=Physiology.=—The normal brain begins its development shortly after
fertilization of the germ cell, by the expansion of the anterior end of
the rudimentary spinal cord into four primary cerebral vesicles. These
develop into a series of elaborate infoldings, each with multiple cells
around them. At or about the sixth month of fetal life this embryonic
brain assumes the shape of the adult brain, minus the secondary
fissures and convolutions which are characteristic of full development.
At birth there are sometimes many convolutions and the brain weighs
from 280 to 330 grams. Growth is then rapid and at six months it weighs
from 560 to 680 grams;
At one year, 750 grams. It continues to increase until
At 12 to 14 years it weighs 1150 grams in the female, and 1300 in the
male;
At 20 to 21 years the weight is 1244 grams in the female and 1374 in
the male.
Growth is slow from this time until at 25 to 35 years the average
weight of the brain is 1269 grams (45 oz.) in the female, 1421 grams
(50 oz.) in the male.
This growth of the brain is due, first to the rapid multiplication of
nerve cells and, secondly, to the individual enlargement of each nerve
cell. These cells arise from the floor of the four primary vesicles
and are each similar to its fellow. They finally show differences in
feature and become characteristic in size and shape which process
continues throughout life. This process of differentiation of nerve
cells results in the peculiar laminated appearance of the brain cortex.
At the period of lamination, the nerve cells throw out delicate
processes which pursue definite directions throughout the brain mass
constituting a system of association fibers which link together in a
most complicated manner all parts of the brain, and are called the
association fibers of Flechsig. Projections from these cells form the
various pathways by which the brain is connected to the various parts
of the body.
Nerve cells in the different parts of the brain mature at different
periods, those areas which have to do with the highest intellectual
functions, viz., the frontal and parietal regions, maturing last.
At the seventh month of intrauterine life the brain cell is a small
round type of neuroblast, undifferentiated, lying in a matrix. The
cells increase in size until about the second week (extra-uterine)
of life, tiny processes begin to develop. At the third to fifth year
these cells are mature and possess axons, dendrons and geminules. These
communicate, forming the above named association system conveying
impulses to and from all parts of the cerebrospinal system. They
multiply and elaborate after puberty into a complicated system up into
middle life after which growth ceases and they slowly diminish.
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