differentiation in the cervical cord and- lower medulla of the columns and nuclei of Goll for the lower extremities and those of Burdach for the upper extremities). In general, the intermediate neurones of the cord fall into two categories; intersegment al (ground bundles), connecting cord segments, and those send- ing long ascending bundles to suprasegmental structures (see pp. 472 and 473.) The Epichordal Segmental Brain and Nerves. The principal peripheral structures which exert a determining influence on the structure of the epichordal brain are : The mouthy the respiratory apparatus (gills and later lungs), and two specialized sensory somatic structures, the acustico-lateral system and the optic apparatus. In the gills we have essentially a series of vertical clefts forming communica- tions between the pharynx and the exterior, the intervals between the clefts being the gill arches. The musculature of the gill arches is morphologically splanchnic (pp. 302 and 311). The gill or branchial musculature is in closer relations with stimuli from the external world than is the visceral musculature of the body. As a result of this the former is not of the smooth involuntary 460 TEXT-BOOK OF EMBRYOLOGY. type, like the visceral musculature of the body, but is of the striated voluntary type, like the somatic musculature. The branchial receptors are naturally visceral in character and there is also in this region a series of specialized visceral receptors, the end buds of the gustatory system. The development of this whole specialized visceral apparatus in this region of the head has appar- ently caused a corresponding reduction of the somatic musculature. The musculature of the mouth is also splanchnic, the mouth itself being- regarded by many morphologists as a modified pair of gill clefts which has re- placed an older mouth lying further forward in the region of the hypophysis. The existence of this series of gill clefts has naturally caused a branchiomeric or splanchnic segmentation of the musculature of this region as opposed to the somatic muscular segmentation seen in the trunk. Whether these two kinds of segmentation correspond in this region is uncertain. (In this connection see Fig. 428 and p. 496.) In the acustico-lateral system three parts may be distinguished : (i) a remark- able series of cutaneous sense organs, extending in lines over the head and body and known as the lateral line organs; (2) the vestibule, including the semicircu- lar canals; (3) the cochlea (organ of hearing proper Cord's organ) . In the higher Vertebrates, the lateral line organs have disappeared, owing to a change from a water to a land habitat; the labyrinth has remained unchanged, and the cochlea has undergone a much higher development and specialization. Regarding the optic apparatus, it is sufficient to point out here that its motor part, the eye muscles, is usually taken to represent the sole remaining somatic musculature belonging to the head proper. The peripheral nerves of the epichordal part of the brain have fundamen- tally the same arrangements as the spinal nerves, namely, the peripheral af- ferent neurone bodies are separate from the nerve tube, forming ganglia, while the bodies of the efferent neurones are located centrally in the morphologically ventral portions of the lateral walls of the nerve tube. There are, however, important differences, clearly correlated with the peripheral differentiations and specializations outlined above, and affecting the afferent and efferent nerves. First to be considered is the afferent part of the trigeminus (Figs. 405 and 406). The peripheral branches of the ganglion (semilunar or Gasserian ganglion) of this nerve innervate that part of the external (somatic) surfaces of the head (skin and stomodaeal epithelium) which have not been encroached upon by the spinal afferent nerves. This nerve is accordingly more strictly comparable with the afferent spinal nerves. The central processes of the semilunar ganglion cells, after entering the brain, form a separate descending bundle, the spinal V. It is interesting to note that the terminal nucleus of this bundle of fibers is the morphological continuation in the brain of the dorsal gray column of the cord. The extensiveness of the area innervated by THE NERVOUS SYSTEM. 461 2 -c .3 SI E 8"*i I5SI ?:-!! s s^ B ^^^ r Pl^ 353 c a * S* g-G 8 r l ttx2 ^ C .- O t ' "-H >1 2 1 11 ~ i S 2 l ^i &g i^ 5 P J.s o rt ^"^ "c r I! O^j II ,-- .fc *J-i w .Z. -5 ^ o'ab lisa ^ i g 1 ^ c iffS 111 ; c a, *>o 2 g T r C bo u o o - IsH? 8 1 .S t-s -3 ^i CQ ^ | ..2 i T! A '/- ^ ?s <: - ^ to S 7*> r il^tt ?; w> J3 si *i to 5 !! id *w ,Q 1 38f en rt C S gi c3. si >? "*>i a* S l! ^ tC rt ll as T3 *: 6 4 I* o c *i5 E l^ JLI ^-i ej bO *-* r" .>.S.c. -c ^c'Ss I 111 SfcrfS IZ^I-^ ^sS^ |3l'| ^S? ^i-3 - c Ss.sslS'u . ~~ w ^ K C.**-i~ ^^ *7ai^l r 5 S *T . & Es^ rt i g'u o c" f I rt 3 a^ '83 S3 Jl-tf 8 ^2^ & H~^ort-iC2 9 o-sggs^gs^g-i- it I fl!ll s l?^t ^ H fc t^_^ J -C .2 S ^ n u - 3 " 462 TEXT-BOOK OF EMBRYOLOGY. the trigeminus may be partly due to disappearance or specialization of anterior somatic nerves and also to the growth of the head. The organs of the lateral line are innervated by a quite distinct system of ganglionated afferent nerves whose central connections are nearly identical with those of the acoustic (Fig. 405). With the disappearance of the lateral line organs and the specialization of the cochlear part of the ear vesicle, there is a disappearance of the lateral line nerves (comp. Figs. 405 and 406) and a well- marked division of the acoustic nerve into vestibular and cochlear portions, the former innervating the older vestibulo-semicircular canal portion, the latter, the more recent cochlea. Centrally, the vestibular nerve forms also a descend- ing bundle of fibers and has its own more or less specialized terminal nuclei. The latter is also true of the cochlear nerve. The afferent portions of the facial, glossopharyngeal and vagus nerves in- nervate the splanchnic receptors of the pharyngeal and branchial surfaces as well as of a large part of the viscera. The facial, glossopharyngeal and vagus also innervate the specialized splanchnic receptors, the gustatory system men- tioned above. This system of taste buds has a very extensive development in certain lower Vertebrates, especially the Bony Fishes. In the latter the system of nerves innervating these structures is naturally much more extensive and its central terminations and nuclei cause important modifications of the medulla. In Mammals the remnants of this system are represented by the taste buds in the mouth, the nerves innervating them being the chorda tympani branch of the facial and the lingual branch of the glossopharyngeal (Fig. 406). The central branches of the ganglia of these three nerves, after entering the brain, form a descending bundle of fibers, ihejractus solitarius (or communis). The somatic musculature of the head, as above mentioned, is usually taken to be represented by the eye muscles and, later, the tongue muscles. The tongue is one of the newer structures, rising in importance with the change to a land habitat, and its muscles are probably an invasion from the neck region caudal to the branchial arches (p. 321). The eye muscles are innervated by the III, IV and VI cranial nerves, the tongue muscles by the XII which is a more recent addition to the cranial nerves. All of these nerves are charac- terized by having their neurone bodies located in the most medial (morpholog- ically most ventral) portions of the lateral brain walls, and they all, except the IV, emerge near the mid-ventral line. In these respects they resemble the major or somatic part of the ventral spinal roots. (For illustration see Figs. 427, 405 and 406). The splanchnic musculature of the jaws and the branchial arches is inner- vated by the efferent portions of the V, VII, IX, X (and XI). The neurone bodies or nuclei of origin of these nerves lie more laterally than those of the III, IV, VI and XII, and their axones also leave the nerve tube more laterally THE NERVOUS SYSTEM. 463 464 TEXT-BOOK OF EMBRYOLOGY. along with the incoming afferent fibres. These nerves all exhibit a character- istic segmental arrangement corresponding to that of the gill clefts. The VII, IX, and the various nerves making up the X, divide dorsal to the cor- responding gill clefts into prebranchial and postbranchial branches, also giving off suprabranchial branches. The efferent element, or component, forms a part of each postbranchial branch. These relations are shown clearly in the accompanying diagrams (Figs. 405 and 406). Part of the vagus also innervates the viscera and this nerve is thus divisible into branchial and visceral portions. Two peculiarities may be noted in regard to these splanchnic nerves : First, that the afferent portions have ganglia resembling those of the spinal nerves; second, that the branchial efferent portions consist simply of one neurone proceeding all the way from the nerve tube to the muscle innervated, thus resembling the somatic rather than the visceral nerves of the trunk. As al- ready noted (p. 459), these nerves regulate activities somatic in character but involving splanchnic structures. It is thus seen that the dominating factor is functional rather than morphological present functional necessities modify those of the past. With the change from a water to a land habitat and the accompanying disappearance of gills and appearance of lungs, we have various suppressions and modifications of the branchial musculature (Fig. 406). There are two striking specializations of the branchial musculature. One is the origin of the facial (mimetic) musculature in the highest Vertebrates. This is derived from the muscles of the hyoid arch, innervated naturally by extensions of the facial nerve. The other is a specialization of muscles, probably of the caudal branchial arches, into cervico-cranial muscles (head-movement), innervated by what may be considered a caudal extension of the vagus nerve, namely, the spinal accessory (p. 496). The splanchnic laryngeal musculature and its nerves show a certain degree of specialization (sound-production) in higher forms. The efferent V is naturally a large constant nerve, in correlation with the uniformly developed jaw musculature in all jaw-bearing (gnathostome) Vertebrates (Figs. 405 and 406). These various changes in peripheral structures are thus due either to environmental influences or to developments within the central nervous system (p. 450). One of the most important en- vironmental influences is the change from a water to a land habitat. The influence of the central nervous system is shown in the further development and specialization of a number of peripheral structures as motor "instru- ments" of suprasegmental mechanisms. The effects, then, of the peripheral arrangements upon the arrangements within the neural tube are: (i) The formation of separate tracts and terminal nuclei for (a) the unspecialized somatic afferent V nerve (spinal V and posterior THE NERVOUS SYSTEM. 465 horn) ; (b) the specialized somatic vestibular nerve (descending or spinal VIII and various terminal nuclei) and also the cochlear nerve and its various termi- nal nuclei; (c) the splanchnic afferent nerves (tractus solitarius and its terminal nuclei). (2) The separation of the efferent neurone bodies lying in the neural tube into two main longitudinal series of nuclei (a) the somatic efferent nuclei, occupying a more medial position, their axones emerging from the neural tube as medial ventral nerve roots; (b) the splanchnic efferent nuclei occupying a more lateral position, their axones emerging laterally and forming mixed roots with the incoming afferent fibers (Fig. 407). FIG. 407. Diagram of a transverse section through the lower human medulla showing the origin of the X and XII cranial nerves. Schdfer. g y Ganglion cell of afferent vagus sending central arm (root fiber) to solitary tract (f.s.} and col- lateral to the nucleus of the solitary tract (/. s. n.). It is not certain that the axones of the cells of this terminal nucleus take the course indicated in the figure, n.amb., nucleus am- biguus and d. n. X, dorsal efferent nucleus of the vagus, both of which send out axones as the efferent root fibers of the vagus. These two represent the lateral or splanchnic efferent nuclei of this region, n. XII, nucleus of the hypoglossus the axones of which pass out medially as efferent root fibers of the XII. This nucleus represents the medial or somatic efferent nuclei of this region, f.s.. tractus solitarius or descending roots of vagus, glossopharyngeus and facial; d. V., descending spinal root of the trigeminus; r., restiform body; o., inferior olivary nucleus (''olive"); pyr~ pyramid. The intermediate neurones of the epichordal segmental brain, as well as of the cord, fall into two general systems. One of these is the system of inter segmental neurones, connecting various segments of the segmental brain and cord. This system may be collectively termed the ground bundles (of the cord) and reticular formation (of the brain) . These neurones may be regarded as not only furnishing the various reflex communications between the afferent and efferent cerebrospinal peripheral neurones, but as also forming a system upon which the descending neurones from the higher coordinating centers (suprasegmental structures) act, before the efferent peripheral neurones are reached. This system may thus be regarded in general as more closely associ- 466 TEXT-BOOK OF EMBRYOLOGY. ated with the efferent than with the afferent peripheral neurones. Certain tracts in this system and their nuclei of origin have reached a considerable degree of differentiation, due principally to association with higher centers. Among these differentiated reticulo-spinal tracts may be mentioned the medial longitudinal fasciculus, the rubro-spinal tract, and the various tracts from Deiters' nucleus. The other system consists of nuclei which are associated with the afferent axones as their terminal nuclei, the axones of which form long afferent tracts to suprasegmental structures. Especially well-marked differ- entiations of nuclei and tracts of this system are usually due both to its con- nections with peripheral structures and with the higher centers. The principal afferent suprasegmental tracts to the cerebellum are mentioned below (p. 466). Those to mid-brain roof and (via added neurones) to pallium are the medial fillet or lemniscus from the nuclei of the columns of Goll and Burdach, the lateral lemniscus from the cochlear terminal nuclei and other ascending tracts from terminal nuclei of peripheral afferent neurones. The Cerebellum. The other great factor (see p. 450) affecting the structure of the epichordal brain is the development in it of two higher coordinating centers or supraseg- mental structures, the cerebellum and optic lobes. The cerebellum is a develop- ment of the dorsal part of the lateral walls of the tube just caudal to the isthmus and was probably primarily developed in correlation with the acustico-lateral system, especially with the lateral line and vestibule-semicircular canal portions (p. 460). Due probably to the fact that it is thus an important "equilibrating" mechanism, the cerebellum has acquired other important con- nections besides its original ones with the acustico-lateral system. In the vertebrate series it is especially developed in all active balancing forms (Fig. 408) . In Mammals it has acquired important connections with the greatly enlarged pallium (cerebral hemispheres), in accordance with its general regulative in- fluence (static and tonic) upon motor reactions. The great development of the cerebellum has profoundly modified the anatomical arrangements of the rest of the brain and cord, owing to its numerous and massive connections. The fol- lowing important masses of gray matter and fiber bundles may be mentioned as cerebellar^a^em^_connections : Clarke's column cells, and other cells in the cord, and the spino-cerebellar tracts; the lateral nuclei, inferior olives and the restiform body in the medulla; part of the pes pedunculi, the pontile nuclei and middle peduncle of the cerebellum. The superior cerebellar peduncle to the red nucleus, together with tracts to Deiter's nucleus, belong to the cerebellar efferent connections. The cortico-pontile portion of the pes, the pontile nuclei and the middle peduncle represent the most recently developed cerebral con- nections (comp. pp. 470-472 and Fig. 409). THE NERVOUS SYSTEM. 467 The Mid-brain Roof. This expansion of the dorsal part of the neural tube constitutes a higher coordinating center for impulses received by various somatic nerves spinal, cochlear and optic. Owing to its being, in all forms below Mammals, the principal visual center, the optic part (optic lobes) varies in proportion to the development of the eye, animals with poorly developed eyes having small optic lobes. In Mammals, the ^>ptic part (anterior corpora quadrigemina or col- liculi) is relatively less important, owing to a taking over of a portion of its coordinating functions by the neopallium (pp. 470, 472), but the cochlear part (posterior corpora quadrigemina or colliculi) has increased in importance, owing to the rise of the cochlear organ (organ of Corti). The centripetal and centrifugal connections of the mid-brain roof are not so massive or extensive and consequently do not modify the other parts of the brain and cord as pro- foundly as do those of the cerebellum. It sends descending tracts to after- brain and cord segments. The Prosencephalon. The division of this part of the brain into the telencephalon and diencephalon has already been indicated (p. 455). In the diencephalon may be noted (i) the absence of the notochord ventral to the brain, thereby permitting a ventral ex- pansion of the brain walls, the Jvy^p^wlamuSy associated with an organ not well understood, the hypophysis; (2) certain more or less vestigial structures, such as the pineal eyes (epiphyses), and other primitive structures, such as the ganglia habenulae, in the dorsal part, this dorsal portion being collectively termed the epithalamus; (3) nuclei in (i) and (2) connected with olfactory and gustatory tracts; (4) receptive nuclei for the optic tract and the cochlear path from the posterior colliculus; (5) receptive nuclei for secondary tracts from the end stations of more caudal somatic ganglia (nuclei of Goll and Burdach and medial lemniscus). The last two (4 and 5) constitute the ihalamus and increase in importance in the higher Vertebrates (see p. 470, Fig. 409). In the telencephalon there may be roughly distinguished an anterior and basal part, the rhinencephalon, in especially intimate relations with the olfactory nerve; a thickening of the basal wall, the corpus striatum^smd a thinner- willed dorsal part, the pallium. The latter may be regarded in a sense as a dorsal develop- ment of the corpus striatum and first appears as a distinct structure in the Amphibia. The peripheral or segmental apparatus which are connected with the pros- encephalon are the highly modified optic and olfactory organs. While the optic apparatus primarily originates from the prechordal brain, in the lower Verte- brates its highest coordinating center, as mentioned above, lies partly in the 468 TEXT-BOOK OF EMBRYOLOGY. epichordal portion (optic lobes). It is possible that this connection is secon- dary and contingent upon two functional necessities, the importance of cor- relation with stimuli coming via more caudal nerves (cochlear and spinal nerves), and the innervation of its motor apparatus by epichordal nerves, the III, IV and VI. With the development of the neopallium in Mammals (see p. 477) and the consequent projection of visual stimuli upon it, the lower pre- chordal (thalamic) centers form part of the newer pathway to the neopallium and thus increase in importance, while the optic lobes recede, assuming the position of a reflex center, especially for the visual motor apparatus. The olfactory nerves enter the anterior extremity of the brain and are con- nected by secondary and tertiary tracts with regions lying more caudally, where in some cases the olfactory stimuli are associated with gustatory and probably with visual stimuli. One of these regions is the hypothalamus which receives both olfactory and gustatory tracts (Herrick) . More dorsal olfactory pathways pass to the epithalamus. Both epithalamus and hypothalamus give rise to de- scending systems which doubtless ultimately reach efferent nuclei. In fact, this part of the brain presents, apparently, a complicated primitive mechanism for the correlation especially of olfactory and gustatory stimuli, also to some extent of visual Stimuli and stimuli via the trigeminal nerve, the whole forming a sort of oral sense, probably controlling the feeding activities (Edinger). The next factor in the further development of this part of the brain is the rise in importance of the pallium upon which at first are projected mainly olfactory stimuli (Fig. 408). A further and still more extensive development of the pallium arises when other kinds of stimuli are projected to a considerable extent upon it, thus giving rise to a distinction between the older olfactory pallium (archipallium) and the newer non-olfactory pallium (neopallium) . The latter appears first in the lateral dorsal portion of the pallial wall and by its subsequent development the archi- pallial wall is rolled inward upon the mesial surface of the hemispheres. Further changes consist in the extension caudally of this portion pari passu with the extension caudally of the neopallium and then the practical obliteration of its middle portion by the great neopallial commissure, the corpus callosum (Fig. 408, G and H). In addition to the increasing projection of stimuli from all parts of the body upon the neopallium and the consequent increase in centripetal fiber termina- tions and in centrifugal neurone bodies lying in its walls, a second factor in the development of the neopallium is the enormous increase of its association neurones. It is the latter feature which especially distinguishes the human from other mammalian brains. The biological significance of these changes lies in the fact that there is thus produced a mechanism not only for the association of all kinds of stimuli, but THE NERVOUS SYSTEM. 469 FIG. 408. A-F (Edinger) are sagittal sections showing structures lying in the median line and also paired structures (e.g., pallium) lying to one side of the median line. The cerebellum is black. It is doubtful whether the membranous roof in A indicated as pallium is strictly homologous with that structure in other forms. In B, Pallium indicates prepallial structures. Aq. Syl., Aquseductus Sylvii; Basis mesen. y basis mesencephali; Bulb, olf., bulbus olfactorius; Corp. striat., corpus striatum; Epiph., epiphysis; G. h., ganglion habenulae; Hyp., hypophysis; Infund., infundibulum; Lam. t., lamina terminalis; Lob. elect., lobus electricus; L. vagi, lobus vagi; L. opt., mid-brain roof; Med. obi., medulla oblongata; Opt., optic nerve; Pl.chor., plexus chorioideus; Rec. inf., recessus infundibuli; Rec. mam., recessus mammillaris; Saccus vase., saccus vasculosus; Sp. c., spinal cord; ventr., ventricle; v. m. a., velum medullare anterius; v.m. p., velum medullare posterius. G and H show the mesial surface of the cerebral hemispheres in a low (G) and high (H) Mammal. G. Elliot Smith, Edinger, slightly modified. The exposed gray matter of the olfactory regions is shaded, the darker shade indicating the archi- pallium (preterminal area and hippocampal formation), the lighter shade indicating the rhinencephalon, which consists of the anterior and the posterior (principally pyriform) olfactory 470 TEXT-BOOK OF EMBRYOLOGY. also for very complex coordinations between these stimuli. In this way an extensive symbolization and formulation of individual experience (memory, language, etc.) can take place. The formulated experience of one generation can be immediately transmitted (by education in the broad sense of the term) to the plastic late-developing neopallia of the next generation. In this way a racial experience may be rapidly built up without the direct inter- vention of the slow processes of heredity and natural selection and each gen- eration profit by the accumulated experience of past generations to a much greater extent. The nervous mechanism, the pallium, is provided by in- heritance; experience is not inherited but " learned." The pallial associative mechanisms are continuously modified by their activities, thus affecting the character of subsequent pallial reactions (associative memory). Such reac- tions are usually termed psychical or conscious, as distinguished from the reflex reactions of other parts of the nervous system. In the course of these developments the pallium or cerebral hemispheres have enormously increased in size until in man they overlap all the other parts of the brain. Naturally the extensive connections of the neopallium with the rest of the brain have profoundly modified the latter. Among the new struc- tures which have on this account been added to the older structures of the rest of the brain, the following may be mentioned: (i) The centripetal connections of the neopallium, consisting mainly of what are usually termed the thalamic radi- ations. These consist essentially of a system of neurones passing from the above mentioned termini in the thalamus of general somatic, acoustic and optic ascending systems to certain areas in the cerebral hemispheres. In this system we can distinguish (a) the continuation of the fillet (general somatic) to the cen- tral region (somaesthetic area) of each hemisphere; (b) the optic radiation from the lower thalamic optic center (lateral geniculate body) to the calcarine (visual) area of the hemisphere; (c) the acoustic radiation from the medial geniculate body of the thalamus to the upper temporal region (auditory area) of the hemisphere. Associated with these last two connections are the increase lobes. In Amphibia and Reptiles the hippocampal formation includes all or nearly all of the mesial surface. As the early neopallium appears in the lateral hemisphere walls, the neo- pallial commissural fibers first pass across the median line in the ventral or anterior com- missure. With the increase of the neopallium and its extension on the mesial hemisphere walls, its commissural fibers pass across more dorsally via the archipallial or fornix com- missure (psalterium) forming the neopallial commissure or corpus callosum, the great de- velopment of which nearly obliterates the anterior hippocampal formation. Com. ant., Anterior commissure; corp. callosum, corpus callosum; Fimbr., fimbria; Fiss. hippo- campi, hippocampal fissure; Lam. t., lamina terminalis; Lob. olf. ant., anterior olfactory lobe; Lob. pyriformis, pyriform lobe; Psalt., psalterium (fornix commissure); Sept. pell., septum pellucidum; Tub. olf., tuberculum olfactorium. Only a part of the gray (cortex) of the hip- pocampal formation appears, as the gyrus dentatus, on the mesial surface; the remainder forms an eminence, the cornu Ammonis, on the ventricular surface. This invagination is indicated externally by the hippocampal fissure. The exposed fiber bundle forming the edge of this formation (fimbria) passes forward (fornix and its commissure) and thence descends, as the anterior pillar of the fornix, behind the anterior commissure. The anterior pillar is partly indicated by a few lines in this region in the figure. THE NERVOUS SYSTEM. 471 FIG. 409. Principal afferent and efferent suprasegmental pathways (excepting the archipallial con- nections, the efferent connections of the mid-brain roof and the olivo-cerebellar connections). Neopallial connections are indicated by broken lines. Intersegmental connections are omitted. Some peripheral elements are indicated. Each neurone group (nucleus and fasciculus) is in- dicated by one or several individual neurones. Decussations of tracts are indicated by an X. OC., Acoustic radiation, from medial geniculate body to temporal lobe; br. con]., brachium con- 472 TEXT-BOOK OF EMBRYOLOGY. of the geniculate bodies and the diminution of the mid-brain in importance already alluded to (p. 467). (2) The centrifugal connections consisting of (a) the pyramids passing from the precentral area of each hemisphere to various lower efferent neurones, or neurones affecting the latter, and forming part of the internal capsule and pes pedunculi ; (b) fibers from various parts of the hemis- phere, forming the greater part of the rest of the internal capsule and pes, and terminating principally in the pontile nuclei whence a continuation of this system (the fibers of the middle peduncle), passes to the cerebellar hemisphere. The great increase in size of the cerebellar hemispheres, of the contained nuclei dentati, and probably of the superior cerebellar peduncles are further effects of this new connection, which has already been alluded to (see Cere- bellum, p. 466), (Fig. 409.) Another important effect of the development of the pallium is the assump- tion by man of the upright position, due both to the specialization of the hand to execute pallial coordinations and its consequent release from locomo- tion, and also to the overhanging of the eyes by the enlarged cranium. The great increase of cerebellar connections may be partly due to the new problems of equilibrium connected with the upright position. GENERAL DEVELOPMENT OF THE HUMAN NERVOUS SYSTEM DURING THE FIRST MONTH. One of the earliest stages in the development of the human nervous system is shown in the 2 mm. embryo of about two weeks (Fig. 410). This shows the stage of the open neural groove. The appearance of a transverse section of the neural plate, groove and folds, in other forms, is shown in Figs. 411 and 412. The neural folds now become more and more elevated and finally meet, thus forming the neural tube as previously described (p. 451). The fusion of the neural folds begins in the middle region and thence extends cranially and cau- junctivum (superior cerebellar peduncle); brack, pon., brachium pontis (middle cerebellar peduncle); b. q. i., brachium quadrigeminum inferias (a link in the cochlear pathway) ; c. g. I., lateral or external geniculate body; c.g.m., medial or internal geniculate body; c.qitad., cor- pora quadrigemina; f.cort.-sp., cortico-spinal fasciculus (pyramidal tract);/, c. p.-f. frontal cortico-pontile fasciculus (from frontal lobe); f.c.-p.t., temporal cortico-pontile fasciculus (from temporal lobe); /. c.-p.o., occipital cortico-pontile fasciculus (from occipital lobe); f.cun., fasciculus cuneatus (column of Burdach); f.grac., fasciculus gracilis (column of Goll) ; /. s.-t., tract from cord to mid-brain roof and thalamus (sometimes included in Gowers* tract); f.sp.-c.d., dorsal spino-cerebellar fasciculus (tract of Flechsig); f.sp.-c.v., ventral spino-cerebellar fasciculus (tract of Gowers, location of cells in cord uncertain); lem. lat., lateral lemniscus or lateral fillet; lemniscus 1 med., medial lemniscus or fillet (the part to the thalamus is mainly a neopallial acquisition); n.coch., cochlear nerve; n. cun., (terminal) nucleus of the column of Burdach; n.grac., nucleus of the column of Goll; n.dent., nucleus dentatus; n. opt., optic nerve; n.r., nucleus ruber (red nucleus); pes ped., pes peduncu'.i (crusta); pulv. thai., pulvinar thalami; Pyr., pyramid; rod. ant. y ventral spinal root; rod. post,. dorsal spinal root; rod. opt., optic radiation (from lateral geniculate body, and pulvinar ( ?), to calcarine region) ; somaes., bundles from thalamus to postcentral region of neopallium; s p. gang., spinal ganglion; thai., thalamus. THE NERVOUS SYSTEM. 473 dally. The stage of partial closure of the neural tube is shown in Eternod's figure of a human embryo of 2.1 mm. (Fig. 413, b). This order of closure in- dicates, to some extent, the order of subsequent histological development; the extreme caudal and cephalic extremities are more backward than the parts which close first. The last point to close anteriorly marks, as stated previously (p. 451), the cephalic extremity of the neural tube and is the anterior neuropore. As indicated in Eternod's embryo, the anterior end of the neural plate is broader even before its closure; thus when the tube is completed its anterior end is more expanded. This expansion is the future brain, the narrower caudal portion Yolk sac Amnion Neural groove Neurenteric canal Belly stalk Chorion FIG. 410. Dorsal view of human embryo, two millimeters in length, with yolk sac. von Spee, Kollmann. The amnion is opened dorsally. being the future spinal cord. Before the closure of the brain part of the tube the beginnings of the three primary brain vesicles are also indicated (Fig. 120). At this stage the neural plate shows no differentiation into nervous and sup- porting elements. The neural tube is composed of the two lateral walls and the median roof and floor plates (comp. p. 453) (Figs. 345 and 442). The appearance of the anterior end of the neural tube with the closure com- pleted, except the anterior and posterior neuropores, is shown in the model of one half of the tube. The external appearance and also the inner surfaces are shown in Figs. 414 and 415. At this stage the cephalic flexure (see p. 454) is already quite pronounced, the cephalic end of the brain tube being bent ven- 474 TEXT-BOOK OF EMBRYOLOGY. trally at about a right angle to the longitudinal axis of the remaining portion of the tube. This bending begins before the closure of the cephalic part of the neural tube (Fig. 120). From each side of the brain near the cephalic ex- tremity is an evagination of the brain wall, the beginning of the optic 'vesicles. Ectoderm Mesoderm x Chorda anlage Entoderm FIG. 411. Transverse section through dorsal part of embryo of frog (Rana fusca). x, Groove indicating evagination to form mesoderm. Ziegler. The process of evagination and consequently the location of the vesicle begins before the closure of the tube. Dorsal and anterior to the optic vesicles can be seen a slight unpaired pro- trusion of the dorsal wall, the beginning of the pallium. The area basal to it and Prim. Intermed. seg. cell mass Parietal and visceral mesoderm Chordal plate Coelom Entoderm Blood vessels FIG. 412. Transverse section of dog embryo with ten pairs of primitive segments. Bonnet. extending a short distance into the anterior wall of the optic vesicle is the site of the future corpus striatum (Figs. 414 and 415). Caudal to the pallium and separated from it by a slight constriction (in- dicated best by the ridge on the inner wall) is another protrusion of the dorsal wall, the roof of the diencephalon. Still further caudally and separated from the THE NERVOUS SYSTEM. 475 roof of the diencephalon by another slight constriction is another expansion of the dorsal wall, the roof of the mid-brain or of the mesencephalon which arches over the cephalic flexure. It is separated by another constriction (plica rhombo-mesencephalica) from the rhombic brain or rhombencephalon, which latter tapers into the cord. A ventral bulging of the rhombencephalon indicates the future pons region (Figs. 414 and 415). Heart Ant. entrance to prim, gut (Ant. "Darmpforte") Post, entrance to prim, gut (Post. "Darmpforte") Cerebral plate Amnion Yolk (cut edge) Yolk sac Belly stalk Neural tube Primitive segment Neural fold Neural groove Neural fold FIG. 413. (a) Ventral view; (6) dorsal view of human embryo with 8 pairs of primitive segments (2.11 mm.). Eternod. From models by Ziegler. In b the amnion has been removed, merely the cut edge showing; in a the yolk sac has been removed. Even at this early stage the cavity of the caudal part of the rhombencephalon is expanded dorsally due to an expansion of the roof plate, which forms only the narrow dorsal median part of the rest of the tube. This expansion reaches its maximum about opposite the auditory vesicle. The principal changes in form during the next two weeks are the following (Figs. 416 and 472): The cephalic flexure becomes still more pronounced so that the anterior end of the neural tube is folded back upon the ventral side of the rest of the brain, an effect probably enhanced by the expansion of the 476 TEXT-BOOK OF EMBRYOLOGY. FIG. 414. Lateral view of the outside of a model of the brain of a human embryo two weeks old. His. Diencephalon Pallium Mesencephalon Rhombq- mesencephalic fold Rhombencephalon Neuropore Corpus striatum P. f. Optic evagination Ventral cephalic fold (Seesel's pocket) Pons region FIG. 415. Lateral view of inner side of the same model shown in Fig. 414. P.f. is the ridge corresponding to the peduncular furrow on the outer side. THE NERVOUS SYSTEM. 477 ventral wall of the anterior portion (Figs. 416 and 472). In the space thus enclosed the dorsum sellae is subsequently formed. Associated with this increase of the cephalic flexure is an increased prominence of the mid-brain roof. The pontine flexure has begun, there being now a bending of the whole tube in the pons region, the concavity of the bend being dorsal. At the same time there is a corresponding tendency for the roof of the rhombencephalon to become shorter and wider. There is also a further thinning of the above mentioned expanded portion of the roof plate in this region, and associated with this a thrusting of the thick lateral walls outward at the top so that they come to lie almost flat instead of vertically as in the cord. From the cord to the place of greatest width above mentioned, this dorsal thrusting apart FIG. 416. Profile view of a model of the brain of a human embryo during the third week. His. \ A, Optic vesicle; A.v., auditory vesicle; Br, pons region; H, pallium; Hh. cerebellum; J, isthmus; M, mid-brain; N and /?/, medulla; XK, cervical flexure; Pm, mammillary region; 2>, in- fundibulum; Z, inter-brain or diencephalon. of the lateral rhombic walls obviously becomes more and more pronounced. In front of this region of greatest width, the roof plate becomes narrower and the dorsal parts of the walls (alar plates) form the rudiment of the cerebellum, the rest of the rhombic brain forming the medulla oblongata. Each lateral wall of the rhombic brain is now divided into a dorsal longitudinal zone or plate (alar plate) and a ventral zone or plate (basal plate) by a longitudinal furrow along its inner surface, the sulcus limitans. A study of the external appearances and transverse sections of this part of the brain tube will make these relations clear (Figs. 456, 436 to 439 and 427). Neuromeres are also present at this stage (see p. 489). In the meantime the neural tube has also become bent ventrally at the junction of the brain and cord, forming the cervical 478 TEXT-BOOK OF EMBRYOLOGY. flexure. The pallium has increased in size and now forms a considerable prominence on the brain tube. Its boundaries are also much more clearly marked off (see Fig. 471). On the inner side of the tube, the area below the bulging of the pallium is the corpus striatum. Externally, just below the bulging, we have the region where the olfactory lobes are differentiated. The proximal part of the optic evagination has become longer and narrower. The ventral expansion of the diencephalon is the hypothalamus, the portion of the diencephalon dorsal to the latter being the thalamus. Two slight protrusions of the ventral wall of the hypothalamus have appeared; the caudal one is the mammillary region, the anterior one the infundibulum. The cavity of the diencephalon (third ventricle) is connected by the mid-brain cavity (iter or aquaductus Svlvii) with the rhombic brain cavity or iourth ventricle. HISTOGENESIS OF THE NERVOUS SYSTEM. The neural plate is at first a simple columnar epithelium. The various processes by which this is converted into the fully formed nervous system are : (i) cell proliferation; (2) cell migration; (3) cell differentiation. These proc- esses are not entirely successive in point of time, but overlap each other. Cell division is present from the first, increases to a certain period in development and then practically ceases; cell migration is partly a necessary concomitant and resultant of cell division, and cell differentiation is in part due to the growth of the cytoplasm and is in part a result of environmental differences produced by these processes. In development the following stages may be distinguished : (i) Stage of indifferent epithelium; (2) appearance of nerve elements (neurones) and resulting differentiation into supporting and nerve elements; (3) growth of neurones and resulting differentiation and development of (a) peripheral neurones, (b) lower intermediate or intersegmental neurones, (c) neurones of higher centers and neurone groups in connection with them (supra- segmental neurones). These stages do not occur simultaneously throughout the whole neural tube, some parts being more backward in development than others (p. 473). In general the spinal cord and epichordal segmental brain are most advanced in development. Furthermore, the ventral part of the brain tube precedes the dorsal. The most backward part of the whole neural tube is the pallium. The various phases of /0rw-differentiation of the neurone are (i) the development of the axone and, later, of its branches; (2) the growth of the dendrites; (3) the formation of accessory coverings or sheaths, the neurilemma and the myelin (medullary) sheath. The principal internal differentiations are (i) the appearance of the neurofibrils; (2) the chromophilic bodies of Nissl; (3) pigment. These latter may all be regarded as products of the nucleus and undifferentiated cytoplasm of the nerve-cell. THE NERVOUS SYSTEM. 479 Epithelial Stage. Development of Neuroglia. From the very first, the neural plate exhibits dividing cells similar to those seen in the non-neural ectoderm. The cell divisions are indirect and the mitoses are confined to the outer part of the ectoderm, occurring between the outer ends of the resting epithelial cells (Fig. 417). These dividing cells have been termed by His germinal cells. When the neural tube is formed, the mitoses are still confined to the outer, now the luminal, surface, this being a general phenomenon in developing epithelial tubular structures. As a result the daughter nuclei migrate away from the lumen. In the most advanced parts of the neural tube (see p. 478), the mitoses in- crease in number up to about the fourth to sixth week of development, and then diminish and finally nearly disappear about at the end of two months. At about the time the blood vessels penetrate the tube, the mitoses .are no longer entirely confined to the proximity of the lumen. As a result of proliferation, the epithelial wall very early assumes the ap- pearance of a stratified epithelium at least there are several strata of nuclei. There are at this stage in many forms two layers, an outer or marginal layer, free of nuclei, and an inner or nuclear layer (Figs. 418 and 419). In a human embryo, however, of about two weeks this division into layers is yet hardly evident, though there are several strata of nuclei. Apparently these layers are not well-marked until the radial arrangement of the myelospongium, as described below, has become more pronounced. Accompanying the above changes, changes also manifest themselves in the character of the cells. At about the time of the closure of the neural tube, the cell boundaries become indistinct and finally practically obliterated, thus form- ing a syncytium, the myelospongium. At the same time, the syncytium becomes very alveolar in structure and a general spongioplasmic reticulum is formed (Figs. 418 and 419) by the anastomosing denser strands (trabeculae) of protoplasm. At a very early stage (two weeks), these trabeculae unite along the inner and outer walls of the neural tube forming internal and external limiting mem- branes. The nuclei of the neural tube have at first an irregular arrangement in the reticulum, at least in the human embryo. This is followed by a more radial arrangement of both nuclei and protoplasmic filaments (Fig. 420) , form- ing nucleated radial masses of protoplasm the sponglioblasts (Figs. 419 to 422). There is some dispute as to the loss, complete or incomplete, of identity of the epithelial cells in the formation of the spongioblasts. According to Hardesty, they are formed by a collapse of the epithelial cells and a rearrange- ment of their denser parts into axial filaments. The radial arrangement does not extend into the outer part of the neural tube which, retaining its irregular reticular character, is now non-nucleated in the human embryo and forms the 480 TEXT-BOOK OF EMBRYOLOGY, *s:aaf a FIG. 420. FIG. 417. From the neural tube of an embryo rabbit shortly before the closure of the tube, g, Germi- nal or dividing cell; m, peripheral zone, position of the later marginal layer. His. FIG. 418. Pig of 5 mm., unflexed. Just after closure of the neural tube. Segment of a vertical section of the lateral wall of the tube, g, Germinal cells; m, beginning of marginal layer; mil, internal limiting membrane; r, radial columns of protoplasm. The resting nuclei lie in the inner or nuclear layer. Hardesty. THE NERVOUS SYSTEM. 481 marginal layer. The increase in the thickness and circumference of the walls of the tube and the resulting tensions may be a factor in this arrangement cf the protoplasmic filaments. At the boundary between the marginal and nuclear layers the reticulum appears to be especially dense. With the further increase and development of the nervous elements (see p. 485) the radial arrangement of the spongioblasts noted above becomes more and more obliterated. As shown by Golgi preparations, in their migration from the lumen (Fig. 422) the spongioblasts lose their connection with the lumen, mil mv FIG. 421. Hardesty. Combination drawing from sections of pig of 15 mm. The upper part is from a section of the same stage as the lower but stained by the Golgi method. By migra- tion and differentiation the mantle layer has been formed. The cells remaining near the lumen form the ependyma layer (ep.). b, Boundary between mantle and marginal layers; ep, ependyma; mli and mle, internal and external limiting membranes; mv, differently arranged mid-ventral portion of the marginal layer; r, radial filaments; cs, connective tissue syncytium. their peripheral processes become abbreviated and disappear, and they finally differentiate into the irregular branching neuroglia cells (Fig. 423). According to Hardesty, there is simply a general nucleated mass which changes form pari passu with changes in the enclosed differentiating nervous elements, finally assuming shapes dependent upon the character of the spaces between the formed nervous elements. An exception to this is a layer of nucleated elements which remain next the lumen and form the ependyma cells which still FIG. 419. Pig of 7 mm., unflexed. Segment from the ventro-lateral wall of the neural tube; g, Germinal cells; mli, internal limiting membrane; mle, external limiting membrane r, radial, axial filaments of the syncytial protoplasm; p, beginning of pia mater. Hardesty. FIG. 420. Pig of 10 mm., "crown-rump" measurement. Segment from lateral wall of neural tube. b, boundary between nuclear layer and marginal layer (m). Other references same as in 419. Hardesty. a indicates the zone in which the dividing cells are located. Later, it is composed of the inner ends of the ependyma cells (column layer of His). 482 TEXT-BOOK OF EMBRYOLOGY. THE NERVOUS SYSTEM. 483 send radial extensions into the wall of the neural tube (Figs. 421 and 422). These cells develop cilia projecting into the lumen. A still later differentiation m the supporting elements of the tube is the ap- pearance of neuroglia fibers a product of the spongioblastic protoplasm, but differing from it chemically (Fig. 423). The exact relation of these neuroglia fibers to the nucleated neuroglia cells in the adult is a matter of dispute. " W/^>^3yftl^fE*&^iM5w5?;d . . . * / jfSiRSf^ B d f FIG. 423. Hardesty. Combination drawing from transverse sections of the spinal cord of 20 cm, pig. Showing the first appearance of neuroglia fibers, a, Xeuroglia cell as shown by the Benda method of staining; a', similar cell by the Golgi method; b and &', non-nucleated masses; d, free nuclei; e and/, differentiating neuroglia fibers; s, '"'seal-ring" cells, envelop- ing myelinating nerve-fibers. With the penetration of blood vessels into the neural tube a certain amount of mesodermal tissue is brought in. How much of the supporting tissue of the nervous system is derived from the mesoderm is uncertain, but it is most probable that it is relatively small in amount and is confined principally to the connective tissue of the walls of the blood vessels. Early Differentiation of the Nerve Elements. It has been seen that some of the actively dividing cells (germinal cells) at first simply increase the ordinary epithelial elements of the tube which in turn form the myelospongium, the spongioblasts and finally the ependyma and the neuroglia. Other daughter cells produced by the division of the germinal cells 484 TEXT-BOOK OF EMBRYOLOGY. differentiate into nerve cells as described below. Still others probably migrate outward as indifferent cells, which later proliferate and form cells which differ- entiate into neuroglia and nerve cells. According to recent researches (Cajal), by means of the silver stain of Cajal the first indication of the differentiation of cells into nerve cells is the appear- ance of neurofibrils in the cytoplasm of cells near the lumen. The part of the cell in which the neurofibrils first appear is called the fibrillogenous zone (Held) and is usually in the side furthest from the lumen. The cells in which these appear are apparently without processes, and are accordingly termed apolar cells (Cajal). (Fig. 424.) FIG. 424. Section through the wall of the fore-brain vesicle of a chick embryo of 3 J days. Cajal. A, b and c, Differentiating nerve cells in apolar stage, the neurofibrils are black; a, cell in a stage transitional to the bipolar stage; B, bipolar cells; c (at lower right corner), cone of "growth" of developing axone; e, tangential axone. The cells in the bipolar stage have migrated out ward, but the neuroblast or mantle layer has not yet been differentiated. The next step in the development of many, but probably not all, of these cells is their transformation into bipolar cells by the outgrowth of two neurofibrillar processes, one directed toward the lumen, the other, usually thicker, toward the periphery, the cell body at the same time beginning to migrate outward (Fig. 424) . This bipolar stage may be regarded as conditioned to some extent by the radial arrangement of the other elements, due in turn partly to the original epithelial structure and partly, possibly, to tensions produced by the growth of the tube. It is also interesting as recalling conditions in sensory epithelia and in the cerebrospinal ganglia. The bipolar stage is most common probably in those parts where the elements show a radial arrangement in the adult. Such are the layered cortices of the mid-brain and pallium. Nerve cells maintaining a con- nection, by central processes, with the luminal wall have been described in lower Vertebrates. This connection may be explained as due to a persistence of the central processes of cells in the bipolar stage. THE NERVOUS SYSTEM. 485 The next stage is a monopolar stage produced by the atrophy of the luminal process. Cells in this stage are the neuroblasts of His, the peripheral processes being the developing axones (Fig. 425). As seen in ordinary stains, the above differentiation of the neuroblasts is marked by a corresponding differentiation of the nuclear layer into an inner layer retaining its previous characteristic radial arrangement, and an outer layer characterized by fewer nuclei more irregularly arranged. The latter layer is the mantle, or neurone layer (Fig. 442) . There are now three layers: (i) inner (nuclear), (2) mantle (neurone) and (3) marginal. The mantle layer is thus produced by the migration and differentiation of cells into neuroblasts. While this process may begin near the lumen (apolar nerve FIG. 425. Dorsal portion of the lumbar cord of a chick embryo of three days. Cajal. A, B, Cells in the apolar stage with fibrillogenous zones; B shows transition to the bipolar stage; E, further advanced bipolar cell; G, cells in monopolar stage or neuroblasts of His; a, giant cone of growth. These cells have migrated to the outer part of the nuclear layer, thereby forming the beginning of the mantle layer. cell of Cajal) and progress as the cell has moved somewhat further away (bipolar stage), the monopolar stage is probably reached only when such cells form a part of the mantle layer. In other words, the mantle layer is created by the migra- tion to a certain location and differentiation to a certain stage of the primitive nerve cells. The mantle layer, as previously stated, probably also contains indifferent cells which may by further proliferation and subsequent differentia- tion become either glia or nerve cells.* The looser arrangement of the cells of the mantle layer is probably in some measure due to the growth of the dendrites which appear soon after the axones. It may be also due to the beginning vascularization of the tissues with resulting transudates (His) which usually, however, begins somewhat later. The association in time of vascularization and further growth * It is an open question as to how late in development these " extra ventricular " cell- divisions, in- volving " indifferent " cells, may occur. The neuroglia cells, however, like other supporting elements, preserve this capacity of division indefinitely, as shown by the increase in neuroglia cells in patho- logical conditions. 486 TEXT-BOOK OF EMBRYOLOGY. of neurocytoplasm (dendrites) is significant. When the cell-proliferation near the lumen has ceased, the supply of new cells ceases, and as the cells of the inner layer continue to differentiate into cells of the mantle layer, the inner layer, being no longer replenished from within, is reduced to the single layer of cells which remain behind as ependyma cells (p. 481). Differentiation of the Peripheral Neurones of Cord and Epichordal Segmental Brain. Efferent Peripheral Neurones. The differentiation of a mantle or neurone layer from the outer part of the original nuclear layer is practically universal throughout the whole neural tube. It appears first and is conse- quently most advanced, however, in the ventral part of the lateral walls of the cord and epichordal brain. The axones of neuroblasts occupying the basal plate of this region of the neural tube grow out through the external limiting mem- FIG. 426. Ventral part of wall of lumbar cord of 70- hour duck embryo, showing efferent root fibers first emerging from cord (combined from two sections) . Cajal. A, Spinal cord; B, perimedullary space; C, meningeal membrane; a, b, cones of radially directed axones; c, d, cones of transversely directed axones; D, bifurcated cone; E,F, cones crossing perimedullary space; G, aberrant cones. brane and emerge as the efferent ventral root fibers. The appearance of these early root fibers in the duck is shown in Fig. 426. The process is similar in the human embryo and begins about the third week. The neurones thus differentiated are the efferent peripheral neurones. In some forms, at least, cells appear to migrate out from the tube along with the efferent root fibers. Their fate is not certain, but they probably either metamorphose into the neurilemma cells or possibly form part of the sympa- thetic ganglia (see p. 492). In general the questions affecting the differentiation THE NERVOUS SYSTEM. 487 of the efferent fibers are the same as for the afferent and are further dealt with later (pp. 492-495). The majority of the efferent root fibers pass to the differentiating somatic muscles which they innervate, forming specialized terminal arborizations (the motor end plates). The fibers to the dorsal musculature form, together with the afferent fibers (p. 490), the dorsal branch of the peripheral spinal nerve ; others form part of the ventral branch which sends a branch mesially toward the aorta. Some of the fibers of the mesial branch take a longitudinal course. This mesial branch is the white ramus communicans and terminates in the various sympathetic ganglia which are later formed along its course (p. 491). FIG. 427. Diagram (lateral view) of the brain of a 10.2 mm. human embryo (during the fifth week), showing the roots of the cranial nerves. His. Ill, Oculomotor; IV, Trochlear; V, Trigeminus (m, efferent root, s, afferent root); VI, Abducens; VII, Facial; VIII, Acoustic (c, cochlear part, v, vestibular part); IX, Glossopharyngeus; X, Vagus; XI, Spinal accessory; XII, Hypoglossus. ot., Auditory vesicle; Rh.l., rhombic lip. The two series of efferent roots (medial and lateral) are clearly shown. (Comp. Figs. 263, 265, 432 and 404.) The fibers to the sympathetic ganglia are the visceral (splanchnic) fibers of the ventral root. There are a few other fibers which grow dorsally from neuroblasts in the ventro-lateral walls of the cord and thence out vio_the dorsal root (Fig. 430) . They also are probably visceral. In the cord the splanchnic fibers, w r ith the exception above noted, issue with the somatic fibers in a common ventral root. In the epichordal segmental brain, however, there is a differentiation of the efferent neuroblasts of the basal plate into two series of nuclei, a medial and a lateral. The medial series consists of 488 TEXT-BOOK OF EMBRYOLOGY. the nuclei of the XII, VI, IV and III cranial nerves, and their axones grow out as medial ventral root fibers (except the IV) (Fig. 427) to the differenti- ating muscles of the tongue and eyeball which they respectively innervate. These muscles are probably somatic and their nerves are the somatic efferent cranial nerves corresponding with the greater part of the fibers of the ventral roots of the cord (compare p. 462). The lateral series consists of the nuclei of the efferent portions of the roots of the XI, X, IX, VII and V cranial nerves and their axones grow out as lateral roots (Fig. 427) to the differentiating striated branchial (splanchnic) muscles (sternocleidomastoideus, trapezius, N.triqem. (motor) --N.focialis - ; - N.aeusticus -------- N.abducens ----- N.glo3jqpharyf\g. ( N. vaguj N.hypoglo3sus FIG. 428. Diagram of the floor of the 4th ventricle of a 10 mm. human embryo, illustrating the rhombic grooves and their relations to the cranial nerves. The point of attachment of the acoustic and the sensory root of the trigeminal nerve is shown by dotted circles; the motor nuclei are represented by heavy dots. Streeter. pharynx, larynx, face and jaw) and also to muscles of the viscera (via sympa- thetic?). The lateral nuclei and their roots are thus splanchnic. (Cf. pp. 302-3, 462, 464.) Their root fibers, with the incoming afferent fibers, form the mixed roots of these nerves. The positions of these various nuclei and their roots are clearly indicated in Figs. 427, 436-439, 447 and 451 and require no further description. Additional details are mentioned in connection with the afferent cranial nerves. In the region of the vagus nerve, there are differentiated two series of lateral nuclei, a ventro-lateral (nucleus ambiguus X) and a dorso-lateral (dorsal efferent nucleus X) (comp. Fig. 407). Fig. 452 THE NERVOUS SYSTEM. 489 apparently indicates the beginning of this differentiation. The significance of the dorso-lateral nucleus is uncertain. It possibly sends fibers to the sympathetic system. At about this period six transverse rhombic grooves are plainly marked in the floor of the fourth ventricle, standing in relation with the nerves of this region (Fig. 428). They are ordinarily regarded as neuromeric, but the above relation would indicate that they have primarily a branchiomeric character (Streeter). It will be noticed that each of the three main ganglionic masses of this region (p. 495) corresponds to two of the grooves. (Comp. p. 465). The further development of the efferent neurones exhibits phases common to many other nerve-cells with a large amount of cytoplasm (somatochrome cells). The further development of the neuro fibrils of cell body and dendrites Neural crest Ectoderm Neural crest c -^'Primitive segment FIG. 429. Three stages in the closure of the neural tube and formation of the neural crest (spinal ganglion rudiment). From transverse sections of a human embryo of 2.5 mm. (13 pairs of primitive segments, 14-16 days), von Lenhossek. is, according to some observations, at first confined to the peripheral portions, leaving a clear zone in the vicinity of the nucleus. The chromophilic sub- stance first appears as distinct granules about the end of the second month, there being apparently a diffuse chromophilic substance present before this period. The chromophilic granules also are first differentiated in the per- ipheral portions of the cell. A still later differentiation is the pigment, which probably does not appear till after birth. This increases greatly in amount in later years and is then an indication of senility of the nerve-cell. Afferent Peripheral and Sympathetic Neurones. It has already been mentioned (p. 451) that in the closure of the neural tube certain cells forming an intermediate band between the borders of the neural plate and the non- neural ectoderm are brought together by the fusion of the lips of the plate 490 TEXT-BOOK OF EMBRYOLOGY. and form a ridge on the dorsal surface of the neural tube, this ridge being known as the neural crest (Fig. 429). In the SPINAL CORD, at three weeks, the neural crest has separated from the cord and split into two longitudinal bands. The ventral border of each band shows a transverse segmentation into rounded clumps of cells, forming the rudiments of the spinal ganglia which later become completely separated. The efferent roots have begun to develop but the afferent roots appear later (fourth week, Fig. 434). The cells composing these rudiments are polyhedral or oval rather than columnar and proliferation still proceeds among them A differentiation of these cells soon begins. Some, usually larger cells FIG. 430. Part of a transverse section through the cord and spinal ganglion of a 56-hour chick embryo (combined from two sections) . Cajal. A, Efferent cell of dorsal root; B, cone of growth of central process (afferent dorsal root fiber) of spinal ganglion cell; C, bifurcation of afferent root fibers in cord, forming beginning of dorsal funiculus or dorsal white column of cord. begin to assume a bipolar shape. Their central processes grow toward the dorsal part of the lateral walls (alar plate) of the neural tube which they enter (Fig. 430), becoming afferent (dorsal) root fibers. These fibers enter the mar- ginal layer and there divide (Figs. 430 and 441) into ascending and descend- ing longitudinal arms which constitute the beginning of the dorsal (posterior) juniculus of the cord. The peripheral processes of the developing ganglion cells grow toward the periphery, uniting with the ventral root and forming with it the various branches of the peripheral spinal nerve (compare Figs. 263, 265, 432 and 404). Other peripheral branches pass as a part of the white ramus communicans to the sympathetic ganglia through which they THE NERVOUS SYSTEM. 491 proceed to the visceral receptors. These latter fibers are thus visceral afferent fibers. It is now known that the spinal ganglion is a much more complicated struc- ture and has more forms of nerve cells than was formerly realized. The dif- ferentiation into these various types has not yet been fully observed. The bipolar cells, however, become unipolar in the manner shown in Fig. 431. The cell body first becomes eccentrically placed with reference to the two proc- esses and then, as it were, retracts from them, remaining connected with them by a single process. This change may economize space. According to most authorities, many of the cells of the neural crest do not cease their migration by forming spinal ganglia, but undifferentiated cells FIG. 431. Section of spinal ganglion of 1 2-day chick embryo. Cajal. Showing various stages of the change from the bipolar to the unipolar condition. A,B, Unipolar cells; C, D, F, G, cells in transitional stage; E, bipolar cell; H, immature cell. The neuro- fibrils are well shown. wander still further ventralward and form, probably also undergoing still further proliferation, the rudiments of the various sympathetic ganglia, becom- ing subsequently differentiated into the sympathetic cells. By this migration there is first formed a longitudinal column of cells ventral to the spinal ganglia (Fig. 433) and, later, in relation with the white communicating rami (Fig. 432). This column becomes segmented (seventh week), forming ultimately the ganglia of the vertebral sympathetic chain. In the meanwhile, the cells of the column proliferate in places, forming rudiments which, by migra- tion and further differentiation, form the ganglia of the various prevertebral sympathetic plexuses (cardiac, cceliac, pelvic, etc.). Further migrations lead to the formation of the ganglia of the peripheral plexuses (Auerbach, Meissner, 492 TEXT-BOOK OF EMBRYOLOGY. etc.). All these ganglia, probably, are innervated by fibers from the white ramus, along whose course they apparently migrated. The axones of their cells pass to visceral structures either in the same segment or, via the longi- tudinal chain, to those of other segments. Some also join the branches of the peripheral spinal nerves (gray ramus). Fibers of the white ramus also pass longitudinally in the chain to vertebral ganglia of other segments. The possibility previously mentioned (p. 486) of a contribution to the sympa- thetic ganglia by cells migrating out along with the ventral roots must be kept in mind. It would seem a priori more probable that these latter would furnish the efferent sympathetic cells, but the efferent cells predominate in the sym- Spinal cord Spinal ganglion Ventral root Mixed spinal nerve Myotome Sympathetic ganglion ; FIG. 432. From a transverse section of a chick embryo of 4^ days. Neumayer. pathetic and must thus be regarded as derived partly or wholly from the neural crest which furnishes at least the major part of all the sympathetic cells. It seems probable that not all the cells of the neural crest form nerve cells, but some, usually smaller cells, become closely applied to the spinal ganglion cells, forming amphicytes, while others (lemmocytes) wander out along the nerve fibers and become the neurilemma cells, forming the neurilemma. These cells in this case would be quite strictly comparable to the glia cells of the neural tube. According to another view, the neurilemma cells are of mesodermal origin. While this point cannot be considered entirely determined, it seems fairly certain that in some types at least the former view is correct, removal of the neural crest having resulted in the formation of efferent nerves without THE NERVOUS SYSTEM. 493 neurilemma cells (Harrison). The modification into neurilemma cells seems to be accomplished by their enveloping the axones and becoming closely applied to them. The peripheral nerve grows toward the periphery as a bundle of fibers which forms, as seen in many stains, a common fibrillated mass, dividing at its extremity into the develop- ing branches of the nerve. The lemmocytes closely envelop each of these growing tips, but proximally only envelop the main nerve trunk (Bardeen). The final clear separation of ~^Spinal ganglion rudiment mm / I - .. .' : C'*." 5 ~.- 512 TEXT-BOOK OF EMBRYOLOGY. These are the dorsal spino-cerebellar tracts from Clarke's columns, ventral spino- cerebellar tracts, and tracts to mid-brain roof and thalamus (spino-tectal and thalamic). Finally (fifth month) the descending tracts from the pallium are added, the direct and crossed cortico- spinal (pallio-spinal or pyramidal] tracts, the latter being thrust, as it were, into the lateral funiculus. The development of the cord, then, is produced by (i) the proliferation of the .epithelial cells and the formation of the nuclear and marginal layers ; (2) the multiplication, differentiation and growth of the neuroblasts (mantle layer) ; (3) the development of the ventral roots; (4) formation of the funiculi (white columns when myelinated) by the growth into the marginal layer of (a) dorsal root fibers of the cord, the ascending arms of which overlap those root fibres entering higher cord segments, (b) cord neuroblasts forming intersegmental (ground bundle) tracts next to the gray matter, (c) descending intersegmental tracts from the segmental brain, representing continuations principally of cere- bellar efferent tracts, (d) afferent suprasegmental tracts from cord nuclei, (e) descending pallio-spinal tracts. In addition to this, there are general factors of growth, such as increasing vascularization, increasing amount of neurone cytoplasm (especially dendrites) , increased size of axones and, finally, the acquisition by the latter of myelin sheaths. The vertebral column grows faster in length than the inclosed spinal cord. The result of this is that the caudal spinal nerves making their exit through the intervertebral foramina are, so to speak, dragged caudalward and instead of proceeding outward at right angle to the cord, pass caudally to reach their foramina. The leash of nerve roots thus formed, lying within the caudal part of the vertebral column, constitutes the cauda equina. The coverings of the cord retain their original connections at the caudal end of the vertebral canal and form a prolongation of the cord membranes enclosing the thin, terminal part of the cord, the filum terminate. The Epichordal Segmental Brain. In the fifth week, the walls of the rhombencephalon are comparatively thin. In the caudal region of the medulla oblongata (p. 477), the dorsal part of each lateral wall is upright and is bent at a considerable angle with the ventral part (basal plate), the groove on the inner surface between the two being the sulcus limitans. The roof of this region is formed by the thin expanded roof plate (Figs. 436-439)- Anterior to this, the roof plate is not expanded, the alar plates almost meeting in the mid-dorsal line. This thicker part of the roof is the rudiment of the cerebellum. Its caudal edges are attached to the expanded roof plate (see P- 525). THE NERVOUS SYSTEM. 513 In front of the cerebellum the tube is narrower and is compressed laterally. This part is the isthmus (Fig. 447). Anterior to this, the roof plate and alar plates expand into the mid-brain roof, the basal and floor plates forming the basal part of the mid-brain. Certain gross changes which from now on take place in the medulla riay conveniently be noted here. At about this time (fifth week) the outer borders of the alar plate become folded outward and then downward, being thus turned back on the plate itself (Figs. 452 and 416). This fold is called the prhwry rhombic lip, and is most marked along the caudal border of the cerebellum. The folds of the lip then fuse, forming a rounded eminence composing the border of the alar plate to which the roof plate is attached laterally. Subsequently, the attachment to the roof plate is shifted dorsally in the medulla, caudally in D.IV Nu. IV. FIG. 447. Transverse section through the isthmus of a 10.2 mm. human embryo. D.IV, Decussa- tion of trochlear nerve; M. /., marginal layer; Nu. IV, nucleus trochlear nerve. His. the cerebellum. The portion of this lip which thins off into the roof plate is the tcenia of the medulla and the posterior velum and taenia of the cerebellum. The thin roof plate itself becomes tbe epithelial part of the tela chorioidea of the fourth ventricle. At the caudal apex of the fourth ventricle a fusion of the lips of the opposite sides forms the obeoc. A further complication is due to the increasing pontine flexure by which the dorsal walls of the tube are brought close together (Fig. 448). The transverse fold of the tela thus produced is the chorioid fold. At about the same time lateral pocketings outward of the dorsal w r alls occur just caudal to the cere- bellum which contain portions of the chorioid fold. These are the lateral recesses. By further growth and vascularization, the mesodermal part of the chorioid fold forms the chorioid plexus of the fourth ventricle (metaplexus). Finally, in the human brain an aperture appears in the caudal portion of the roof of the ventricle the foramen of Magendie (metapore) ; and, according to many authorities, one also occurs in the roof of each of the lateral recesses 514 TEXT-BOOK OF EMBRYOLOGY. the foramina of Luschka. The roof of the fourth ventricle, where present, is thus composed of an inner ependymal epithelium the expanded roof plate of the neural tube and an outer mesodermal covering containing blood vessels. Other gross changes chiefly involve the basal plate. At the beginning of the fifth week this does not much exceed the alar plate in thickness and is separated from the opposite basal plate by an inner median sulcus (Fig. 452). The basal plate now increases in thickness and thereby both deepens the sulcus and con- tributes to a flattening out of the lateral walls, so that all portions by the sixth week lie approximately in the same horizontal plane (Fig. 454). Later, the floor plate increases in thickness more rapidly and the sulcus becomes shallower (eight weeks) (Fig. 455). The band of vertical ependyma fibers passing through Mesencephaion Epiphysis Diencephalon Isthmus Cerebellum Transverse fold - -Rhombic lip Olfactory lobe Optic stalk Infundibulum Hypophysis FIG. 448. Lateral view of a model of the brain of a , Basilar artery weeks' (18.5 mm.) human embryo. His. it is the septum medulla. It is bounded on each side by a vertical extension of the marginal layer which for convenience will be referred to as the septal marginal layer (Figs. 453, 454 and 455). The histological condition of this part of the tube at the beginning of five weeks has already been described. The lateral walls consist of an inner layer of closely packed cells, of a mantle layer consisting of efferent neurones and a simple system of intermediate neurones, and an outer marginal layer containing the longitudinal bundles of incoming afferent roots and longitudinal axones of intermediate neurones (see p. 504). It has been seen that this condition has been brought about by the proliferation of cells near the tube cavity, which migrate outward, at the same time many of them differentiating into neuro- blasts and nerve cells and thereby forming the mantle layer. As in the cord, the basal plate takes the lead and thus at first outstrips the alar plate, as shown THE NERVOUS SYSTEM. 515 in its greater thickness above mentioned. This process likewise terminates sooner in the basal plate, few cell divisions being present there at seven weeks. At about the end of the fifth week (see p. 519) the alar plate begins to develop very rapidly. Its period of proliferation is about terminated at the end of the second month. When the cell proliferation near the ventricle has ceased, the inner layer is reduced by outward migration to a single layer of epend] ma cells (compare pp. 485 and 486). While the efferent nuclei continue to develop and the central continuations of the afferent neurones continue to grow in length, the principal differential ions now taking place in the rhombic brain are those affecting the intermediate neurone systems. The first of these to be considered is the further differentiation of the system of intersegmental neurones (p. 465). The earlier development of this system has been seen to involve especially the basal plate and the further development of the latter leads to the complete differentiation of the formatio reticularis which especially represents this system in the epichordal brain. It has already been seen (p. 504) that many of the intermediate neurones representing the beginning of this system seem to be at first : Jieteromeric and form an internal arcuate system of fibers similar to those seen in the cord (pp. 503, 507). They increase in number toward the median line and are especially numerous in the basal plate, where they, together with the medial efferent neurones (XII and VI cranial nerves) , form an eminence of the mantle layer corresponding to the ventral gray column of the cord (Fig. 449) . Many of the axones of these cells of the arcuate system cross the septum medullae, thus marking the beginning of the raphe, and form on each side a longitudinal bundle in the septal marginal layer (Fig. 449). These longitudinal bundles correspond to the first formation of the ventral funiculi of the cord. They must not, of course, be confused with the pyramids which appear much later. Whether these longitudinal bundles are also partly formed of axones of tautomeric cells is uncertain. Later, as the anterior horn swellings grow and the depth of the septum medullae and of the septal marginal layers increases (compare p. 514), more longitudinal fibers appear in the latter, the new ones apparently being added ventrally. Others also appear more laterally in the marginal layer (Figs. 453, 454 and 455). (Compare cord, p. 507.) At this time, also, fibers enter the marginal layer bordering the surface (as distinguished from the septal), pass along parallel with the surface, cross the septum, and proceed to various parts of the marginal layer of the opposite side. These fibers are the first external arcuate fibers as opposed to the preceding internal arcuate fibers which traverse the mantle layer (gray) in the arcuate part of their course (Fig. 453). The majority of the longitudinal fibers entering the septal marginal layers during the second month occupy approximately the position of the future 516 TEXT-BOOK OF EMBRYOLOGY. mesial formatio reticularis alba (white reticular formation) and correspond in position to the fibers of the medial longitudinal fasciculi and reticulo- spinal tracts in the adult medulla, representing probably the same system as the medial part of the ventro-lateral funiculi of the cord (medial longitudinal fasciculi, reticulo-spinal and ventro-medial ground bundles of the cord) . The medial longitudinal fasciculi are in part descending fibers from higher levels described later. Taenia Marginal layer Mantle layer Alar plate Sulcus limitans Basal plate Inner la Tractus solitarius N. X. (Medullary XI) Internal arcuate fibers (in beginning gray reticular formation) N. XII Ventral funiculus Floor plate (beginning of form, retic. alba) FIG. 449. Half of a transverse section of the medulla of a 10.2 mm. human embryo. His. In the basal plate, between the medial and lateral efferent nuclei, there are, even at the beginning of the fifth week, not only the efferent neurones and the heteromeric (commissural) neurones already mentioned, but other neuroblasts whose axones have a radial direction, i.e., toward the periphery. (Figs. 449 and 452.) The interlacing of these with the arcuate fibers forms the first indication of the formatio reticularis grisea (gray reticular formation) . Later, longitudinal fibers are present here, giving rise to a condition more fully corresponding to that in the adult, analogous also to the condition in the lateral funiculi of the cord, especially in the processus reticularis. THE NERVOUS SYSTEM. 517 In the region of the auditory segment an important neurone group appears which is possibly a differentiation of the extreme dorso-lateral portion of the basal plate. This is Deiters^ nucleus, which apparently receives vestibu'ar and cerebellar fibers and sends uncrossed descending bundles along the outer later?,! part of the reticular formation and also ascending and descending crossed and uncrossed fibers along its outer mesial portion (part of the medial Icngi- tudiial fasciculus). This nucleus thus represents, apparently, like the nucleus rubar and nucleus of Darkschewitsch (below), a differentiated portion of the int ;rsegmental neurones in especial connection with suprasegmental efferent fibers which thereby act on many brain and cord segments. The great development of the reticular formation here and caudally possibly causes a ventro-lateral displacement of the contained nucleus ambiguus and efferent facial nucleus and consequently the arched or hook-shaped course of Germ facialis medsulcus B medsiilcus FIG. 450. Diagram illustrating the development of the genu of the facial nerve in the human embryo. The drawings show the right facial nerve and its nucleus of origin, in three stages: the youngest, A, being a 10 mm. embryo, and the oldest, C, a new-born child. The relative position of the abducens (VI) nerve is represented in outline; its nerve trunk is not shown, as the structures represented are seen from above. Streeter. their root fibers as seen in transverse section (Streeter) . At the same time, the nucleus of the VI, which originally was caudal to the VII, migrates cranially, carrying the facial efferent roots with it. This gives rise to the genu facialis (Streeter, Fig. 450). In the mid-brain (Fig. 451), what appears to represent the basal plate forms an eminence, the tegmental swelling. Later there is differentiated from this the reticular formation of this region, containing various nuclei and traversed by radial, longitudinal and arcuate fibers, many of the latter arising from the later differentiating dorsal portions (corpora quadrigemina) of the lateral mid-brain walls. An important neurone group of the reticular forma- tion system which appears in this region is the nucleus of Darkschewitsch. Its descending axones form a part of the medial longitudinal fasciculus and probably appear at the end of the first month. The nucleus ruber is probably differentiated from the forward extremity of the tegmental swelling which over- laps into a prechordal region (Fig. 463). Its axones (crossing asForersdecus- sation and forming the rubro-spinal tract) probably develop early. This 518 TEXT-BOOK OF EMBRYOLOGY. neurone group apparently owes its great development principally to its close association with the cerebellum. These two long descending intersegmental tracts as they grow downward envelop the differentiating reticular formation of more caudal regions of brain (and cord) and thereby come to occupy an external position in the fully differentiated reticular formation. The reticular formation is thus composed of a gray portion containing the neurone bodies and shorter tracts and a white portion composed of the longer tracts. Axones from certain nuclei (especially N. ruber, N. of Darkschewitsch and N. of Deiters) form long, principally descending, tracts which envelop the gray reticular formation mesially (medial longitudinal fasciculus including fibers from nuclei of Darkschewitsch and Deiters as well as other reticulo- spinal fibers) and laterally (rubro-spinal, lateral uncrossed tract from Deiters' -Alar plate <^p*| '."'.,'*;" Marginal layer > ^% "^ =.- - ^-C^^l x %k~ -viiKi^-- NucIeusN - m I Root^N.m FIG. 451. Transverse section through the mid-brain of a 10.2 mm. human embryo. His. nucleus and other reticulo-spinal fibers) and constitute the white reticular formation. These long tracts descend to the cord and there similarly envelop its ventro-lateral ground bundles. While the above differentiation of the reticular formation has been taking place, changes in the alar plate have begun which lead to the formation of terminal nuclei of peripheral afferent nerves, as well as terminal nuclei of other tracts, all of which send fiber bundles to suprasegmental structures. The formation of the receptive nuclei of the afferent nerves of peripheral (segmental) structures is complicated by the fact that the central continuations of the peripheral afferent nerves are not confined to their own respective seg- ments but form longitudinal tracts which continue to grow upward (columns of Goll and Burdach) or downward (descending solitary, vestibular and trigeminal tracts) passing into other segments and overlapping externally structures already in process of formation there. In each segment, then, the terminal nuclei of the afferent nerves of that segment must be distinguished from the THE NERVOUS SYSTEM. 519 terminal nuclei of afferent elements from other segments. The latter are external or added to the former and are differentiated from additional prolifer- ations of neuroblasts of the alar plate. In addition to these nuclei, there are certain nuclei forming links between the two great suprasegmental structures, the pallium and cerebellum. These nuclei are the olive* and pons nuclei, both of which form afferent cerebellar bundles and which are differentiatec by still further proliferations and migrations of alar plate neuroblasts. It has already been seen that the afferent peripheral nerves (IX and X) c-f the visceral segment form (together with descending fibers of the VII) the tractus solitarius. This is at first (5th week) short, but in six weeks has rea :hed the cord. The terminal nucleus of the tractus solitarius is differentiated irom the neuroblasts of the medial portion of the alar plate. The course of the axones of this nucleus is not known. Judging from comparative anatomical grounds, they would not follow the fillet pathway (C. J. Herrick). The most caudal part of this nucleus is the nucleus commissuralis at the lower apex of the fourth ventricle. The formation of the other terminal nuclei lying in the region of this seg- ment is begun by the further developments of the alar plate already alluded to. These are initiated by an expansion and consequent folding of its border (formation of the rhombic lip, p. 513), followed by further cell-proliferation, leading to fusion of these folds and copious formation of neuroblasts in this region. These neuroblasts represent fresh accessions to the neuroblasts already formed in the mantle layer of the more medial part of the alar plate. This latest development of the border portions of the alar plate is the last step in the progressive development of the neural tube from the medial portion (basal plate) to the lateral (dorsal) border of the lateral walls of the tube where further development ceases at the attachment to the roof plate (teenia). (Fig. 45 2 -) Many of the neuroblasts of the rhombic lip region migrate ventrally.t Some of those from the medial part of the swelling produced by the fusion of the rhombic lip folds (p. 513) migrate along the inner side of the tractus soli- tarius, while those from the lateral part of the swelling pass outside the tractus, which becomes thereby enclosed in the mantle layer (Fig. 453). Many of these neuroblasts continue their journey, passing along the outer side of the differ- * This is conjectural. The origin of fibers to the inferior olivary nuclei is not known. The most conspicuous tract to the olive is von Bechterew's central tegmental tract. Purely a priori con- siderations might be adduced in favor of this being considered a descending tract from thalamic nuclei which in turn receive pallio-thalamic fibers. It may, however, arise from lower optic centers. fit is, perhaps, an open 'question whether the formation of the lip is a fundamental feature in this last proliferation and invasion of neuroblasts from the border of the alar plate. The promi- nence of the rhombic lip in man is the early embryological expression of the future great develop- ment of parts subsequently formed from this portion of the neural wall, especially the cerebellum and neurone groups in connection with it. 520 TEXT-BOOK OF EMBRYOLOGY. entiating formatio reticularis, until they are arrested at the septal marginal layer (Figs. 454 and 455). From these neuroblasts which remain in situ near the dorsal border are de- veloped the nucleus gracilis and nucleus cuneatus. The axones of these nuclei form internal arcuate fibers which decussate and form a bundle of longitudinal fibers in the opposite septal marginal layer ventral to the reticularis alba. This tract is the medial fillet whose fibers appear during the second month and is one of the afferent paths to suprasegmental structures (mid-brain roof Inner rhombic furrow Rhombic lip Outer rhombic furrow Alar plate] Sulcus limitans Tractus solitarius Inner layer N. X (medullary XI) Mantle layer Marginal layer Basal plate Beginning of gray reticular formation Floor plate F.r.a. N. XII Internal arcuate fibers (forming septum medullas) FIG. 452. Half of a transverse section of the medulla of a 9.1 mm. human embryo (during the fifth week). His. The 'arrow is in the inner median sulcus. F. r. a., beginning of white reticular formation. and pallium). Other neuroblasts, which probably migrate further, form the substantia gelatinosa of Rolando. Axones of this group also form tracts repre- senting afferent paths to suprasegmental structures (pallium). Neuroblasts which migrate further form, as already mentioned, afferent cerebellar con- nections. Those migrating to the septal marginal layer form there an L-shaped mass mesial to the root fibers of the XII cranial nerve (Fig. 455). This is the medial accessory olive. Fresh groups of neuroblasts, added laterally to these in streaks, form the inferior olivary nucleus, while others which have not advanced so far form the lateral nucleus. Axones of the olivary neuroblasts THE NERVOUS SYSTEM. 521 (olivo-cerebellar fibers) pass across the median line (seventh or eighth week) to the opposite dorsal border where they, together with axones from the lateral nuclei and the continuation from the cord of Flechsig's tract, form (end of the second month) the bulk of the restiform body (Fig. 455). At three months the olives have acquired their characteristic folded appearance. Owing to the later development and ventral migration of the alar plate r.euroblasts, there are thus formed the various nuclei which lie external to the i^ticular formation in the adult. The continuations of ascending spinal >:ord Outer part of rhombic lip migration Inner part of r. 1. mig. Inner layer Tractus solitarius Marginal layer Mantle layer Ext. arcuate fibers Int. arcuate fibers Septum Beginning white N. XII Gray reticular medullae reticular formation formation FIG. 453. Half of a transverse section of the medulla of a 10.5 mm. human embryo (end of fifth week). His. tracts (Flechsig and Gowers) occupy the most external position on the lateral sur- face, and other cord continuations (medial fillets) the most external mesial positions. Later, however (fifth month), there is added ventral to the fillets the descending cortico-spinal fibers (pyramids). Their decussation takes place at the cervical flexure. By the external accessions from the alar plate above described, forming terminal nuclei of overlapping tracts from above (especially the nucleus of the spinal V), the tractus solitarius becomes buried, as it were, hence its deep position in the adult. The great development of the reticular formation may contribute to this result. As the trigeminus is the most cephalic rhombic 522 TEXT-BOOK OF EMBRYOLOGY. segment, its descending fibers are not overlapped by fibers from above and therefore occupy the most external position of all these descending peripheral systems. Mantle layer Inner layer Gray ret. form \ ^JiiiiiiifK / '^^fe^^^fe-/^^^ 53^*ri^*eLr i s* _ . -S^S^iSjajj;-.- ' : .X X; ' x -^''^ ^^ ~:r ^5CV^^^ F.r.a. Restiform furrow Rhombic lip migration | Ext. arc. fib. in marg. layer N. XII F.r.a.v. Septum medullas FIG. 454. Half of a transverse section through the medulla of a 13.6 mm. human embryo (beginning of sixth week). His. F. r. a., Beginning of white reticular formation in dorsal part of septal marginal layer. Another bundle has formed more ventrally (F. r. a. v.) . Inner layer Roof plate Tractus solitarius Formatio reticularis grisea Formatio reticularis alba N. XII Septum medullse Spinal V Neuroblasts from alar plate Marginal layer Neuroblasts from alar plate (Rudiment of accessory olive) FIG. 455. Transverse section through the medulla of an 8 weeks' human embryo. His. The terminal nuclei belonging to the auditory (acustico-facialis-abducens) segment are those of the vestibular and cochlear portions of the VIII nerve. THE NERVOUS SYSTEM. 523 The development of these nuclei is not fully known, but they are derived from the alar plate, except possibly Deiters' nucleus (see p. 517), the nuclei of the later formed cochlear nerve occupying the more external position. The ves- tibular nuclei apparently send axones both to cerebellum and reticular formation. The cerebellum itself may be regarded as primitively a receptive vestibular structure (p. 466) and probably receives vestibular root fibers. The axones of the cochlear nuclei pass across the median line, along the ventral border of the reticular formation (second half of second month), forming the trapezium. On the lateral boundary of the opposite reticular formation they ascend, form- ing the lateral fillet, to the suprasegmental posterior corpus quadrigeminum. Accessions are received from the superior olive, in which some of the trapezium fibers terminate. The alar plate of this segment also forms the substantia gelatinosa and the anterior portions of the olivary nuclei in this region. The various remaining tracts assume the same positions as further caudally. Later, the pyramids are added ventrally to the fillet, and the great develop- ment of the pons leads to its covering the ventral surface of part of this region. Owing to the late development of the pons and pyramids, the trapezium is thus uncovered and lies on the ventral surface of the rhombic brain during the third month. It is permanently uncovered in the dog and cat. In the trigeminus segment, the terminal nucleus of the afferent portion of this nerve is probably similarly formed from the alar plate. Its axones decus- sate, probably joining the fillet, and proceed to the thalamus, which is connected with the pallium. Descending axones from cells in the mid-brain roof form part of the trigeminus known as its descending or mesencephalic root. The view has been advanced (Meyer, Johnston) that these are afferent neurones equivalent to certain dorsal horn cells found in some adult and embryonic Vertebrates and representing spinal ganglion cells which have become included in the neural tube instead of becoming detached with the rest of the neural crest (compare p. 452). In front of the lateral recess another extensive development of the alar plate occurs, evidenced by the large rhombic lip of this region. The neuroblasts thus differentiated form the enormously developed pontile nuclei whose axones pass across the median line (fifth month) to the opposite cerebellar hemisphere, forming the middle cerebellar peduncle or brachium pontis. The pons extends over the ventral surface of the cephalic part of the medulla and over the ventral surface of part of the mid-brain. It receives fibres from various parts of the neopallium, which form a great part of the pes pedunculi or crusta. A still greater development of the alar plate forms the cerebellum. In the mid-brain region, the reticular formation already described (p. 517) is enveloped ventrally and laterally by the upward extension of the medial and 524 TEXT-BOOK OF EMBRYOLOGY. lateral fillets, the whole comprising the tegmentum. Ventral to this are added later the pons and the descending cortico-pontile, cortico-bulbar and cortico- spinal bundles forming here the pes pedunculi or crusta (probably during the fifth month). The alar plate of the mid-brain region forms the corpora quadrigemina (mid-brain roof). The further changes in the gross morphology of the medulla are due mainly to further growth of structures already present. The nuclei of the dorsal col- umns by their increase cause the swellings on the surface of the medulla known as the clava and cuneus, and likewise by their increase in size cause a secondary dorsal closing in of the caudal apex of the fourth ventricle which formerly extended to the cervical flexure. The tuber culum of Rolando is produced by the growth of the terminal nucleus of the spinal V, and the restiform body largely by the development of the afferent cerebellar fibers (Fig. 457). The growth of the olivary nuclei produces the swellings known as the olives. The above mentioned accession of the descending cerebrospinal tracts to the ventral surface is indicated by the pyramids. In the floor of the ventricle there is a longitudinal ridge each side of the median line occupied by swellings produced by the nucleus of the XII and, further forward, the nucleus of the VI, together with other nuclei (intercalatus, funiculus teres and incertus, Streeter) which are not well understood. The furrow forming the lateral boundary of this area is usually taken to be the representative of the sulcus limitans and consequently the area in question would be the basal plate. Lateral to it is a triangular area with depressed edges the ala cinerea. It represents a region where portions of the vago- glossopharyngeal nuclei (dorsal efferent and terminal nuclei of fasciculus solitarius) lie near the surface. Possibly a secondary invasion by surrounding more recently differentiated nuclei may account for their apparent partial retreat from the surface. It is possible that the ala cinerea may be regarded not so much as a part of the alar plate, but that it or rather the branchial nuclei involved in its formation represents an independent intermediate region corresponding to the intermediate region in the cord (J. T. Wilson). The remaining portion of the alar plate, in the floor, is apparently represented principally by the acoustic, especially the vestibular, field. In the development of the segmental brain there are thus the following overlapping stages: (i) The differentiation of the inner, mantle and marginal layers. (2) The prima^v neural apparatus, consisting of (a) the peripheral segmental neurones, the central processes of the afferent neurones entering the alar or receptive plate, the efferent neurone bodies forming two main series of nuclei in the basal plate, and (b) intersegmental neurones composing the reticular formation in which the long tracts occupy external positions. (3) THE NERVOUS SYSTEM. 525 The further differentiation, from the alar plate, of terminal nuclei for the afferent peripheral segmental neurones, the axones of the terminal nuclei forming afferent tracts to suprasegmental structures. These tracts and other later forming afferent suprasegmental tracts with their nuclei are laid down ext( rnal to the reticular formation. (4) Formation of efferent (chiefly th ala- mic(?) mid-brain and cerebellar) suprasegmental tracts which act upon the intersegmental neurones or reticular formation. (5) Accession at a late s';age of d svelopment of a descending system of fibres from the neopallium. T.'iese lie 's entral to the preceding structures. The Cerebellum. It has already been pointed out that at an early period (three weeks) the anterior boundaries of the thin expanded roof plate of the rhombic brain form two lines converging anteriorly to the median line where the roof plate is represented by the usual narrow portion connecting the two alar plates (Fig. 456). It has also been pointed out that the pontine flexure produces on the dorsal surface a deep transverse fold in this thin roof, into which vascular tissue grows later forming the chorioid plexus (Fig. 448) . At this stage, the continuations of the alar plates of the medulla form two transverse bands which, when viewed laterally, are vertical to the general longitudinal axis of this part of the brain (Fig. 448) . At the same time, the rhombic lips are formed along the caudal border of these bands and the latter become thickened into the two rudiments of the cerebellum, a considerable portion of which may be derived from the lips. These rudiments are thus two transverse and vertical swellings and are connected across the median line by the roof plate. The attachment (taenia) of the alar plate of this region to the roof plate of the fourth ventricle is at first along its caudal edge. Later, by the folding back and fusion of this border to form the rhom- bic lips, the attachment is carried forward. Still later, by the growth of the cerebellar rudiment, it is rolled backward and under, as described below. The rudi- ments subsequently fuse across the median line, thus forming externally a single transverse structure, but internally a paired dorsal median projection of the lumen marks the location of the uniting roof plate (comp. Fig. 458). FIG. 456. Dorsal view of that part of the brain caudal to the cephalic flexure (human embryo of 3d week, 2.15 mm.). Hh. Cerebellum; J, isth- mus; M, mid-brain; Rf, A7z, medulla. Compare with Fig. 416. His. 526 TEXT-BOOK OF EMBRYOLOGY. While the structure thus formed expands enormously in a lateral direction, in its subsequent development its greatest growth is in a longitudinal direction. The effect of this is that the continuations of the cerebellum forward (velum medullare anterius} and backward (velum medullare posterius) into the adjoining, brain walls of the isthmus and medulla are comparatively fixed points and are completely overlapped by the spreading cerebellum, producing an appearance in sagittal section as though they were rolled in under the latter structure (comp. Fig. 408, F) . Another result of this longitudinal growth is the formation of fis- sures running across the organ, transversely to the longitudinal brain axis. First, lateral incisures separate two caudal lateral portions, the flocculi (Fig. 457), the median continuation of which, the nodule, is finally rolled in on the under side of the cerebellum as explained above. Another transverse fissure, the primary fissure, beginning in the median part and extending laterally, sepa- ^^^^ Cerebellar hemisphere Tasnia Tuberculum cuneatum Cla- Tuberculum cinereum (Rolando) Fasciculus gracilis (Goll) Fasciculus cuneatus (Burdach) FIG. 457. Dorsal view of the cerebellum and medulla of a 5 months' human foetus. Kollmann. rates an anterior lobe from a middle lobe, the former comprising the future lin- gula, centralis and culmen and their lateral extensions. The anterior portion is rolled forward under the anterior part of the cerebellum. Another trans- verse fissure next appears in the median part (secondary fissure) which later ex- tends (peritonsillar) to the floccular incisure, and thereby completes the de- marcation of a posterior lobe, including not only the flocculus and nodule, but also the tonsilla and uvula, which are also rolled backward and under. The result of this transverse fissuration would be the production of a cerebellum resembling that of certain forms below Mammals where the cerebellum is well developed (Selachians, Birds). A complicating factor, however, is the great growth of certain lateral portions of the middle lobe, forming the future cere- bellar hemispheres (Fig. 457), which causes also a lateral overlapping and rolling inward of adjoining parts. This growth is the chief factor in the division of the cerebellum into vermis and hemispheres and is correlated with the devel- opment of the neopallium (p. 466 and Fig. 409). THE NERVOUS SYSTEM. 527 The early histological development of the cerebellum has been most closely studied in Bony Fishes (Schaper) and there is every reason to suppose that the processes taking place in the human cerebellum are essentially the same. In that part of the alar plate forming the rudiment above described, the cells pro- liferate, forming first a nuclear layer with the dividing cells along its ventricular surface, and a non-nucleated outer or marginal layer. Later, owing to begin- ning migration and differentiation, there is formed the usual mantle layer, representing a differentiation of part of the original nuclear layer and thereby forming the three layers: an inner, a mantle and a marginal. The outer cells of the mantle layer increase in size and differentiate into the cells of Purkinje, snaller cells within forming the granular layer. The earliest stage of differ- entiation of the Purkinje cells has not been accurately described, but the axones FIG. 458. Diagram representing the differentiation and migration of the cerebellar cells in a teleost. The arrows indicate the migration of cells from the borders of the cerebellar rudiment into the marginal layer; these cells probably all differentiate into nerve cells. Clear circles, indif- ferent cells; circles ivith dots, neuroglia cells (except in marginal layer); shaded cells, epithelial cells; circles with crosses, epithelial cells in mitosis (germinal cells) ; black cells, neuroblasts; L lateral recess; A/, median furrow, above which is roof plate; R, floor of 4th ventricle (IV). Schaper. of the neuroblasts evidently proceed (end of fifth month) toward the ventricular surface instead of entering the marginal layer. In this way the fibrous layer (white matter) comes to lie within instead of on the outer surface as in the cord, and, to some extent, in the medulla. There is thus formed the outer gray matter or cortex. The axones of the Purkinje cells form the great bulk of the centrifu- gal fibers of the cerebellar cortex. The marginal layer becomes ultimately the outer or molecular (plexiform) layer of the adult cerebellum. It has been seen that in the other parts of the tube development begins in the medial parts of the lateral plates and thence advances toward their dorsal borders, which actively develop after the corresponding stages have ceased in the medial portions. The same is true of the cerebellar rudiment. In this, the edges which border on the thin roof plate, i.e., those parts adjoining the lateral recesses, the main roof of the fourth ventricle and the roof plate inter- posed between the two original lateral cerebellar rudiments, are the last to pro- 528 TEXT-BOOK OF EMB.RYOLOGY. liferate. The cells thus formed spread into the marginal layer of the earlier developed parts and by further proliferation form a nucleated layer of consider- able thickness (Fig. 458). This complication is apparently essentially similar to that described above in the development of the medulla. From the cells of this invasion are formed a part, at least, of the granule cells, as well as the basket cells and other cells which remain in the marginal (molecular) layer. These are all association cells of the cerebellum. The cerebellum reaches its full histological development very late; after birth in many Mammals. These last postnatal stages of development naturally FIG. 459. Scheme showing the various stages of position and form in the differentiation of granule cells from the outer granular layer. Cajal. A t Layer of undifferentiated cells; B, layer of cells in horizontal bipolar stage; C, partly formed molecular (plexiform) layer; D, granular layer; b, beginning differentiation of granule cells; c, cells in mono polar stage; d, cells in bipolar stage; e,f, beginning of descending dendrite and of unipolarization of cell; g,h, i, different stages of unipolarization or formation of single process connecting with the original two processes; j, cell showing differentiating and com- pleted dendrites; k, fully formed granule cell. involve principally those cells proliferated last and which lie in the mar- ginal layer. These have been studied by means of the Golgi method in new-born Mammals by Cajal and others. The majority of these cells form granule cells by means of a progressive migration and differentiation, as shown in the accompanying Fig. 459. Each cell first develops a single horizontal process, then another, thus becoming a horizontal bipolar cell. Following this, the cell body migrates past the Purkinje cells into the granular layer, remaining in connection with the original processes by a single process. There are thus formed the axone of the granule cell with its bifurcation into two horizontal pro- cesses, the parallel fibers of the molecular layer. This mode of formation is thus THE NERVOUS SYSTEM. 529 similar to the unipolarization of the cerebrospinal ganglion cell. The dendrites begin to be formed during the migration, branch when the cell body reaches the granular layer and there finally attain the adult form. Other undifferentiated cells in the marginal layer send out horizontal processes the collaterals of which envelop the Purkinje cell bodies, and form the baskets. The place vacated, so to speak, by the migrating granules, is filled at the same time by the developing dendrites of the Purkinje cells. These at first show no regularity of branching, but subsequently differentiate into the definite branches of the adult condition, at fhe same time advancing toward the periphery (Fig. 460). When they FIG. 460. Section through cerebellar cortex of a dog a few days after birth, showing the partial development of the dendrites of two cells of Purkinje. Cajal. A, external limiting membrane; B, external (embryonic) granule layer; C, partly formed molecular (plexiform) layer; D, granular layer; a, body of cell of Purkinje; b, its axone; c, and d, col- laterals with terminal arborizations (e). reach this, the migration of the granules is completed and the molecular layer is definitely formed. This condition, evidenced by the disappearance of the outer granular layer, is usually reached in Mammals within two months after birth, but in man not until the sixth or seventh year. There are observations indicating that animals possessing completely developed powers of locomotion and balancing at birth have more completely differentiated cerebella at that time. The axones of the Purkinje cells form many embryonic collaterals which are afterward reduced in number. Of the centripetal fibers to the cerebellum, those from the inferior olives .cross the median line of the medulla about the seventh or eighth week, and thence advance to the vermis, reaching their final destination during the third 530 TEXT-BOOK OF EMBRYOLOGY. month. The fibers from the pontile nuclei (middle peduncle) do not develop until considerably later (end of the fourth month), the time of their reaching their destination in the cerebellar hemispheres not being definitely known. Many at least of the centripetal fibers do not reach their full development in Mammals till birth or after. Some of these fibers (climbing fibers] form arbor- izations around the inferior (axone) surface of the Purkinje cell bodies and later creep upward, enveloping the upper surface instead, and finally the den- dritic branches. Other centripetal fibers (mossy fibers) ramifying in the granular layer are varicose fibers, at first otherwise smooth. From the vari- cosities a number of branches are given off which later become abbreviated and modified into the shorter processes of the adult condition. This final differ- entiation occurs simultaneously with the final differentiation of the dendrites of the granule cells with which they come into connection. The glia elements apparently develop in a manner essentially similar to their development else- where. The development of the internal nuclei of the cerebellum has not been thoroughly investigated. The nucleus dentalus is well developed at the end of the sixth fcetal month. Eminences passing forward and ventrally along the sides of the isthmus are the earliest indications of the superior peduncles^ formed later by the axones of the cells of these nuclei. Corpora Quadrigemina. The mid-brain roof is an expansion of the alar plate of the mid-brain. Later this differentiates into the anterior and posterior corpora quadrigemina. In the former, by the usual ventricular mitoses (germinal cells), a nuclear layer is formed with a non-nucleated marginal layer external to it which becomes the outer or zonal layer. Still later the neuroblast or mantle layer is differen- tiated, there being an unusually thick inner layer. The further development has not been closely studied in man. Owing to the diminished importance of the anterior corpora quadrigemina (p. 467) the neuroblasts do not differ- entiate into the well marked "spread out" layers characteristic of the optic lobes of many Vertebrates. This is probably due to a lack of development of their association neurones. The fibers of the optic tracts grow toward the anterior corpora quadrigemina in the marginal layer forming the anterior brachia. When they reach the anterior corpora quadrigemina, they leave the marginal layer and penetrate the gray matter forming the most external fiber layer. The medial (and some lateral) lemniscus fibers enter more deeply than the optic. Neuroblast axones grow toward the ventricle, turn internally to the lemniscus fibers, cross (Mey- nerfs decussatiori) , and proceed as the predorsal tracts to the segmental brain and cord, lying ventral to the medial longitudinal fasciculi. THE NERVOUS SYSTEM. 531 The Diencephalon. The stage of development of the diencephalon at four weeks has already been mentioned (p. 478). (Figs. 461, 471 and 472.) In the lateral walls the principal feature is the presence of a furrow, the sulcus hypothalamicus, which beg ; ns ventrally as an extension of the optic recess and extends dorsally and caudally toward the mid-brain. A branch of it extends to the posterior part of the foramen of Monro. This is the sulcus Monroi. The sulcus hypothala- micus is sometimes regarded as the representative in this region of the sulcus limi tans. It is doubtful whether it has the same morphological value as the latter. Such a comparison is seen a priori to be difficult when it is considered that this region is in the most highly modified part of the brain tube, lacking SM Ma. FIG. 461. Transverse section through the diencephalon of a 5 weeks' human embryo. Dp., Roof plate; Ma., mammillary recess; P. s. hypothalamus; S.M., sulcus hypothalamicus; Th. t thalamus. His. motor peripheral apparatus, and that it is also the end region of the tube where all longitudinal divisions would naturally merge. The sulcus deepens till the end of the second month (Fig. 467). Later it becomes shallower, but appears to persist till adult life. The region of the diencephalon ventral to the sulcus, as already mentioned, is termed the pars subthalamica or hypothalamus. The ventral part of the optic stalk forms a transverse groove in the floor, the pre- optic recess, caudal to which is a ridge or fold, the chiasma swelling, in which the fibers of the optic chiasma later appear.* Caudal to this is the recess or invagi- nation of the floor, representing the postoptic recess and the beginning of the infundibulum (Figs. 462 and 463) . Its extremity later becomes extended into the infundibular process, the posterior part of which in the fifth week comes into contact with the hypophyseal (Rathke's) pouch. This is a structure formed * According to Johnston, the chiasma is formed in front of the optic recess which would then be represented by the postoptic recess. In this case the chiasma would be regarded as falling in the region of the telencephalon instead of forming the optic part of the hypothalamus (comp. Figs. 402 and 471). 532 TEXT-BOOK OF EMBRYOLOGY. from the stomodaeal epithelium and is connected with the latter by a stalk. The pouch, which is at first a flat structure, develops two horns which envelop Ant. corp. quad. Pineal (ant. colliculus) region Anterior brachium r> w ^>' Pallium Ant olfact. lobe Post. Optic stalk Hypophyseal pouch Mammillary Lateral Tuber region geniculate cinereum body FIG. 462. Lateral view of a model of the brain of a 10.2 mm. human embryo (middle of 5th week). His. the infundibulum. The cavity of the end of the infundibular process becomes nearly shut off from the rest of the infundibular cavity. The process penetrates the upper part of the pouch and then bending reaches its posterior surface and Diencephalon Thalamus Pineal region Pallium Foramen of Monro Sulcus hypothal- amicus Ant. olfact. lobe Post, olfact. lobe Lamina terminalis Corpus striatum Mesencephalon Tegmental swelling Mammillary region Hypothalamus Tuber cinereum Recessus Hypophyseal Recessus (prae?) opticus pouch infundibuli FIG. 463. Median view of the right half of a model of the brain of a 10.2 mm. human embryo (middle of 5th week). Compare Fig. 462. His. ends blindly. In the second half of the second month epithelial sprouts, which become very vascular, begin to appear, first in the lateral parts of the pouch, THE NERVOUS SYSTEM. 533 next the brain, and then extending through the pouch and finally nearly oblit- erating its cavity (third month). The shape of the organ (the hypophysis) formed by the union of these two parts is subsequently changed by its relations to surrounding parts. Its posterior lobe is derived from the infundibular por- tiDn, its anterior lobe from the pouch. An expansion of the floor of the brain caudal to the infundibulum has been mentioned as the mammillary region. Subsequently there is formed fror.i its ce phalic part another evagination, the tuber cinereum. The mammillary region forms the mammillary bodies. The region caudal to the mammillary region la';er receives many blood vessels, thereby becoming the posterior perforated space. At the end of the fourth week the roof plate of the diencephalon is smooth. At about this time the greater part of the roof expands, forming a median longitudinal ridge (Fig. 464). This ridge, which remains epithelial throughout life, is broader at its anterior end where it passes between the beginning pallial hemispheres. As the roof plate expands further, the anterior part is next thrown into longitudinal folds. The ridge forms the epithelial lining of the tela chorioidea of the third ventricle (diatela). By further growth and vas- cularization of its mesodermal covering at the beginning of the third month, there is formed the chorioid plexus of the third ventricle (diaplexus). Lateral extensions of the tela form the chorioid plexuses of the lateral ventricles (see p. 547) . In the fifth week a protrusion appears at the caudal end of the median ridge which is the beginning of the epiphysis. Soon after this, the furrow which forms its caudal boundary extends forward along the upper part of the sides of the walls, marking off a fold which is the lateral continuation of the median protrusion. From the median protrusion is later formed the pineal body y while from the lateral folds are formed the pineal stalk, and in front the habenula, with its contained nucleus (ganglion) habenulce, and the stria medullaris. Still further caudally, the anterior part of the mid-brain forms a horseshoe-shaped fold the arms of which extend forward over the dien- cephalon, ventral to the pineal folds. The median part of this fold forms the anterior corpora quadrigemina. From its lateral extensions are formed the anterior brachia of the anterior corpora quadrigemina, the pulvinar and the lateral and medial geniculate bodies, all of which (pulvinar ?) later receive optic fibers. The transverse furrow which forms the boundary between the rudi- ments of the pineal body and of the anterior corpora quadrigemina marks the location of the future posterior commissure (Figs. 464, 465 and 466) . The part of the roof anterior to the pineal fold, as already stated, forms the tela chorioidea of the third ventricle. Certain folds appear in it, however, which are more clearly indicated in later stages of embryonic development than in the adult and which probably represent structures already mentioned 534 TEXT-BOOK OF EMBRYOLOGY. as common to the vertebrate brain ("cushion" of the epiphysis, velum trans- versum, paraphysis ?) (p. 454 and Fig. 402) . From the above it is evident that at the close of the fifth week the rudiments of the various parts of the diencephalon are already well marked. These rudiments are principally indicated by foldings of the walls, there being no very strongly marked differences of thickness except the early differentiation between the median and lateral plates. From this time on, both general and local Lamina terminalis Cavity of ant. olfact. lobe Anterior arcuate fissure Cavity of post, olfact. lobe Chorioid fold Hippocampal fissure Lateral geniculate body Pineal region Ant. corp. quad. (ant. colliculus) (extending fprward into ant. brachium) i Angulus praethalamicus (a) (b) (c) Corpus striatum Roof plate of diencephalon FIG. 464. Dorsal view of a model of the brain of a 13.6 mm. human embryo (beginning of 6th week). The dorsal part of the pallium on each side has been removed. Compare with Figs. 465 and 466. His, thickenings of the lateral walls occur. This indicates a rapid proliferation of the cells, especially a differentiation of the nerve cells and consequent forma- tion of masses of gray and white matter. Another factor affecting the dien- cephalon is the subsequent growth backward over it of the cerebral hemispheres. During the second month, the lateral walls become thickened, forming a prominence on the inner surface of each side. This reduces much of the cavity of the third ventricle to a cleft and in the third or fourth month a fusion of THE NERVOUS SYSTEM. 535 a portion of these two projections takes place, forming the commissura mollis or massa intermedia. The condition at this stage is shown in Fig. 467. Later Ant. corp. quad. Diencephalon Tegmental swelling Mammillary body Tuber cinereum Pallium Beginning of fossa Sy-vii Ant - "I olfact. PostJ lobe Optic stalk Infundibulum Hypophyseal pouch. FIG. 465. Lateral view of the model of the brain of a 13.6 mm. human embryo (beginning of 6th week). F, Beginning of frontal lobe; T, beginning of temporal lobe. His. this protrusion thrusts the lateral structures above described (the pulvinar, geniculate bodies and brachia) to the side, the cavity of the lateral geniculate Eplthalamus (Corpus pinealc) Mclathalamus (Corpora geniculata) Thalaraus Fissiira chorioidea Pallium . Rhiiiencephalon Corpus striatum' Sulcus hypothalamicus , - '-'' Hvpothalamus ' Chiasma opticum .Corpora quadrigemina .Pedunculus cerebrt Cerebellum Fosa rhoniboidea FiG. 466. From a model of the brain of a 13.6 mm. human embryo, right half, seen from the left side. His, Spalteholz. body being obliterated. The prominence itself extends to the tegmental swell- ing (see Figs. 467-8) and there thus arises the possibility of direct connections 536 TEXT-BOOK OF EMBRYOLOGY. between these two structures. There can, then, be distinguished in the dien- cephalon three regions, a hypothalamic region, as already described, an epithala- Hippocampal fissure Chorioid fissure Angulus praethalamicus Foramen of Mon Ant. arcuate fissure Preterminal area Ant. olfact. lobe Olfactory nerve Post, olfact. lobe Hypothalamic region Mammillary region Lamina terminalis R.o. Hypophysis FIG. 467. Median sagittal section of the brain of a 7^ weeks' human embryo. Aq. S., Aquaeductus Sylvii; C. e., fold between mid- and interbrain; C. w., commissura mollis; C. s., corpus stri- atum; H. b., tegmental swelling; R.g., geniculate recess; R.i., recessus infundibuli; R. o. t recessus (prae-?) opticus; S.h. y habenular evagination; 5. M., sulcus hypothalamicus; S.p., pineal evagination; T. T., thalamus. His. mic region comprising the pineal body, ganglia habenulae and related structures, and finally the thalamus proper. In the latter, the geniculate bodies already Ttialauuis Epithalamus (Corpus ptnealei Metathalamus (Corpora geniculaial Corpus striati RhinencepUalon / .' / / Pars optica hypothalami ,'' /' / Chiasma opticum'' ,'' Hypophysis'' Pars maraillaris hypothalarai' Pons (Varo Corpora quadi igemtna Pedunculus cerebri -Cerebelhmi --- Fossa rhomboidea Medulla oblongaia FIG. 468. Brain of a human foetus in the 3d month, right half, seen from the left. His, Spalteholz. mentioned constitute a metaihalamic portion, while the portion derived from the thickened part, which is continuous anteriorly with the corpus striatum, THE NERVOUS SYSTEM. 537 differentiates various nuclei, especially those which receive the general somatic sensory fibers (medial lemniscus or fillet) , and other nuclei in relation to definite centers of the pallium. The thalamus is thus strongly developed, owing to its containing the nuclei which receive the general sensory (ventro-lateral nuclei), acoustic (medial geniculate bodies), and optic (lateral geniculate bodies) sys terns of fibers and which in turn send fibers (thalamic radiations) to the palli am. These thalamic nuclei do not receive fibers probably until after the middle of the second month. About this time the thalamic radiations begin to be for.ned from the thalamic nuclei and grow toward the corpus striatum which they rjach toward the end of the second month. With the first appearance of the coi tical TbaJatnus Pallium BhinencepbaloQ Becessus opticus Chiasma Opticnm ..' / Recessus infundibuli ' / Infundibulum Pedunculus cerebri Velum medul- lare an ten us Cerebellum Yen trie nlus quart us Medulla oblongata ponstvaroii] Myelon-Y^ WphalohV FIG. 469. Adult human brain, right half, seen from the left, partly schematic. Spalteholz. layer of the developing neopallium (see p. 542) they penetrate the corpus stria- tum and pass to the cortex, forming the beginning of the internal capsule, and corona radiata. It has already been pointed out (p. 467) that the great develop- ment of the thalamus and its radiations is more recent phylogenetically and is due to the newly acquired connections with the neopallium. Before the development of these neopallial connections, other tracts have begun to appear which represent older epithalamic and hypothalamic connec- tions existing practically throughout the Vertebrates (pp. 467 and 468). Some of the hypothalamic connections are the mammillo-tegmental fasciculus which appears early in the second month, the ihalamomammillary fasciculus (Vicq d'Azyr's bundle), which appears later, and the bundles from the rhinen- cephalon (p. 505) and archipallium (columns of the fornix, middle of fourth month, p. 551). In the hypothalamic region is also differentiated the corpus 538 TEXT-BOOK OF EMBRYOLOGY. Luysii, connected by "fiber bundles with the corpus striatum and tegmentum. Epithalamic connections are represented by bundles from anterior olfactory regions (stria medullaris, seventh week) , by the commissura habenularis, and by bundles to caudal regions (fasciculus retrofleocus of Meynert to the inter pedun- cular ganglion, middle of second month), (pp. 467 and 505.) The posterior commissure fibers are formed early in the second month in the fold between mid- and inter-brain (Fig. 467). (Fig. 470). St. FIG. 470. Construction of the brain of a 19 mm. human embryo (7^ weeks), showing the stage of development of some of the principal fiber-systems. His. C.c., posterior commissure; F. s., tractus solitarius; F.t., fasciculus spinalis trigemini (spinal V); K, nuclei of dorsa! funiculi of cord; L., medial longitudinal fasciculus; M., fasciculus retro- flexus of Meynert; Ma., mammillary bundle; .*"., nervus intermedius; O., olive; Ol., olfactory nerve; S., fillet; St., stria medullaris thalami; T., lhalamic radiation; T. o., tractus opticus; V, Gasserian ganglion; VII, facial nerve and geniculate ganglion; VIII, ganglia of acoustic nerve; IX, N. glossopharyngeus; X, N. vagus. The Telencephalon (Rhinencephalon, Corpora Striata and Pallium). To understand the development of this part of the brain it is necessary to keep firmly in mind certain relations which are laid down at a comparatively early stage. Some of these relations are shown in the diagram of the inner sur- face of a model of a brain of four weeks. At this stage the pallium is unpaired, i.e., there is no median furrow separating the two halves of the pallial expansion. The various boundaries of the pallium in one side are (i) the median line uniting THE NERVOUS SYSTEM. 539 the two halves of the pallial expansion (Fig. 471, be)] (2) the boundary line or line of union with the thalamus lying caudally (pallio-thalamic boundary) (Fig. 471, cd}\ (3) the boundary between pallium and corpus striatum (strio- pallial boundary) (Fig. 471, bd). The boundaries of the future corpus striatum are (i) the median (Fig. 471, ab), (2) the strio-pallial (Fig. 471, bd), (3) the strkKhalamic or peduncular (Fig. 471, de) and (4) the strio-hypothalamic (. . r ig. 471, ae). The internal prominence which is the rudiment of the coipus striatum, has three limbs or crura, (i) a ridge proceeding forward (anterior crus), which corresponds externally to the furrow (external rhinal furrow) fojming the lateral boundary of the anterior olfactory lobe, (2) a middle crus Prosencephalon (Fore -brain) Rhinencepha Corpus striatum Corpora quadrigemioa Peduuculus cerebrl Brachium conjunctive and velum medullare aoterius Pars optica liypothalarai Pai-s mamillaris hypothalami .. Pons [Varolil Pars ventralis - Sulcus limitans- (Lozenge- shaped brain) Cerebellum FIG. 471. From a model of the brain of a human embryo at the end of the first month, right half, seen from the left. His, Spalteholz. corresponding to the constriction separating the two olfactory lobes, and (3) a posterior crus corresponding to the posterior boundary of the posterior olfactory lobe. This latter is merged with the earlier furrow separating the telencephalon from the thalamus and hypothalamus (peduncular furrow). What may be called the main body of the corpus striatum, from which these limbs radiate, soon becomes expressed externally by a shallow depression in the lateral sur- face of the hemispheres immediately dorsal to the olfactory lobes. This depression is the first indication of the /0ssa Sylvii (Fig. 465) . The boundaries of the pallial hemisphere above indicated are identical with the boundaries of the future /0r#wW 0/M 579 I, nerve, 467, 468, 501, 55 peduncle, 541 placodes, 579 stalk, 541 tracts, 467, 468, 505, 537 INDEX 643 Olives, accessory, 520 inferior, 466, 519, 520, 524 superior, 523 Olivo-cerebellar fibers, 521, 529 Oraenta, anomalies of, 382 Omental bursa, 378 epiploic foramen of, 378 Omentum, 377 greater, 378 lesser, 379 Omosternum, 211 Omphalocele, 610 Omphalomesenteric arteries, 101, 103, 218, 246 veins, 102, 218 Oocyte, primary, 21, 22, 24 secondary, 22, 24 Oogonia, 22, 24 Opercula of insula, 552, 553 Optic apparatus, see Eye chiasma, 505, 531 cup, 566, 469, 577 depression, 563 evagination, 564, 576 lobes, 455, 467, 468 II, nerve, 454, 467, 5Q5, 53, 57$ neurone, first or distal, 573 second or middle, 573 radiation, 470, 471 stalk, 564, 576 thalami, 576 tract, 468, 505, 530, 576 vesicle area, 564 vesicles, 140, 454, 474, 564 Ora serrata, 570 Oral fossa, 139, 147 pit, 318 Orbitosphenoid bone, 191 Organ of Corti, 460, 467, 558, 587 of Giraldes, 417 of Rosenmiiller, 415 Organogenesis, 159 Os calcis (calcaneus), 204 centrale, 213 coxae, 203 Ossa suprasternalia, 185 Osseous tissue, 169 Ossification center, 171, 174 endochondral, 172 intracartilaginous, 172 intramembranous, 169 subperiosteal, 172, 174 stage, 182 Osteoblasts, 171, 273 Osteoclasts, 171, 177, 273 Osteogenetic tissue, 171, 173 Ostium abdominale tubae, 414 Otic ganglion, 501 Otocyst, 582 Ova, centrolecithal, 44 classification of, 12 meiolecithal, 12 mesolecithal, 12 polylecithal, 12 primitive, 408 number of, 410 telolecithal, 12 Ovarian cysts, 602 (Graafian) follicle, 409 liquor folliculi, 409 rupture of, 410 stratum granulosum of, 409 zona pellucida, 409 radiata, 409 Ovarian ligament, the, 422 Ovary, the, 10 anomalies of, 433 corpus hsemorrhagicum, 411 luteum, 410 descent of, 422, 437 diverticulum of Nuck, 422 egg nests, 408 ligaments of, 422 medullary cords of, 406, 407 migration of, 417, 422 Mullerian duct of, 413 parasitic growths of, 601 Pfliiger's egg cords of, 408 primary Graafian follicle of, 408 rete of, 407 stratum greminativum, 407 theca folliculi, 409 Oviduct, 414 anomalies of, 433 fimbriae, 414 non-stalked hydatid of Morgagni, 414 ostium abdominale tubae of, 414 Ovists, XIII Ovium, 10 Ovulation, 29, 30 Ovum, the, 10, 409 Bryce and Teachers, 86, 90, 92 containing two originally distinct anlagen, 599 faulty implantation of, 615 fertilization of, 33 of human, 37 644 INDEX Ovum, fixation to uterus, 116 Graf Spec's, 86, 154 Leopold's 85, 154 maturation of, 21 Peters', 86, 154 size of, 10 Palate, the, 319 bone, 194 cleft, 212, 608, 609 primitive, 580 Palatine processes, 319 Pallium, 455, 467, 474, 538, 539, 541 to 560 archipallium, 468, 505, 537, 541, 546 to 552 association neurones of, 468, 528, 530, 558 calcarine area or region (see also Visual area}, 557, 558 corpora striata, 455, 46^ 54* cortex of, 554 development of, 468 hemispheres of, 457, 470, 474, 538, 541 to 560 layer of giant pyramid cells, 558 layers of, 557 neopallium, 450, 552 to 560 postcentral area of, 471, 555, 557, 558 precentral area of, 472, 557, 558 rhinencephalon, 455, 467, 540 Pancreas, the, 350 anomalies of, 358 cells of, 354 connective tissue of, 352 duct of Santorini of, 351, 358 of Wirsung of, 351, 358 histogenesis of, 353 islands of Langerhans, 354 Pander, XIII Papillae, filiform, 321 fungiform, 321 hair, 440 lingual, 321 nerve, 438 renal, 396, 398 vascular, 438 Papillares muscle, 237 Paradidymis, the, 414 Paraphysis, 454, 534 Paraplasm, i Parasitic duplicity, 600 origin of, 602 Parasitic structures in the sexual glands, 601 Parathyreoids, 332 Parietal bones, 194 cavity, 227 of His, 372 mesoderm, 71, 83, 134, 370 recess, dorsal, of His, 372 Parolfactory area of G. Elliot Smith (see also Preterminal area), 469, 541 Paroophoron, the, 416 Parovarium, the, 415 Pars basilaris, 190 ciliaris retinae, 577 cystica, 345 hepatica, 345 mastoidea, 191 optica retinae, 577 petrosa, 191 squamosa, 190 subthalamica, see Hypolhalamus Partes laterales, 190 Patella, the, 204 Pathological embryos, 154 Paton, concerning development of pyramids, 555 concerning peripheral nerves, 494 Peduncles of cerebellum, middle, 466, 471, 473, 523, 530 inferior cerebellar, see Resliform body superior, 466, 471, 473, 530 Pellicle of cytoplasm, 168 Pelvic girdle, 203 Penis, the, 424 supernumerary, 601 Perforated space, posterior, 533 Perforatorium, 14 Pericardial cavity, primitive, 84 Pericardium, the, 370, 377 anomalies of, 382 Perichondrium, 173 Periderm, the, 437 Perilymph, 586 Perilymphatic space, 586 Perimysium, 311 Perineal body, the, 424 Perobrachius, 611 Perichordal sheath, 186 Periosteal buds, 173 Periosteum, 171 Periotic capsule, 189 Peripheral nervous system, see Nervous system, peripheral Peristomal mesoderm, 54, 73 Peritoneum, 382 Peritonsillar fissure, 526 INDEX 645 Perivitelline space, n Permanent teeth, 327 Peromelus, 611 Peropus, 611 Persistence of the cloaca, 357 Pes pedunculi, 466, 471, 523, 524, 558 Peter, concerning nasal sac, 579, 580 concerning origin of endolymphatic appen- dage in Amphibia, 583 Peters' ovum, 86, in, 135 Peyer's patches, 344 Pfluger's egg cords, 408 Phaeochrome cells, 426 granules, 426 Phaeochromoblasts, 427 Phalanges, 201 Pharyngeal membrane, 318, 330 region, 317 tonsils, 330 Pharyngopalatine arch, 330 Pharynx, the, 329 anomalies of, 356 development of, 329 glossopalatine arch, 330 pharyngopalatine arch, 330 pillars of the fauces, 330 Physico-chemical theory of monsters, 613 Piersol, classification of malformations of the extremities, 610 Pigment, 438 of neurones, 478, 489 Pillars of the fauces, 330 Pineal body, 454, 467, 533 stalk, 533 Pisiform, 201 Pituitary body, irregular tumors of, 600 Placenta, no anomalies of, 130 annular, 130 attachment of, to ovum and to uterine wall, 128 bipartita, 130 blood vessels of, 127 chorion frondosum, 118, 120 decidua basalis, 118, 120 discoidal, no duplex, 131 expulsion of, 130 fcetalis, no functions of, 124 maternal, no membranacea, 130 praevia, 128 Placenta, relations of, to uterine mucosa, 1 10, 1 20 size of, 128 spuria, 131 succenturiata, 131 uterina, no zonular, no Placenta?, multiple, no Placental septa, 123 Placentalia, no Placodes, 452, 495, 505 auditory, 582 epibranchial, 452 olfactory, 579 suprabranchial, 452 Plagiocephaly, 212 Plasmodi-trophoderm, 117, 121, 122 Plasmosomes, 2 Plastids, 2 Pleura, the, 366, 377 Pleural cavities, 373 Pleuroperitoneal membranes, 375 Pleuroperitoneum, 370 Plexus, Auerbach's, 491 chorioideus, see Chorioid plexus Meissner's, 491 vitelline, 217 Plica arcuata, 548 chorioidea (fold), 547 encephali ventralis, 453 rhombo-mesencephalica, 475 semilunaris, 579 Plicae palmatae, 415 Polar bodies, 21, 22, 25 differentiation, 12 relation to production of monsters, 603 rays, 6 Polydactyly, 213, 6n Polykaryocytes, 177, 273 Polylecithal ova, 12 Polysomatous monsters, 613 Polyspermy, 36 Pons varolii, 475, 523 Pontile nuclei, 466, 519, 523, 530 Pontine flexure, 477 Porencephaly, 605 Portio major, 501 Postbranchial branches of nerves, 464 Posterior arcuate fissure, 548 colliculi, see Posterior corpora quadrigemina corpora quadrigemina, 467, 517, 530 horn (dorsal gray column), 508 longitudinal fasciculus, see Fasciculus, medial longitudinal 646 INDEX Posterior nares, 320 Prebranchial branches of nerves, 464 Precervical sinus, 143, 147 Preformation theory, XIII Preformationists, XIII Pregnancy, abdominal, 30, 38 mammary gland, during, 443 proof of, 124 tubal, 30, 38 Premolar teeth, 327 Premuscle sheath, 305 tissue, 296 Preoptic recess, 531 Prepuce, in the female, 424 in the male, 424 Presphenoid bone, 191 Preterminal area of G. Elliot Smith, 469, 541 Primary areas or fields of Flechsig, 558 germ layers (see also Germ layers), 51 oocyte, 21, 22, 24 spermatocytes, 17, 19, 24 Primitive body cavity (ccelom), 71 coordinating mechanism, 504 entoderm, 133 groove, 6 1, 86 gut (see also Archenteron), 51, 72, 316, 370 intestinal cord, in the chick, 62, 77 in Mammals, 66 in Reptiles, 63 organs, 52 pericardial cavity, 84, 227, 311, 371 segments, 68, 139, 293, 300 streak, in the chick, 61 in Mammals, 65 Primordial cranium, 189 Proamnion, 80, 104 Processus neuroporicus, 454 reticularis, 511, 516 vaginalis peritonei, 420 Production of duplicate (polysomatous) mon- sters, 613 of monsters in single embryos, 614 Progamous determination of sex, 412 Projection fields, 558 Proliferation islands, 123 Pronephric duct, 384, 385 Pronephros, the, 384 pronephric duct of, 384 tubules of, 385 significance of, 385 Pronucleus, female, 23, 33 male, 23, 33 Prophase, 4 Prosencephalon (fore-brain), 454, 457, 467 diencephalon, 455, 467 peripheral neurones of, 501 telencephalon, 455, 467 Prosopopagus parasiticus, 600 Prostate gland, 402 Protentoderm, 54 of Amphibians, 54, 56 of Birds, 60 of Mammals, 66 of Reptiles, 59 Protoplasm, structure of, i Protozoa, cell- division in, 4 conjugation in, 38 Psalterium, see Fornix commissure Pterygoid hamulus, 191 process, 191, 194 Pubis, the, 203 Pulmonary artery, 235, 243 Pulp of teeth, 325, 326 Pulpy nuclei, 179 Pulvinar thalami, 533 Purkinje cells, 527, 529 Pygopagus, 596 Pyramids (see also Tracts, pyramidal}, 472, 521, 523, 524 Quadrigemina, anterior, see Anterior corpora quadrigemina posterior, see Posterior corpora quad- rigemina Rabbit, formation of amnion of, 104 Rabl, concerning origin of vitreous, 575 concerning sex cells, 404 Rachischisis, 313, 605, 607 cystica, 605 Radius, 200 Ramus, 196 communicans, gray, 492 white, 487, 492 Raphe (of epichordal segmental brain), 515 (of scrotum), 426 Rathke's pocket, 319 pouch, 531 Receptors, 448, 451, 457, 460, 462 visual, 501, 505 Recessus postopticus, 454, 531 praeopticus, 454, 531 Recklinghausen, von, concerning deficient growth of blastoderm, 607 Rectum, the, 341, 400 INDEX 647 Red blood cells, 270 Reduction of chromosomes (see also Matura- tion), 17, 410 Reflex arc, 506 three-neurone, 449 two-neurone, 448 Regnier de Graaf, XIII Reichert, XIV Rejuvenescence theory, 38 Remak, views of cell-division, 4 Renal corpuscle, 397 papillae, 396 pelvis, primitive, 391 pyramids, 397 tubules, convoluted, 393 straight, 391 Respiratory system, the, 360 anomalies of, 368 larynx, 361 lungs, 364 trachea, 363 Restiform body, 466, 521 Rete cords, 404 ovarii, 407 testis, 411, 412 Retention cysts, 610 Reticular formation, 465, 471, 515 to 518 gray, 516 white, 516 tissue, origin of fibers of, 16 Retina, 454, 501, 505, 570 amacrine cells of, 572 area centralis, 572 bipolar cells of, 505, 573 cone bipolars, 574 defective pigmentation of, 445 differentiation of cells of nuclear layer, 572 distal (first) optic neurone, 573 fovea centralis, 572 layer of ganglion cells of, 571 of nerve fibers of, 571 macula lutea, 572 middle (second) optic neurone, 573 Muller's or sustentacular cells, 572 nervous part, 570 non-nervous part, 570 ora serrata, 570 pigmented layer, 570 primitive nuclear layer of, 571 rod and cone cells of, 572, 573 bipolars, 574 Retterer, concerning lymphatic tissue of ton- sils, 330 Rhinencephalon, 455, 467, 505, 537, 540 to 54i Rhombencephalon (rhombic brain), 454, 475, 495 Rhombic brain (rhombencephalon), 461, 475 cerebellum, 455 tela chorioidea, 455 grooves, 489 lip, 513, 519, 525 Rhombo-mesencephalic fold, 454, 475 Rhythmical contractions, 98, 112 Ribs, the, 184 capitulum of, 185 costo-vertebral ligaments of, 184 foramen trans versarium, 185 ossification of, 185 tuberculum of, 185 Rods, 501, 505, 572, 573 Rolando, fissure of, 554 substantia gelatinosa of, 520 tuberculum of, 524 Roof plate (dorsal median plate), 453, 473, 513 Root fibers, afferent, 451 sheath, the, 440 Rosenberg's theory concerning vertebrae, 210 Rosenmiiller, organ of, 415 Rotation of extremities, 151 Roux, concerning source of parasitic growths, 604 Rubro-spinal tract, 466, 511 Rupture of the membranes, 113 Saccule, 586 Sacral flexure, 140 Salivary glands, the, 327 crescents of Gianuzzi, 329 histogenesis of, 328 sublingual, 327 submaxillary, 327 Santorini, duct of, 351 Sarcoplasm, 309 Scala media, 586 tympani, 586, 587 vestibuli, 586, 587 Schaper, concerning development of cerebel- lum, 527 Scaphocephaly, 212 Scapula, 199 Schleiden, XIV Schmidt, concerning mammary gland, 442 Schultz, concerning potentiality of germ cells, 604 Schwann, XIV 648 INDEX Sclera, 575 Sclerotome, 163, 179, 293, 307 Scrotum, the, 420, 426 Sebaceous glands, the, 442 Secondary egg membranes, 13 oocyte, 22, 24 Secretory function, 329 Segmental part of epichordal brain, 457, 459 Segmentation (see also Cleavage), 40 cavity, 47 cells, development of isolated group of, to form monsters, 603 Segments, primitive, 68, 139, 293, 300 of segmental brain and cord, 505, 506 Semilunar ganglion, 460 Seminal filament or spermatozoon, 10, 13 vesicles, 416 Seminiferous tubules, 411 Sense organs, special, 563 anomalies of, 591 ear, 582 eye, 563 nose, 579 Septa, the, 233 anomalies of, 285 Septal marginal layer, 514 Septum aorticum, 235 atriorum, 233 medullae, 514 pellucidum, 469, 552 spurium, 236 superius, 233 trans versum (see also Diaphragm), 372, 374, 377 ventriculorum, 235 Serosa, 103 Sertoli, cells of, 17, 21 Sex cells, 404 cords, 405 determination of, 27 Sexual elements, 404 Sheaths, myelin (medullary), 478, 494 neurilemma, 478 Sherrington, concerning effectors and recep- tors, 448 Shoulder girdle, 199 Siamese twins, 597 Sigmoid colon, 340 mesocolon, 381 Sinus, cavernous, 251 confluence of, 252 coronarius, 254 frontal, 580 Sinus, maxillary, 580 petrosal, 253 sagittal, 253 sphenoidal, 580 terminalis, 218 transverse, 252 venosus, 222, 232 Sinusoidal circulation, 347 Sinusoids, 260, 346, 347 Situs viscerum inversus, 354 Skeletal musculature, see Musculature, skeletal system, anomalies of, 209 appendicular skeleton, 198 axial skeleton, 178 development of the, 161 of joints, 205 head skeleton, 186 notochord, 178 ribs, 184 sternum, 185 vertebrae, 179 Skeleton, axail (see also Axial skeleton), 178 appendicular, (see also Appendicular skeleton), 198 Skin, the, 437 anomalies of, 4/14 dermis, 438 epidermis, 437 glands of, 442 pigment of, 438 Skull, defects of, 604 development of, 186 Smegma embryonum, 442 Smith, G. Elliott, concerning archipallium, 469 Smooth muscle, 311 histogenesis of, 312 Sole plate, 439 Somaesthetic area of pallium, 470, 557, 558, Somatic area (see also Pallium, precentral area), 558 segmentation, 450, 460 structures, 458 Somatochrome cells, 489 Somatopleure, 71, 105, 370 Somites, mesodermic, 68 Sperm, 10, 17 Spermatids, 17, 19, 28 Spermatocytes, 17 primary, 17, 24 secondary, 18, 22, 24, 28 Spermatogenic cells, 17 Spermatogenesis, 17 Spermatogonia, 17, 24 INDEX 649 Spermatozoon, the, 10, 13, 19 diagram of, 14 discovery of, XIII flagellate, 13 Spermium, 10 Sphenoid bone, 191, 193 Sphenomandibular ligament, 196 Sphenopagus, 600 Sphenopalatine ganglion, 501 Spigelius, lobe of, 349 Spina bifida, 605, 606, 607 cystica, 605 occulta, 606 Spinal accessory, XI, nerve, 464, 495 cord, the, 453, 454, 473, 506 Clarke's column, 466, 511 dorsal funiculi, 490, 503, 507 gray column, 458, 508 septum of, 510 growth of, 512 lack of, 606 malformations of, 605 ventral funiculi, 507 gray column, 458 ventro-lateral funiculus, 507 ganglion, 490, 491 cells, unipolarization of, 491 meningocele, 606 V, 460, 501, 518 Spindle, achromatic, 4 central, 4 Spino-cerebellar tracts, 466, 471, 512 Spiral fibers of spermatozoon, 14 filament, 20 lamina, 587 Spireme, closed, 5 open, 5 thread, 5 segmentation of, 18 Splanchnic mesoderm, 102, 341 or visceral structures, 458 Splanchnoccel, 71 Splanchnopleure, 71, 105, 370 Spleen, the, 283 cavernous veins of, 284 cells, 285 haematopoietic function of, 284 pulp cords of, 284 splenic corpuscles of, 284 Splenic corpuscles, 284 Spongioblasts, 479, 483 Spongioplasm, i Spongy bone, 171 Stapes, 197, 589 Sternopagus, 597 Sternum, the, 185 corpus sterni, 186 cleft, 211 malformations of, 597 manubrium sterni, 186 ossification of, 186 xyphoid process of, 186 St. Hilaire, concerning malformations, Stockard, on production of monsters, 614 Stomach, the, 335 anomalies of, 357 practical suggestions for study of, 358 region, 317 rotation of, 336 Strahl, concerning the mammary gland, 442 Stratum granulosum, 409 cells of, 410 Streeter, concerning the acoustic nerve, 589 concerning atrium of inner ear, 583 concerning development of IX, X, XI, cranial nerves, 495, 496 concerning floor of fourth ventricle, 524 concerning origin of endolymphatic ap- pendage in man, 583 concerning origin of genu facialis, 715 concerning rhombic grooves, 489 Stria medullaris, 533, 538 semicircularis, 543 terminalis, 543, 548 Striae Lancisi, 551 Striated involuntary muscle tissue, 311 voluntary muscle tissue, cells of, 307 endomysium of, 311 epimysium of, 311 fibers of, 308 histogenesis of, 307 intermuscular tissue of, 311 perimysium of, 311 sarcoplasm, 309 Stylohyoid ligament, 197 Styloid process, 192, 197 Subclavian artery, 242, 244, 248 Sublingual gland, 328 Submaxillary ganglion, 501 gland, 327 Subperiosteal ossification, 172, 174 Substantia gelatinosa of Rolando, 520 propria corneae, 578 Sudoriferous glands, the, 442 Sulcus hypothalamicus, 531 limitans, 477, 512, 524 650 INDEX Sulcus, longitudinalis, 235 Monroi, 531 Superior peduncle of cerebellum, 466, 471, 473, 530 Supplemental cleavage, 60 Supracondyloid process, 212 Supraglenoidal tuberosity, 199 Supraoccipital bone, 190 Suprarenal glands, 426 chromaffin cells, 426 cortical substance of, 427 lipoid granules of, 426 medullary substance of, 427 organs, 428 phaeochrome cells of, 426 relation to kidney, 428 Suprasegmental structures of Adolf Meyer (see also Cerebellum, Mid-brain roof, Cor- pora quadrigemina and Pallium), 450, 457, 466, 467, 505, 506 characteristics of, 457 connections of, see Cerebellum, Mid-brain roof, Corpora quadrigemina, Archi- pallium and Neopallium tracts to (see also Cerebellum, Mid-brain roof, Corpora quadrigemina, Archi- pallium and Neopallium), 466, 471, 5ii Suprasternal bones, 185, 211 Sylvii, fossa of, 539, 540, 552 Symblepharon, 608 Symmetrical duplicity, 594 anterior union, 598 complete duplicity, 593, 594 middle union, 597 multiplicity, 599 origin of, 599 posterior union, 596 Sympathetic (autonomic) system, 458 nervous system, see Nervous system, sympathetic Sympathoblasts, 427 Symphysis of lower jaws, 318 Sympus apus, 611 dipus, 611 monopus, 611 symelus siren, 611 Synapta, cleavage in, 41 Synarthrosis, 206 Syncephalus, 598 Synchondrosis, 206 Syncytial layer, 121 Syncytium of heart muscle, 312 Syndesmosis, 206 Synophthalmia, 608 Synosteosis, 211 Synotia, 591, 598 Synotus, 608, 609 Synovial fluid, 207 Syringomyelocele, 606 Tactile corpuscles of Meissner, 438 Taenia fimbrias, 548 of cerebellum, 525 of cerebral hemispheres, 542 of medulla, 513 Tail, gradual shortening of, 140, 144, 145 Talus, 204 Tarsus, bones of the, 204 Taste buds (see also Gustatory system), 450, 460 Tautomeric column cells, 503 Teeth, the, 322 dental groove, 323 papilla, 323 shelf, 323 dentinal canals, 326 fibers of, 326 pulp of, 325 dentine, 323, 325, 326 enamel, 324 organ, 323 membrana preformativa, 325 milk, 323 odontoblasts, 325 permanent, 326 true molars, 326 Tegmental swelling, 517, 535 Tegmentum, 524, 538 Tela chorioidea, 455, 533 Telencephalon (end-brain), 84, 455, 467, 538 to 56i corpus striatum, 455, 467, 474, 478, 539 pallium, 455, 467, 474, 538, 539 rhinencephalon, 455, 467, 505, 537, 540 to 54i Telolecithal eggs (ova), 12 Telophase, 6 Temporal bone, 191, 193 lobe, 542 Tendons, 167 Teratogenesis, 593 causes underlying origin of monsters, 612 malformations involving more than one individual, 593 malformations involving one individual, 604 INDEX 651 Teratoid tumors, 429, 430 Teratomata, 604 Terminal arborizations, 487, 504 areas of Flechsig, 559 Testicle, the, 411 anomalies of, 432 cells of, 412 descent of, 419, 437 mediastinum testis, 412 migration of, 418, 422 processus vaginalis peritonei, 420 rete testis, 411, 412 seminiferous tubules, convoluted, 411 straight, 411 stroma of, 412 tunica albuginea of, 405, 411 vaginalis propria, 422 Testis, mediastinum, 412 parasitic growths of, 602 rete, 411, 412 Tetrabrachius, 597 Tetrads, 18, 22 origin of, 18 Thalamic radiations, 470, 471, 537, 545, 546, 554 Thalamus, 467, 478, 505, 536, 546 Theca folliculi, 409 Theoria generationis, XIII Thigh,_development of, 150 Thoracic duct, 275, 279 region, defects of, 610 Thoracogastroschisis, 610 Thoracopagus, 597 parasiticus, 597 Thoracoschisis, 382 Thymus gland, 285, 333 anomalies of, 456 atrophy of, 334 histogenesis of, 334 malformations of, 597 tumors of, 601 Thyng, concerning anomalies of pancreas, 358 Thyreoglossal duct, 332 Thyreoid gland, 331 anomalies of, 356 colloid secretion of, 331 epithelial bodies, 332 its relation to formation of blood cells, 335 parathyreoids, 332 thyreoglossal duct of, 332 Thyreoids, lateral, 332 theories concerning, 332 Tibia, 204 Tissues, adenoid, 331 adipose, 167 chromamn, 429 connective, 161 lymphatic, of the tongue, 330 mesenchymal, 165 muscle, 307, 311 nephrogenic, 392 osseous, 169 premuscle, 296 retroperitoneal, 429 subcutaneous, 438 Toes, development of, 150 Tongue, the, 320 filiform papillae of, 321 foramen caecum liguae, 321 fungiform papillae of, 321 inner vation of, 462 lingual papillae of, 321 lingualis muscle of, 321 tuberculum impar, 320 vallate papillae of, 322 Tonsilla, 526 Tonsils, the, 330 crypts of, 330 lingual, 330 lymph follicles of, 330 pharyngeal, 330 Tooth tumors, developmental, 327 Torneux, concerning malformations of neural tube, 607 Tornier, concerning production of vertebrate monsters, 613 Trabeculae carneae, 237 Trachea, the, 363 Tracts, see also Fascicttli, central tegmental, 519 cortico-spinal, see Tracts, pyramidal Flechsig's, 466, 471, 512, 521 from Deiter's nucleus, 466, 511 from suprasegmental structures, 471, 512 Gower's, 466, 471, 512, 521 gustatory (see also Tractus solitarius) , 462, 467, 468 olfactory, 467, 468, 505, 537 optic, 467, 468, 505, 577 predorsal, 467, 530 pyramidal, 471, 472, 512, 521, 526, 524, 558 reticular formation + ventro- lateral ground bundle system, 504 reticulo-spinal, 516 rubro-spinal, 466, 511, 517 652 INDEX Tracts, secondary and tertiary olfactory, 505 optic (see also Optic nerve), 505 spino-cerebellar (dorsal), 466, 471, 512, 521 (ventral), 466, 472, 512, 521 spino-tectal and thalamic, 471, 512 to Deiter's nucleus, 466 to suprasegmental structures, 466, 471, 511, 518 to 525 Tractus solitarius (communis) of VII, IX and X nerves, 462, 499, 503, 504, 518, 521 Tragus, 594 Transposition of the viscera, 354 Transverse mesocolon, 380 Trapezium (bone), 201 (of medulla), 523 Trapezoid, the, 201 area of His (see also Preterminal area), 469, 54i Tribrachius, 597 Tricephalus, 599 Trigeminus, V, nerve, 460, 462, 464 Gasserian ganglion, 460 spinal V root, 460 Trigonum (bone), 213 (brain), 541 Triquetral bone, 200 Trochanters, 204 Trochlea, 200 Trochlear, IV, nerve, 462 Trophoderm, 48, 63, 133 Truncus arteriosus, 219 Tsuda, concerning production of spina bifida, 614 Tubal pregnancy, 30, 38 Tuber cinereum, 533 Tubercles, greater, 200 lesser, 200 Tuberculum of rib, 185 impar, 320 of Rolando, 524 Tubular form of blastoderm, in chick, 81 in Mammals, 85 Tumors of sexual glands, origin of, 603 Tunica albuginea, 405 vasculosa lends, 569 dartos, 438 vaginalis propria, 422 Turbinated bones, 192 Twins, equal monochorionic, 593, 594, 595 free duplicities, 593 unequal monochorionic, 594 Tympanum, 590 Ulna, 200 Umbilical arteries, 103, 222, 241 coelom, 338 cord, 128, 138 anomalies of, 131 in Mammals, 107, 138 in man, 128 length of, human, 130 hernia, 113, 622 ligament, middle, 115, 401 veins, 103, 222, 250 Umbilicus, dermal, 101 double, 596 intestinal, 101 Unicornuate uterus, 433 Unilateral hermaphroditism, 434 Unipolarization of spinal ganglion cells, 491 Unna, concerning anomalies of hair, 445 Uracho-vesical fistula, 432 Urachus, 102, 115, 401 anomalies of, 431 Urdarmstrang, 66 Ureters, the, 391 anomalies of, 430 relations of, to cardinal veins, 260 Urethra, the, 401, 424 anomalies of, 432 Urinary bladder, the, 400, 401 "Urinary fistula," 115 Urogenital sinus, the, 400 system, the, 384 anomalies of, 429 development of suprarenal glands, 426 genital glands, 403 kidney, 391 mesonephros, 386 metanephros, 391 pronephros, 384 urethra, 400 urinary bladder, 400 urogenital sinus, 400 Urorectal fold, the, 400 Uterus, the, 415 anomalies of, 433 bicornuate, 433 bipartite, 433 didelphys, 433 fixation of ovum to, 116 infantile, 433 masculinus, 417 relation of placenta to, in unicornuate, 433 Utricle, 586 INDEX 653 Utriculosaccular duct, 586 Utriculus prostaticus, 417 Uvula, 526 Vacuole, 2 Vagina, the, 415 anomalies of, 433 Vagus, X, nerve, 462, 464 Valves, the, 236 anomalies of, 285 Valvula bicuspidalis, 237 mitralis, 237 sinus coronarii, 236 tricuspidalis, 237 venae cavae inferioris, 236 Valvulae semilunares aortae, 237 semilunares arteriae pulmonalis, 237 venosae, 236 Vas deferens, 416 epididymis, 423 Vasa aberrantia, 349, 423 efferentia, 416 Vascular arteries, 240 blood vessels, 216 blood and blood cells, 267 changes in the circulation at birth, 265 development of the, 216 heart, 227 histogenesis of blood cells, 267 lymphatic system, 273 system, anomalies of, 285, 595 veins, 250 Vasculogenesis, principles of, 224 Vegetative pole (macromere), 52 Veins, accessory hemiarzygos, 260 anomalies of, 288, 607 ascending lumbar, 260 axillary, 263 azygos, 259 basilic, 263 brachial, 263 cardinal, 251, 253, 255 cavernous, 282 cephalic, 262 cerebral, 251 common iliac, 259 femoral, 265 fibular, 264 hemiazygos, 260 hepatic, 262 inferior sagittal, 253 internal spermatic, 258 jugular, 254 Veins, jugulocephalic, 264 lateralis capitis, 251 of Galen, 253 omphalomesenteric, 102, 218, 250 ovarian, 258 portal, 261 primary ulnar, 262 radial, 263 renal, 257 revehent, 256 saphenous, 265 sciatic, 265 subcardinal, 256 subclavian, 254, 266 subintestinal, 71 supracardinal, 259 suprarenal, 259 testicular, 258 tibial, 264, 265 umbilical, 103, 222, 250 vitelline, 102, 218 Velum, anterior medullary, 526 posterior medullary, 513, 526 transversum, 454, 534 Vena cava, inferior, 255, 257 superior, 254 Veno-lymphatics, 280 Ventral cephalic fold of brain, 453 mesentery, 377 mesogastrium, 377 root fibers, see Efferent root fibers Ventricle, 361 of Verga, 552 Ventricles of the brain, 456 fourth, 456, 478- lateral, 456, 542 anterior horn of, 542 ^* descending horn of, 542""" posterior horn of, 542 third, 456, 478 Ventricular septum, 233 Ventro-lateral plate, see Basal plate Vermiform appendix, 341 Vermis, 526 Vernix caseosa, 437, 442 Vertebrae, the, 179 alternation of vertebrae and myotomes, anomalies of, 209 blastemal stage of, 180 bodies of, 180 cartilaginous stage of, 180 costal process, 180 intervertebral fibrocartilage, 180 654 INDEX Vertebrae, ligaments of, 184 ossification stage, 182 sclerotomes of, 178 Vertebrae cervical, defects of, 604 Vertebral arch, 180 articular process of, 182 spinous process of, 182 transverse process of, 182 Vertebrate, the definition of, 450 differentiation of the anterior end of, 450 nervous system, see Nervous system, ver- tebrate Vesical fissure, 432 Vesicle, auditory, 582 blastodermic, 134 optic, 140, 564 Vesicles, brain, 454, 473 seminal, 416 Vestibular ganglion cells, 589 membrane (of Reissner), 587 nerve, 589 part of acoustic (auditory) nerve, 462 descending root of, 462 pouch, 583 Vestibule, 460 Vestibulum vaginae, 424 Vicq d'Azyr's bundle, 537 Vignal, concerning the myelin sheath, 494 Villi, chorionic, no, 118 fastening, 123 floating, 123 Visceral mesoderm, 71, 83 musculature, see Musculature, visceral neurones, sympathetic, 451 or splanchnic structures, 458 Visual area of pallium, 470, 557, 558 cortex, 557 Vitelline arteries, 101, 241 circulation, 220 duct, 113 membrane, n plexus, 217 veins, 102, 218 Vitellus, n Vitreous, 575 humor, 575 Voral cords, superior, or false, 361 true, 361 Volar arch, superficial, 248 Voluntary muscle, striated, histogenesis of, 307 origin of, 293, 294 Vomer, 192, 194 Von Baer, XIII Von Baer, concerning cell differentiation, 51 Von Baer's law, 384 Von Loewenhoek, concerning the discovery of the spermatozoon, XIII Von Spec's embryo, 86, 136 Waldeyer, concerning site of fertilization, 38 " Waters," the, 113 Webs between digits, 151 Weismann, concerning fertilization, 38 Wharton's jelly, 129 Wheeler, diagram showing amitosis, 4 White columns (see also Dorsal funiculus), 503 matter of cerebral hemispheres, 554 of cord and segmental brain, 504 ramus communicans, 487, 492 Wiedersheim, concerning the mammary gland, 443 concerning duplicity with double gastru- lation, 600 concerning the fertilization of eggs of sea-urchin, 34 Wilson, J. F., concerning intermediate region in the cord, 524 concerning intermediate plate, 524 Winslow, foramen of, 378 Wirsung, duct of, 351 Wlassak, concerning the myelin sheath, 494 Wolffian duct, 386 ridge, 388 "Wolf's snout," 212 theory of epigenesis, XIII Woods, concerning sex cells, 404 Wyder, concerning site of fertilization, 38 X-chromosome, 28 Xiphoid process, 186 malformations of, 597 Xiphopagus, 597 Y-chromosome, 29 Yolk, comparison of amount of in forms of gastrulation, 57, 64 entoderm, in Amphibians, 54 in Birds, 60 in Mammals, 66, 68, 81 granules, 12 lack of, in Mammals, 104 plug, 54 sac, 99, 135 formation of in chick, 99 function of, 100 in Mammals, 104, 106 in man, 87, 113 INDEX 655 Yolk sac, roof of, in chick, 80, 8 1 in Mammals, 85 in man, 87 stalk, loo, 107, 137, 317 Zander, concerning the nails, 439 Ziegler, concerning malformations of neural tube, 607 Ziegler's fusion theory of symmetrical duplic- ity, 599 Zona pellucida, n, 34, 409 radiata, 409 Zonula Zinnii, 578 Zonular placenta, no Zygomatic bone, 194 Zymogen granules, 354 THE LIBRARY UNIVERSITY OF CALIFORNIA San Francisco Medical Center THIS BOOK IS DUE ON THE LAST DATE STAMPED BELOW Books not returned on time are subject to fines according to the Library Lending Code. 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