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		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=317116</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=317116"/>
		<updated>2017-10-26T06:47:23Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
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&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brain's weight but contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence key historical discoveries, current research and animal models will be discussed. Towards the end of the page there are future questions listed on future investigations involving the cerebellum and the abnormalities from an affected cerebellum are also highlighted. Terms that may be difficult to understand have also been identified and defined.&lt;br /&gt;
&lt;br /&gt;
The following video provides a brief overview on the cerebellum which will be further discussed on this page:&lt;br /&gt;
&amp;lt;html5media height=&amp;quot;315&amp;quot; width=&amp;quot;560&amp;quot;&amp;gt;https://www.youtube.com/watch?v=Fir-v6EoZNE&amp;lt;/html5media&amp;gt; &amp;lt;ref&amp;gt; 2-Minute Neuroscience on Cerebellum. (2015). Retrieved October 25, 2017, from https://www.youtube.com/watch?v=Fir-v6EoZNE &amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016). Wikimedia Commons, the free media repository. Retrieved October 24, 2017, from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system: Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;400&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;1100&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Fastigial Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Interposed Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Dentate Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Vestibular Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
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&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Development=&lt;br /&gt;
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==Ectoderm==&lt;br /&gt;
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There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|'''Figure 14:''' Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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==Neural Development==&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tube. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tube does not close effectively.&lt;br /&gt;
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==Early Brain Vesicles==&lt;br /&gt;
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===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png|500px]]&lt;br /&gt;
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'''Figure 5:''' (Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
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'''Figure 6:''' (Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
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*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
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*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
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*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
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==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Cerebellum Developmental Weeks==&lt;br /&gt;
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===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
|&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
|  [[File:Stage9 dorsal.jpg|200px|thumb|'''Figure 7:''' Early stage of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage9 dorsal.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage9_dorsal.jpg&amp;lt;/ref&amp;gt;]] [[File:Stage10 bf5.jpg|200px|thumb|'''Figure 8: '''Late stages of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage10 bf5.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage10_bf5.jpg&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb|'''Figure 9:''' Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|'''Figure 10:''' Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|'''Figure 11:''' Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|'''Figure 12:''' Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb|'''Figure 13:''' Inferior image of a fetal cerebellum at second trimester&amp;lt;ref&amp;gt;Nuchal Fold Edema. Retrieved October 15, 2017, from http://www.fetalultrasound.com/online/text/2-006.HTM&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
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[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 15:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 16:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Overview of Development==&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
==Overview of Cerebellar Cell Development==&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers; layers are shown in Figure 15. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
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==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 17:''' Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 18:''' SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 19:''' Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Key Historical Discoveries=&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1500s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Galen, Vesalius and Varolio&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Late 1700s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Luigi Rolando, Pierre Flourens, David Ferrier&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Ferrier's findings of cerebellum.gif|220px|thumb|right| '''Figure 20:'''Ferrier's findings on a monkey's cerebellum with stimulation points discovered&amp;lt;ref&amp;gt;Sabbatini, R. M. (1997, March). Brain Maps The Study of Brain Function in the Nineteenth Century. Retrieved October 26, 2017, from http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;]] &lt;br /&gt;
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Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens, Luigi Luciani and David Ferrier were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Ernesto Lugaro&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Joseph Babinski and Gordon Holmes&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Mid 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt; Ramon y Cajal&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|220px|thumb|right|'''Figure 21:''' Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]] &lt;br /&gt;
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Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed. &lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1880s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Olof Larsell&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1960s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;John Eccles and Janos Szentágothai&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Purkinje Cell Arrangement.png|220px|thumb|right|'''Figure 22:''' Modular organisation of the cerebellum purkinje fibers by Janos Szentágothai&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;23335884 &amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
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&lt;br /&gt;
=Animal Studies=&lt;br /&gt;
==Animal Models==&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
[[File:Isthmic Organiser.png|310px|thumb|'''Figure 23:''' The Isthmic Organizer (IsO; shown in yellow) forms at the boundary of the posterior midbrain and anterior hindbrain: the IsO secretes Fgf8 and other growth factors, and is essential for defining the regions of the neural plate that will become the posterior midbrain (shown in blue) and the cerebellum (CB; green). &amp;lt;ref name=&amp;quot;PMID3870571&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|'''Figure 24:''' Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be corresponding to the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;220&amp;quot;| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|220px|thumb|center|'''Figure 25:''' Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|220px|thumb|center|'''Figure 26:''' Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|220px|thumb|center|'''Figure 27:''' Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|220px|thumb|center|'''Figure 28:''' Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
|&amp;lt;center&amp;gt;'''Medulloblastoma'''&amp;lt;/center&amp;gt;&lt;br /&gt;
|Medulloblastoma is a type of paediatric cancer of the cerebellum that occurs due to an over-proliferation of granule cell precursors in the External Germinal Layer.  These frequently occur from an activation in SHH and Wnt pathways, disrupting the normal transient proliferation in the EGL.  Therapies that promote differentiation of granule cells from the granule cell precursors in the EGL such as BMPs have shown to mitigate the disease &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Symptoms include headaches, nausea, vomit, tiredness, tilting the head to one side, difficulty in walking and balancing and problems with other motor skills. However these symptoms vary from patient to patient &amp;lt;ref&amp;gt; https://www.mdanderson.org/cancer-types/medulloblastoma.html &amp;lt;/ref&amp;gt;. &lt;br /&gt;
|&amp;lt;center&amp;gt;[[File:Medulloblastoma.jpg|220px|thumb|center|'''Figure 29:''' Brain magnetic resonance imaging of pediatric medulloblastomas: ( a) sagittal post-gadolinium WNT tumor; ( b) axial T2 of a SHH tumor. Red arrows delineate the tumor/leptomeningeal disease.&amp;lt;ref name=”PMIDPMC5490254”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5490254&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
==Emotional memory in depression==&lt;br /&gt;
[[File:Screen Shot 2017-10-26 at 10.20.18 am.png|thumb|'''Figure 30:''' In this image you can see differences between the two groups of gray matter density in the cerebellar subregions. Cool color: decreased gray matter density in depression; Warm color: increased gray matter density in depression. &amp;lt;ref name=”PMIDPMC5516611”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Past investigations have concluded that damage to the posterior lobule of the cerebellum can cause individuals to show changes in manner or emotional instability, similar to a degree of depression or psychosis, without an outward cerebellar motor syndrome&amp;lt;ref name=&amp;quot;PMID16434422&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16434422&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is highly suggestive of the cerebellum's role in emotional memory despite its involvement with motor control. Patients with Major Depressive Disorder (MDD) display a tendency to only selectively recall aspects of scenarios that match their moods, conforming with the &amp;quot;mood-congruent memory (MCM)&amp;quot; theory &amp;lt;ref&amp;gt;Gilligan S. G., &amp;amp; Bower G. H. (1983). Reminding and mood‐congruent memory. Bulletin of the Psychonomic Society, 21, 431–434)&amp;lt;/ref&amp;gt;. This study was undertaken with that principle in mind, and investigated the depth of cerebellar involvement in emotional memory in depression. A link between the volume and density of cerebellar gray matter with measurements of emotional memory was hypothesised. &lt;br /&gt;
&lt;br /&gt;
The experiment was conducted between patients with Major Depressive Disorder (MDD) and healthy controls (HCs)&amp;lt;ref name=”PMID5516611”&amp;gt;&amp;lt;pubmed&amp;gt;5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Patients with MDD displayed an atrophy in both gray matter and white matter, most severely in the posterior lobule. There was a significant impairment in emotional memory and decreased volume of the cerebellum in both anterior and posterior lobules. There was marked abnormalities in cortical density, but only a reduction in volume was found to be associated with decreased emotional memory. The severity of depressive symptoms correlated with both volume and density reduction in the grey matter. &lt;br /&gt;
The posterior, anterior and flocculonodular lobes of patients with MDD displayed marked structural differences from the healthy controls, and a functional connectivity between lobules VI and VII of the cerebellum and the cerebrum could indicate that the decreased density in the lobules of MDD patients contributes to alterations in this connectivity. The flocculonodular lobe is especially implicated in MDD. The lobe is associated with vestibular regulation;  Soza and Aviles (2007)&amp;lt;ref name=”PMID17074443”&amp;gt;&amp;lt;pubmed&amp;gt;17074443&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; found that patients who experienced vestibular vertigo also experienced depressive symptoms. This study also determined that patients who experienced depression also experienced bouts of dizziness. Thus, an unprecedentedly widespread area of the cerebellum is displayed to be connected with emotional memory, in particular, with positive or negative memory retention and could lead towards a cure for depression. &lt;br /&gt;
&lt;br /&gt;
==Dystonia==&lt;br /&gt;
[[File:Cerebellum Dystonia.png|thumb|'''Figure 31:''' Direct comparison of dystonia scores for animals with torsinA knockdown in the cerebellum alone (TorsinA CB, N = 20) compared with mice with knockdown in the cerebellum and basal ganglia (TorsinA CB+BG, N = 3) at three representative time points; 3 weeks, 11 weeks , and 13 weeks post-injection. There wasn't a significant difference in dystonia score between mice with torsinA knockdown in the cerebellum alone compared to those with knockdown in the cerebellum and basal ganglia &amp;lt;ref name=”PMIDPMC5340526”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5340526&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
This investigation into a potential link between dystonia -a disorder where muscles contract involuntarily- and the cerebellum attempts to delineate its pathophysiological role in the disease &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;5429509&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; . The main concern is that the etiology of dystonia appears to be extremely varied, and as such, unpredictable. There is no significant neural degeneration, but in secondary cases there may be structural lesions present in tissue which could be areas of pathophysiology in dystonia &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;27173653&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Dystonia may manifest itself in almost any body part, indicating that the neural area responsible most likely must not be very specific. This in combination with the involuntary nature of dystonia seems to indicate that the cerebellum is the more than likely involved in the disease. &lt;br /&gt;
&lt;br /&gt;
Basal ganglia abnormalities are hinted to be a causative agent in dystonia.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;9679773&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The gap in the knowledge of the true interactions between basal ganglia and the cerebellum with regards to dystonia have led to a hypothesis; that the difference in basal ganglia malfunctioning versus abnormal interaction between the ganglia and the cerebellum could reflect the heterogenous pathophysiology of dystonia; either primary or secondary. Some experimental evidence currently available implies that cerebellar dysfunction could affect the topographic distribution of the symptoms of dystonia, and therefore further research is warranted to investigate the full depth of basal ganglia involvement in the disease. &lt;br /&gt;
&lt;br /&gt;
==Adaptation to Delayed Action Effects==&lt;br /&gt;
[[File:Adaptation Cerebellum.png|thumb|'''Figure 32:''' In real stimulation, a considerable increase in pre-stimulus low-frequency activity is only found in the right cerebellar hemisphere (near to the stimulation site). But in sham stimulation, pre-stimulus low-frequency activity increases in both the right cerebellar hemisphere and cerebellar vermis.&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.]]&lt;br /&gt;
Sensory attenuation refers to when individuals filters unnecessary information. When there is a perturbation between actions and the following-sound, the sensory attenuation is reduced &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
An example of perturbation is when there is a delay when an individual presses a button with sound immediately expected, but instead the sound is delayed. Sensory attenuation can be further described by the forward model theory. The forward model theory suggests that predictions for sensory consequences (for example, sound that is heard) are made simultaneously with the motor movement&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Predictions and real sensory input (what really happens), after the sound delay is conducted, are compared in the model. If the prediction and real sensory input do not matchup, sensory attenuation is observed. The prediction errors are then relayed to other brain areas for further processing&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
The process of sensory attenuation usually re-emerges after the disruption to the normal mechanism &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The re-emerging of this is a process of either correcting previous predictions or updating initial forward models to minimise prediction errors. The cerebellum is currently being researched on how it plays an important role in updating the forward model within the brain&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. One investigation seeks to find evidence on the involvement of the cerebellum in learning to predict the unexpected delays. This investigation has found that low-frequency activity in the cerebellum, prior to the stimulation, plays a key role in adapting to the delayed stimulus &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
==Addiction==&lt;br /&gt;
[[File:Addiction Cerebellum.png|thumb|'''Figure 33:''' Nissl staining showing the dopamine receptor expression within the cerebellum of a songbird &amp;lt;ref name=”PMIDPMC2904815”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2904815&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
The cerebellum has only recently been suspected to be involved in addictive behaviour, as some arguments provided for the initiation of research into the cerebellar role on addiction&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26602022&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellum is shown to be intrinsically linked with dopamine release and reception&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;16451810&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;; with dopamine being the main hormone on which addiction is predicated, it is likely that the cerebellum could influence the response to the addictive stimuli. It has also been established that addictive drugs cause specific molecular mechanisms, changes in synapse plasticity&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;10224304&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, and influence intracellular transduction pathways as well as gene expression in the cerebellum&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25262781&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The specificity of the drugs in targeting the cerebellum could highlight the link between the affected organ and addictive behaviour. Addictive drugs such as cocaine have been demonstrated to produce a behavioral sensitivity in mice, and an associated change in cerebellar plasticity. The change of the morphology of Purkinje cells and synaptic terminals in the mice most likely contributed to the difference in reception of the drug&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25619460&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, this link has not yet been fully investigated. &lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Although there are numerous articles and ongoing research on the cerebellum, there are still investigations yet to be performed. Some questions that could be answered in future research include:&lt;br /&gt;
*Is the cerebellum size related to human intelligence?&lt;br /&gt;
*Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*What changes in cerebellum development lead to the social impairments seen in those with Autism Spectrum Disorder?&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;28150911&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*Do we need the cerebellum to actually function and survive?&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
*'''ApoER2''' – Works with VLDLR and is a very important receptor in the brain affecting neuronal function and development. &lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
*'''Dopamine''' – neurotransmitter and a precursor of substances including adrenaline. &lt;br /&gt;
*'''Eurydendoid cells''' – cerebellar efferent neurons.&lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
*'''Hoxa2''' – a gene that encodes for a transcription factor which could be involved in the development of the positioning of the hindbrain. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
*'''Otx2''' – a protein that is involved with defining the layers and regions of the cerebral cortex and cerebellum.&lt;br /&gt;
*'''Perturbation''' –  (In the context of the Current Research) alternation to the normal mechanism that would happen in response to a stimulation &lt;br /&gt;
*'''Plasticity''' – the brains ability to change at any age. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
*'''Tentorium''' – fold of the dura mater forming division between cerebrum and cerebellum.&lt;br /&gt;
*'''VLDLR''' – Very-low-density-lipoprotein receptor, it’s a transmembrane lipoprotein receptor&lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=317100</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=317100"/>
		<updated>2017-10-26T06:27:25Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brain's weight but contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence key historical discoveries, current research and animal models will be discussed. Towards the end of the page there are future questions listed on future investigations involving the cerebellum and the abnormalities from an affected cerebellum are also highlighted. Terms that may be difficult to understand have also been identified and defined.&lt;br /&gt;
&lt;br /&gt;
The following video provides a brief overview on the cerebellum which will be further discussed on this page:&lt;br /&gt;
&amp;lt;html5media height=&amp;quot;315&amp;quot; width=&amp;quot;560&amp;quot;&amp;gt;https://www.youtube.com/watch?v=Fir-v6EoZNE&amp;lt;/html5media&amp;gt; &amp;lt;ref&amp;gt; 2-Minute Neuroscience on Cerebellum. (2015). Retrieved October 25, 2017, from https://www.youtube.com/watch?v=Fir-v6EoZNE &amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016). Wikimedia Commons, the free media repository. Retrieved October 24, 2017, from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system: Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;400&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;1100&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Fastigial Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Interposed Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Dentate Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Vestibular Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Development=&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|'''Figure 14:''' Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tube. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tube does not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 5:''' (Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 6:''' (Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Developmental Weeks==&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
|&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
|  [[File:Stage9 dorsal.jpg|200px|thumb|'''Figure 7:''' Early stage of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage9 dorsal.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage9_dorsal.jpg&amp;lt;/ref&amp;gt;]] [[File:Stage10 bf5.jpg|200px|thumb|'''Figure 8: '''Late stages of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage10 bf5.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage10_bf5.jpg&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb|'''Figure 9:''' Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|'''Figure 10:''' Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|'''Figure 11:''' Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|'''Figure 12:''' Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb|'''Figure 13:''' Inferior image of a fetal cerebellum at second trimester&amp;lt;ref&amp;gt;Nuchal Fold Edema. Retrieved October 15, 2017, from http://www.fetalultrasound.com/online/text/2-006.HTM&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
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[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 15:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 16:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Overview of Development==&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
==Overview of Cerebellar Cell Development==&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers; layers are shown in Figure 15. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 17:''' Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 18:''' SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 19:''' Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Key Historical Discoveries=&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1500s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Galen, Vesalius and Varolio&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Late 1700s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Luigi Rolando, Pierre Flourens, David Ferrier&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Ferrier's findings of cerebellum.gif|220px|thumb|right| '''Figure 20:'''Ferrier's findings on a monkey's cerebellum with stimulation points discovered&amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;]] &lt;br /&gt;
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Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens, Luigi Luciani and David Ferrier were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Ernesto Lugaro&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Joseph Babinski and Gordon Holmes&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Mid 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt; Ramon y Cajal&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|220px|thumb|right|'''Figure 21:''' Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]] &lt;br /&gt;
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Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed. &lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1880s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Olof Larsell&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1960s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;John Eccles and Janos Szentágothai&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Purkinje Cell Arrangement.png|220px|thumb|right|'''Figure 22:''' Modular organisation of the cerebellum purkinje fibers by Janos Szentágothai&amp;lt;ref&amp;gt;https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3541516/figure/F2/&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
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&lt;br /&gt;
=Animal Studies=&lt;br /&gt;
==Animal Models==&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
[[File:Isthmic Organiser.png|310px|thumb|'''Figure 23:''' The Isthmic Organizer (IsO; shown in yellow) forms at the boundary of the posterior midbrain and anterior hindbrain: the IsO secretes Fgf8 and other growth factors, and is essential for defining the regions of the neural plate that will become the posterior midbrain (shown in blue) and the cerebellum (CB; green). &amp;lt;ref name=&amp;quot;PMID3870571&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|'''Figure 24:''' Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be corresponding to the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;220&amp;quot;| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|220px|thumb|center|'''Figure 25:''' Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|220px|thumb|center|'''Figure 26:''' Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|220px|thumb|center|'''Figure 27:''' Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|220px|thumb|center|'''Figure 28:''' Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
|&amp;lt;center&amp;gt;'''Medulloblastoma'''&amp;lt;/center&amp;gt;&lt;br /&gt;
|Medulloblastoma is a type of paediatric cancer of the cerebellum that occurs due to an over-proliferation of granule cell precursors in the External Germinal Layer.  These frequently occur from an activation in SHH and Wnt pathways, disrupting the normal transient proliferation in the EGL.  Therapies that promote differentiation of granule cells from the granule cell precursors in the EGL such as BMPs have shown to mitigate the disease &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Symptoms include headaches, nausea, vomit, tiredness, tilting the head to one side, difficulty in walking and balancing and problems with other motor skills. However these symptoms vary from patient to patient &amp;lt;ref&amp;gt; https://www.mdanderson.org/cancer-types/medulloblastoma.html &amp;lt;/ref&amp;gt;. &lt;br /&gt;
|&amp;lt;center&amp;gt;[[File:Medulloblastoma.jpg|220px|thumb|center|'''Figure 29:''' Brain magnetic resonance imaging of pediatric medulloblastomas: ( a) sagittal post-gadolinium WNT tumor; ( b) axial T2 of a SHH tumor. Red arrows delineate the tumor/leptomeningeal disease.&amp;lt;ref name=”PMIDPMC5490254”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5490254&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
==Emotional memory in depression==&lt;br /&gt;
[[File:Screen Shot 2017-10-26 at 10.20.18 am.png|thumb|'''Figure 30:''' In this image you can see differences between the two groups of gray matter density in the cerebellar subregions. Cool color: decreased gray matter density in depression; Warm color: increased gray matter density in depression. &amp;lt;ref name=”PMIDPMC5516611”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Past investigations have concluded that damage to the posterior lobule of the cerebellum can cause individuals to show changes in manner or emotional instability, similar to a degree of depression or psychosis, without an outward cerebellar motor syndrome&amp;lt;ref name=&amp;quot;PMID16434422&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16434422&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is highly suggestive of the cerebellum's role in emotional memory despite its involvement with motor control. Patients with Major Depressive Disorder (MDD) display a tendency to only selectively recall aspects of scenarios that match their moods, conforming with the &amp;quot;mood-congruent memory (MCM)&amp;quot; theory &amp;lt;ref&amp;gt;Gilligan S. G., &amp;amp; Bower G. H. (1983). Reminding and mood‐congruent memory. Bulletin of the Psychonomic Society, 21, 431–434)&amp;lt;/ref&amp;gt;. This study was undertaken with that principle in mind, and investigated the depth of cerebellar involvement in emotional memory in depression. A link between the volume and density of cerebellar gray matter with measurements of emotional memory was hypothesised. &lt;br /&gt;
&lt;br /&gt;
The experiment was conducted between patients with Major Depressive Disorder (MDD) and healthy controls (HCs)&amp;lt;ref name=”PMID5516611”&amp;gt;&amp;lt;pubmed&amp;gt;5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Patients with MDD displayed an atrophy in both gray matter and white matter, most severely in the posterior lobule. There was a significant impairment in emotional memory and decreased volume of the cerebellum in both anterior and posterior lobules. There was marked abnormalities in cortical density, but only a reduction in volume was found to be associated with decreased emotional memory. The severity of depressive symptoms correlated with both volume and density reduction in the grey matter. &lt;br /&gt;
The posterior, anterior and flocculonodular lobes of patients with MDD displayed marked structural differences from the healthy controls, and a functional connectivity between lobules VI and VII of the cerebellum and the cerebrum could indicate that the decreased density in the lobules of MDD patients contributes to alterations in this connectivity. The flocculonodular lobe is especially implicated in MDD. The lobe is associated with vestibular regulation;  Soza and Aviles (2007)&amp;lt;ref name=”PMID17074443”&amp;gt;&amp;lt;pubmed&amp;gt;17074443&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; found that patients who experienced vestibular vertigo also experienced depressive symptoms. This study also determined that patients who experienced depression also experienced bouts of dizziness. Thus, an unprecedentedly widespread area of the cerebellum is displayed to be connected with emotional memory, in particular, with positive or negative memory retention and could lead towards a cure for depression. &lt;br /&gt;
&lt;br /&gt;
==Dystonia==&lt;br /&gt;
[[File:Cerebellum Dystonia.png|thumb|'''Figure 31:''' Direct comparison of dystonia scores for animals with torsinA knockdown in the cerebellum alone (TorsinA CB, N = 20) compared with mice with knockdown in the cerebellum and basal ganglia (TorsinA CB+BG, N = 3) at three representative time points; 3 weeks, 11 weeks , and 13 weeks post-injection. There wasn't a significant difference in dystonia score between mice with torsinA knockdown in the cerebellum alone compared to those with knockdown in the cerebellum and basal ganglia &amp;lt;ref name=”PMIDPMC5340526”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5340526&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
This investigation into a potential link between dystonia -a disorder where muscles contract involuntarily- and the cerebellum attempts to delineate its pathophysiological role in the disease &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;5429509&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; . The main concern is that the etiology of dystonia appears to be extremely varied, and as such, unpredictable. There is no significant neural degeneration, but in secondary cases there may be structural lesions present in tissue which could be areas of pathophysiology in dystonia &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;27173653&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Dystonia may manifest itself in almost any body part, indicating that the neural area responsible most likely must not be very specific. This in combination with the involuntary nature of dystonia seems to indicate that the cerebellum is the more than likely involved in the disease. &lt;br /&gt;
&lt;br /&gt;
Basal ganglia abnormalities are hinted to be a causative agent in dystonia.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;9679773&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The gap in the knowledge of the true interactions between basal ganglia and the cerebellum with regards to dystonia have led to a hypothesis; that the difference in basal ganglia malfunctioning versus abnormal interaction between the ganglia and the cerebellum could reflect the heterogenous pathophysiology of dystonia; either primary or secondary. Some experimental evidence currently available implies that cerebellar dysfunction could affect the topographic distribution of the symptoms of dystonia, and therefore further research is warranted to investigate the full depth of basal ganglia involvement in the disease. &lt;br /&gt;
&lt;br /&gt;
==Adaptation to Delayed Action Effects==&lt;br /&gt;
[[File:Adaptation Cerebellum.png|thumb|'''Figure 32:''' In real stimulation, a considerable increase in pre-stimulus low-frequency activity is only found in the right cerebellar hemisphere (near to the stimulation site). But in sham stimulation, pre-stimulus low-frequency activity increases in both the right cerebellar hemisphere and cerebellar vermis.&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.]]&lt;br /&gt;
Sensory attenuation refers to when individuals filters unnecessary information. When there is a perturbation between actions and the following-sound, the sensory attenuation is reduced &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
An example of perturbation is when there is a delay when an individual presses a button with sound immediately expected, but instead the sound is delayed. Sensory attenuation can be further described by the forward model theory. The forward model theory suggests that predictions for sensory consequences (for example, sound that is heard) are made simultaneously with the motor movement&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Predictions and real sensory input (what really happens), after the sound delay is conducted, are compared in the model. If the prediction and real sensory input do not matchup, sensory attenuation is observed. The prediction errors are then relayed to other brain areas for further processing&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
The process of sensory attenuation usually re-emerges after the disruption to the normal mechanism &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The re-emerging of this is a process of either correcting previous predictions or updating initial forward models to minimise prediction errors. The cerebellum is currently being researched on how it plays an important role in updating the forward model within the brain&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. One investigation seeks to find evidence on the involvement of the cerebellum in learning to predict the unexpected delays. This investigation has found that low-frequency activity in the cerebellum, prior to the stimulation, plays a key role in adapting to the delayed stimulus &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
==Addiction==&lt;br /&gt;
[[File:Addiction Cerebellum.png|thumb|'''Figure 33:''' Nissl staining showing the dopamine receptor expression within the cerebellum of a songbird &amp;lt;ref name=”PMIDPMC2904815”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2904815&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
The cerebellum has only recently been suspected to be involved in addictive behaviour, as some arguments provided for the initiation of research into the cerebellar role on addiction&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26602022&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellum is shown to be intrinsically linked with dopamine release and reception&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;16451810&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;; with dopamine being the main hormone on which addiction is predicated, it is likely that the cerebellum could influence the response to the addictive stimuli. It has also been established that addictive drugs cause specific molecular mechanisms, changes in synapse plasticity&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;10224304&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, and influence intracellular transduction pathways as well as gene expression in the cerebellum&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25262781&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The specificity of the drugs in targeting the cerebellum could highlight the link between the affected organ and addictive behaviour. Addictive drugs such as cocaine have been demonstrated to produce a behavioral sensitivity in mice, and an associated change in cerebellar plasticity. The change of the morphology of Purkinje cells and synaptic terminals in the mice most likely contributed to the difference in reception of the drug&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25619460&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, this link has not yet been fully investigated. &lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Although there are numerous articles and ongoing research on the cerebellum, there are still investigations yet to be performed. Some questions that could be answered in future research include:&lt;br /&gt;
*Is the cerebellum size related to human intelligence?&lt;br /&gt;
*Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*What changes in cerebellum development lead to the social impairments seen in those with Autism Spectrum Disorder?&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;28150911&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*Do we need the cerebellum to function and survive?&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
*'''ApoER2''' – Works with VLDLR and is a very important receptor in the brain affecting neuronal function and development. &lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
*'''Dopamine''' – neurotransmitter and a precursor of substances including adrenaline. &lt;br /&gt;
*'''Eurydendoid cells''' – cerebellar efferent neurons.&lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
*'''Hoxa2''' – a gene that encodes for a transcription factor which could be involved in the development of the positioning of the hindbrain. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
*'''Otx2''' – a protein that is involved with defining the layers and regions of the cerebral cortex and cerebellum.&lt;br /&gt;
*'''Perturbation''' –  (In the context of the Current Research) alternation to the normal mechanism that would happen in response to a stimulation &lt;br /&gt;
*'''Plasticity''' – the brains ability to change at any age. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
*'''Tentorium''' – fold of the dura mater forming division between cerebrum and cerebellum.&lt;br /&gt;
*'''VLDLR''' – Very-low-density-lipoprotein receptor, it’s a transmembrane lipoprotein receptor&lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=317086</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=317086"/>
		<updated>2017-10-26T06:00:49Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brain's weight but contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence key historical discoveries, current research and animal models will be discussed. Towards the end of the page there are future questions listed on future investigations involving the cerebellum and the abnormalities from an affected cerebellum are also highlighted. Terms that may be difficult to understand have also been identified and defined.&lt;br /&gt;
&lt;br /&gt;
The following video provides a brief overview on the cerebellum which will be further discussed on this page:&lt;br /&gt;
&amp;lt;html5media height=&amp;quot;315&amp;quot; width=&amp;quot;560&amp;quot;&amp;gt;https://www.youtube.com/watch?v=Fir-v6EoZNE&amp;lt;/html5media&amp;gt; &amp;lt;ref&amp;gt; 2-Minute Neuroscience on Cerebellum. (2015). Retrieved October 25, 2017, from https://www.youtube.com/watch?v=Fir-v6EoZNE &amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016). Wikimedia Commons, the free media repository. Retrieved October 24, 2017, from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system: Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;400&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;1100&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Fastigial Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Interposed Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Dentate Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Vestibular Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Development=&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|'''Figure 14:''' Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tube. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tube does not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 5:''' (Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 6:''' (Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Developmental Weeks==&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
|&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
|  [[File:Stage9 dorsal.jpg|200px|thumb|'''Figure 7:''' Early stage of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage9 dorsal.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage9_dorsal.jpg&amp;lt;/ref&amp;gt;]] [[File:Stage10 bf5.jpg|200px|thumb|'''Figure 8: '''Late stages of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage10 bf5.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage10_bf5.jpg&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb|'''Figure 9:''' Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|'''Figure 10:''' Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|'''Figure 11:''' Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|'''Figure 12:''' Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb|'''Figure 13:''' Inferior image of a fetal cerebellum at second trimester&amp;lt;ref&amp;gt;Nuchal Fold Edema. Retrieved October 15, 2017, from http://www.fetalultrasound.com/online/text/2-006.HTM&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 15:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 16:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Overview of Development==&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
==Overview of Cerebellar Cell Development==&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers; layers are shown in Figure 15. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 17:''' Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 18:''' SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 19:''' Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Key Historical Discoveries=&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1500s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Galen, Vesalius and Varolio&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Late 1700s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Luigi Rolando, Pierre Flourens, David Ferrier&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Ferrier's findings of cerebellum.gif|220px|thumb|right|Ferrier's findings on a monkey's cerebellum with stimulation points discovered&amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;]] &lt;br /&gt;
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Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens, Luigi Luciani and David Ferrier were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Ernesto Lugaro&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Joseph Babinski and Gordon Holmes&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Mid 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt; Ramon y Cajal&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|220px|thumb|right|'''Figure 21:''' Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]] &lt;br /&gt;
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Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed. &lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1880s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Olof Larsell&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1960s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;John Eccles and Janos Szentágothai&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Purkinje Cell Arrangement.png|220px|thumb|right|modular organization of the cerebellum purkinje fibers by Janos Szentágothai&amp;lt;ref&amp;gt;https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3541516/figure/F2/&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
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&lt;br /&gt;
=Animal Studies=&lt;br /&gt;
==Animal Models==&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
[[File:Isthmic Organiser.png|310px|thumb|'''Figure 22:''' The Isthmic Organizer (IsO; shown in yellow) forms at the boundary of the posterior midbrain and anterior hindbrain: the IsO secretes Fgf8 and other growth factors, and is essential for defining the regions of the neural plate that will become the posterior midbrain (shown in blue) and the cerebellum (CB; green). &amp;lt;ref name=&amp;quot;PMID3870571&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|'''Figure 23:''' Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be corresponding to the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;220&amp;quot;| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|220px|thumb|center|'''Figure 24:''' Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|220px|thumb|center|'''Figure 25:''' Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|220px|thumb|center|'''Figure 26:''' Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|220px|thumb|center|'''Figure 27:''' Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
|&amp;lt;center&amp;gt;'''Medulloblastoma'''&amp;lt;/center&amp;gt;&lt;br /&gt;
|Medulloblastoma is a type of paediatric cancer of the cerebellum that occurs due to an over-proliferation of granule cell precursors in the External Germinal Layer.  These frequently occur from an activation in SHH and Wnt pathways, disrupting the normal transient proliferation in the EGL.  Therapies that promote differentiation of granule cells from the granule cell precursors in the EGL such as BMPs have shown to mitigate the disease &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Symptoms include headaches, nausea, vomit, tiredness, tilting the head to one side, difficulty in walking and balancing and problems with other motor skills. However these symptoms vary from patient to patient &amp;lt;ref&amp;gt; https://www.mdanderson.org/cancer-types/medulloblastoma.html &amp;lt;/ref&amp;gt;. &lt;br /&gt;
|&amp;lt;center&amp;gt;[[File:Medulloblastoma.jpg|220px|thumb|center|'''Figure 28:''' Brain magnetic resonance imaging of pediatric medulloblastomas: ( a) sagittal post-gadolinium WNT tumor; ( b) axial T2 of a SHH tumor. Red arrows delineate the tumor/leptomeningeal disease.&amp;lt;ref name=”PMIDPMC5490254”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5490254&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
==Emotional memory in depression==&lt;br /&gt;
[[File:Screen Shot 2017-10-26 at 10.20.18 am.png|thumb|'''Figure 29:''' In this image you can see differences between the two groups of gray matter density in the cerebellar subregions. Cool color: decreased gray matter density in depression; Warm color: increased gray matter density in depression. &amp;lt;ref name=”PMIDPMC5516611”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Past investigations have concluded that damage to the posterior lobule of the cerebellum can cause individuals to show changes in manner or emotional instability, similar to a degree of depression or psychosis, without an outward cerebellar motor syndrome&amp;lt;ref name=&amp;quot;PMID16434422&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16434422&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is highly suggestive of the cerebellum's role in emotional memory despite its involvement with motor control. Patients with Major Depressive Disorder (MDD) display a tendency to only selectively recall aspects of scenarios that match their moods, conforming with the &amp;quot;mood-congruent memory (MCM)&amp;quot; theory &amp;lt;ref&amp;gt;Gilligan S. G., &amp;amp; Bower G. H. (1983). Reminding and mood‐congruent memory. Bulletin of the Psychonomic Society, 21, 431–434)&amp;lt;/ref&amp;gt;. This study was undertaken with that principle in mind, and investigated the depth of cerebellar involvement in emotional memory in depression. A link between the volume and density of cerebellar gray matter with measurements of emotional memory was hypothesised. &lt;br /&gt;
&lt;br /&gt;
The experiment was conducted between patients with Major Depressive Disorder (MDD) and healthy controls (HCs)&amp;lt;ref name=”PMID5516611”&amp;gt;&amp;lt;pubmed&amp;gt;5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Patients with MDD displayed an atrophy in both gray matter and white matter, most severely in the posterior lobule. There was a significant impairment in emotional memory and decreased volume of the cerebellum in both anterior and posterior lobules. There was marked abnormalities in cortical density, but only a reduction in volume was found to be associated with decreased emotional memory. The severity of depressive symptoms correlated with both volume and density reduction in the grey matter. &lt;br /&gt;
The posterior, anterior and flocculonodular lobes of patients with MDD displayed marked structural differences from the healthy controls, and a functional connectivity between lobules VI and VII of the cerebellum and the cerebrum could indicate that the decreased density in the lobules of MDD patients contributes to alterations in this connectivity. The flocculonodular lobe is especially implicated in MDD. The lobe is associated with vestibular regulation;  Soza and Aviles (2007)&amp;lt;ref name=”PMID17074443”&amp;gt;&amp;lt;pubmed&amp;gt;17074443&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; found that patients who experienced vestibular vertigo also experienced depressive symptoms. This study also determined that patients who experienced depression also experienced bouts of dizziness. Thus, an unprecedentedly widespread area of the cerebellum is displayed to be connected with emotional memory, in particular, with positive or negative memory retention and could lead towards a cure for depression. &lt;br /&gt;
&lt;br /&gt;
==Dystonia==&lt;br /&gt;
[[File:Cerebellum Dystonia.png|thumb|'''Figure 30:''' Direct comparison of dystonia scores for animals with torsinA knockdown in the cerebellum alone (TorsinA CB, N = 20) compared with mice with knockdown in the cerebellum and basal ganglia (TorsinA CB+BG, N = 3) at three representative time points; 3 weeks, 11 weeks , and 13 weeks post-injection. There wasn't a significant difference in dystonia score between mice with torsinA knockdown in the cerebellum alone compared to those with knockdown in the cerebellum and basal ganglia &amp;lt;ref name=”PMIDPMC5340526”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5340526&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
This investigation into a potential link between dystonia -a disorder where muscles contract involuntarily- and the cerebellum attempts to delineate its pathophysiological role in the disease &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;5429509&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; . The main concern is that the etiology of dystonia appears to be extremely varied, and as such, unpredictable. There is no significant neural degeneration, but in secondary cases there may be structural lesions present in tissue which could be areas of pathophysiology in dystonia &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;27173653&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Dystonia may manifest itself in almost any body part, indicating that the neural area responsible most likely must not be very specific. This in combination with the involuntary nature of dystonia seems to indicate that the cerebellum is the more than likely involved in the disease. &lt;br /&gt;
&lt;br /&gt;
Basal ganglia abnormalities are hinted to be a causative agent in dystonia.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;9679773&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The gap in the knowledge of the true interactions between basal ganglia and the cerebellum with regards to dystonia have led to a hypothesis; that the difference in basal ganglia malfunctioning versus abnormal interaction between the ganglia and the cerebellum could reflect the heterogenous pathophysiology of dystonia; either primary or secondary. Some experimental evidence currently available implies that cerebellar dysfunction could affect the topographic distribution of the symptoms of dystonia, and therefore further research is warranted to investigate the full depth of basal ganglia involvement in the disease. &lt;br /&gt;
&lt;br /&gt;
==Adaptation to Delayed Action Effects==&lt;br /&gt;
[[File:Adaptation Cerebellum.png|thumb|'''Figure 31:''' In real stimulation, a considerable increase in pre-stimulus low-frequency activity is only found in the right cerebellar hemisphere (near to the stimulation site). But in sham stimulation, pre-stimulus low-frequency activity increases in both the right cerebellar hemisphere and cerebellar vermis.&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.]]&lt;br /&gt;
Sensory attenuation refers to when individuals filters unnecessary information. When there is a perturbation between actions and the following-sound, the sensory attenuation is reduced &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
An example of perturbation is when there is a delay when an individual presses a button with sound immediately expected, but instead the sound is delayed. Sensory attenuation can be further described by the forward model theory. The forward model theory suggests that predictions for sensory consequences (for example, sound that is heard) are made simultaneously with the motor movement&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Predictions and real sensory input (what really happens), after the sound delay is conducted, are compared in the model. If the prediction and real sensory input do not matchup, sensory attenuation is observed. The prediction errors are then relayed to other brain areas for further processing&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
The process of sensory attenuation usually re-emerges after the disruption to the normal mechanism &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The re-emerging of this is a process of either correcting previous predictions or updating initial forward models to minimise prediction errors. The cerebellum is currently being researched on how it plays an important role in updating the forward model within the brain&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. One investigation seeks to find evidence on the involvement of the cerebellum in learning to predict the unexpected delays. This investigation has found that low-frequency activity in the cerebellum, prior to the stimulation, plays a key role in adapting to the delayed stimulus &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
==Addiction==&lt;br /&gt;
[[File:Addiction Cerebellum.png|thumb|'''Figure 32:''' Nissl staining showing the dopamine receptor expression within the cerebellum of a songbird &amp;lt;ref name=”PMIDPMC2904815”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2904815&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
The cerebellum has only recently been suspected to be involved in addictive behaviour, as some arguments provided for the initiation of research into the cerebellar role on addiction&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26602022&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellum is shown to be intrinsically linked with dopamine release and reception&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;16451810&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;; with dopamine being the main hormone on which addiction is predicated, it is likely that the cerebellum could influence the response to the addictive stimuli. It has also been established that addictive drugs cause specific molecular mechanisms, changes in synapse plasticity&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;10224304&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, and influence intracellular transduction pathways as well as gene expression in the cerebellum&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25262781&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The specificity of the drugs in targeting the cerebellum could highlight the link between the affected organ and addictive behaviour. Addictive drugs such as cocaine have been demonstrated to produce a behavioral sensitivity in mice, and an associated change in cerebellar plasticity. The change of the morphology of Purkinje cells and synaptic terminals in the mice most likely contributed to the difference in reception of the drug&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25619460&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, this link has not yet been fully investigated. &lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Although there are numerous articles and ongoing research on the cerebellum, there are still investigations yet to be performed. Some questions that could be answered in future research include:&lt;br /&gt;
*Is the cerebellum size related to human intelligence?&lt;br /&gt;
*Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*What changes in cerebellum development lead to the social impairments seen in those with Autism Spectrum Disorder?&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;28150911&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*Do we need the cerebellum to function and survive?&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
*'''ApoER2''' – Works with VLDLR and is a very important receptor in the brain affecting neuronal function and development. &lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
*'''Dopamine''' – neurotransmitter and a precursor of substances including adrenaline. &lt;br /&gt;
*'''Eurydendoid cells''' – cerebellar efferent neurons.&lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
*'''Hoxa2''' – a gene that encodes for a transcription factor which could be involved in the development of the positioning of the hindbrain. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
*'''Otx2''' – a protein that is involved with defining the layers and regions of the cerebral cortex and cerebellum.&lt;br /&gt;
*'''Perturbation''' –  (In the context of the Current Research) alternation to the normal mechanism that would happen in response to a stimulation &lt;br /&gt;
*'''Plasticity''' – the brains ability to change at any age. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
*'''Tentorium''' – fold of the dura mater forming division between cerebrum and cerebellum.&lt;br /&gt;
*'''VLDLR''' – Very-low-density-lipoprotein receptor, it’s a transmembrane lipoprotein receptor&lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Purkinje_Cell_Arrangement.png&amp;diff=317082</id>
		<title>File:Purkinje Cell Arrangement.png</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Purkinje_Cell_Arrangement.png&amp;diff=317082"/>
		<updated>2017-10-26T05:57:25Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: =Purkinje Cell Arrangement=
The modular organization of the cerebellum. Displays a series of &amp;quot;longitudinal sagittal bands&amp;quot; of Purkinje cell arrangement. Purkinje cell dendrites are flattened in the same direction as the microzones extend and are crosse...&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;=Purkinje Cell Arrangement=&lt;br /&gt;
The modular organization of the cerebellum. Displays a series of &amp;quot;longitudinal sagittal bands&amp;quot; of Purkinje cell arrangement. Purkinje cell dendrites are flattened in the same direction as the microzones extend and are crossed by parallel fibers at right angles.&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3541516/figure/F2/&lt;br /&gt;
&lt;br /&gt;
===Copyright===&lt;br /&gt;
Copyright © 2013 D'Angelo and Casali.&lt;br /&gt;
This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in other forums, provided the original authors and source are credited and subject to any copyright notices concerning any third-party graphics etc.&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Ferrier%27s_findings_of_cerebellum.gif&amp;diff=317074</id>
		<title>File:Ferrier's findings of cerebellum.gif</title>
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		<updated>2017-10-26T05:54:41Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;=Ferrier's findings of cerebellum=&lt;br /&gt;
Ferrier's findings on a monkey's cerebellum with stimulation points &amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Reference==&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Copyright===&lt;br /&gt;
Text is available under the Creative Commons Attribution-ShareAlike License https://creativecommons.org/licenses/by-sa/3.0/; additional terms may apply. By using this site, you agree to the Terms of Use and Privacy Policy&lt;br /&gt;
&lt;br /&gt;
{{Template:Student Image}}&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Ferrier%27s_findings_of_cerebellum.gif&amp;diff=317072</id>
		<title>File:Ferrier's findings of cerebellum.gif</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Ferrier%27s_findings_of_cerebellum.gif&amp;diff=317072"/>
		<updated>2017-10-26T05:54:16Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;=Ferrier's findings on a monkey's cerebellum with stimulation points= &lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Reference==&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Copyright===&lt;br /&gt;
Text is available under the Creative Commons Attribution-ShareAlike License https://creativecommons.org/licenses/by-sa/3.0/; additional terms may apply. By using this site, you agree to the Terms of Use and Privacy Policy&lt;br /&gt;
&lt;br /&gt;
{{Template:Student Image}}&lt;/div&gt;</summary>
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	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Ferrier%27s_findings_of_cerebellum.gif&amp;diff=317052</id>
		<title>File:Ferrier's findings of cerebellum.gif</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Ferrier%27s_findings_of_cerebellum.gif&amp;diff=317052"/>
		<updated>2017-10-26T05:47:36Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;=Ferrier's findings on a monkey's cerebellum with stimulation points=&lt;br /&gt;
&lt;br /&gt;
==Reference==&lt;br /&gt;
&amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Copyright===&lt;br /&gt;
Text is available under the Creative Commons Attribution-ShareAlike License https://creativecommons.org/licenses/by-sa/3.0/; additional terms may apply. By using this site, you agree to the Terms of Use and Privacy Policy&lt;/div&gt;</summary>
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		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Ferrier%27s_findings_of_cerebellum.gif&amp;diff=317050</id>
		<title>File:Ferrier's findings of cerebellum.gif</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Ferrier%27s_findings_of_cerebellum.gif&amp;diff=317050"/>
		<updated>2017-10-26T05:47:05Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;=Ferrier's findings on a monkey's cerebellum with stimulation points=&lt;br /&gt;
&lt;br /&gt;
==Reference==&lt;br /&gt;
&amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Copyright===&lt;br /&gt;
Text is available under the [[https://creativecommons.org/licenses/by-sa/3.0/]] Creative Commons Attribution-ShareAlike License; additional terms may apply. By using this site, you agree to the Terms of Use and Privacy Policy&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
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	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Ferrier%27s_findings_of_cerebellum.gif&amp;diff=317048</id>
		<title>File:Ferrier's findings of cerebellum.gif</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Ferrier%27s_findings_of_cerebellum.gif&amp;diff=317048"/>
		<updated>2017-10-26T05:46:44Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;=Ferrier's findings on a monkey's cerebellum with stimulation points=&lt;br /&gt;
&lt;br /&gt;
==Reference==&lt;br /&gt;
&amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Copyright===&lt;br /&gt;
Text is available under the [https://creativecommons.org/licenses/by-sa/3.0/] Creative Commons Attribution-ShareAlike License; additional terms may apply. By using this site, you agree to the Terms of Use and Privacy Policy&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=317036</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=317036"/>
		<updated>2017-10-26T05:40:57Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brain's weight but contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence key historical discoveries, current research and animal models will be discussed. Towards the end of the page there are future questions listed on future investigations involving the cerebellum and the abnormalities from an affected cerebellum are also highlighted. Terms that may be difficult to understand have also been identified and defined.&lt;br /&gt;
&lt;br /&gt;
The following video provides a brief overview on the cerebellum which will be further discussed on this page:&lt;br /&gt;
&amp;lt;html5media height=&amp;quot;315&amp;quot; width=&amp;quot;560&amp;quot;&amp;gt;https://www.youtube.com/watch?v=Fir-v6EoZNE&amp;lt;/html5media&amp;gt; &amp;lt;ref&amp;gt; 2-Minute Neuroscience on Cerebellum. (2015). Retrieved October 25, 2017, from https://www.youtube.com/watch?v=Fir-v6EoZNE &amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016). Wikimedia Commons, the free media repository. Retrieved October 24, 2017, from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system: Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;400&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;1100&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Fastigial Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Interposed Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Dentate Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Vestibular Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Development=&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|'''Figure 14:''' Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tube. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tube does not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 5:''' (Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 6:''' (Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Developmental Weeks==&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
|&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
|  [[File:Stage9 dorsal.jpg|200px|thumb|'''Figure 7:''' Early stage of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage9 dorsal.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage9_dorsal.jpg&amp;lt;/ref&amp;gt;]] [[File:Stage10 bf5.jpg|200px|thumb|'''Figure 8: '''Late stages of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage10 bf5.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage10_bf5.jpg&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb|'''Figure 9:''' Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|'''Figure 10:''' Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|'''Figure 11:''' Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|'''Figure 12:''' Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb|'''Figure 13:''' Inferior image of a fetal cerebellum at second trimester&amp;lt;ref&amp;gt;Nuchal Fold Edema. Retrieved October 15, 2017, from http://www.fetalultrasound.com/online/text/2-006.HTM&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 15:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 16:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Overview of Development==&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
==Overview of Cerebellar Cell Development==&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers; layers are shown in Figure 15. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 17:''' Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 18:''' SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 19:''' Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Key Historical Discoveries=&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1500s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Galen, Vesalius and Varolio&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Late 1700s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Luigi Rolando, Pierre Flourens, David Ferrier&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Ferrier's findings of cerebellum.gif|220px|thumb|right|Ferrier's findings on a monkey's cerebellum with stimulation points discovered&amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;]] &lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens, Luigi Luciani and David Ferrier were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Ernesto Lugaro&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Joseph Babinski and Gordon Holmes&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Mid 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt; Ramon y Cajal&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|220px|thumb|right|'''Figure 21:''' Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]] &lt;br /&gt;
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Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed. &lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1880s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Olof Larsell&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1960s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;John Eccles and Janos Szentágothai&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
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=Animal Studies=&lt;br /&gt;
==Animal Models==&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
[[File:Isthmic Organiser.png|310px|thumb|'''Figure 22:''' The Isthmic Organizer (IsO; shown in yellow) forms at the boundary of the posterior midbrain and anterior hindbrain: the IsO secretes Fgf8 and other growth factors, and is essential for defining the regions of the neural plate that will become the posterior midbrain (shown in blue) and the cerebellum (CB; green). &amp;lt;ref name=&amp;quot;PMID3870571&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|'''Figure 23:''' Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be corresponding to the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
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=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
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{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;220&amp;quot;| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
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| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|220px|thumb|center|'''Figure 24:''' Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|220px|thumb|center|'''Figure 25:''' Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|220px|thumb|center|'''Figure 26:''' Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|220px|thumb|center|'''Figure 27:''' Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
|&amp;lt;center&amp;gt;'''Medulloblastoma'''&amp;lt;/center&amp;gt;&lt;br /&gt;
|Medulloblastoma is a type of paediatric cancer of the cerebellum that occurs due to an over-proliferation of granule cell precursors in the External Germinal Layer.  These frequently occur from an activation in SHH and Wnt pathways, disrupting the normal transient proliferation in the EGL.  Therapies that promote differentiation of granule cells from the granule cell precursors in the EGL such as BMPs have shown to mitigate the disease &amp;lt;ref name=”25336734”&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Symptoms include headaches, nausea, vomit, tiredness, tilting the head to one side, difficulty in walking and balancing and problems with other motor skills. However these symptoms vary from patient to patient &amp;lt;ref&amp;gt; https://www.mdanderson.org/cancer-types/medulloblastoma.html &amp;lt;/ref&amp;gt;. &lt;br /&gt;
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=Current Research= &lt;br /&gt;
==Emotional memory in depression==&lt;br /&gt;
[[File:Screen Shot 2017-10-26 at 10.20.18 am.png|thumb|'''Figure 28:''' In this image you can see differences between the two groups of gray matter density in the cerebellar subregions. Cool color: decreased gray matter density in depression; Warm color: increased gray matter density in depression. &amp;lt;ref name=”PMIDPMC5516611”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Past investigations have concluded that damage to the posterior lobule of the cerebellum can cause individuals to show changes in manner or emotional instability, similar to a degree of depression or psychosis, without an outward cerebellar motor syndrome&amp;lt;ref name=&amp;quot;PMID16434422&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16434422&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is highly suggestive of the cerebellum's role in emotional memory despite its involvement with motor control. Patients with Major Depressive Disorder (MDD) display a tendency to only selectively recall aspects of scenarios that match their moods, conforming with the &amp;quot;mood-congruent memory (MCM)&amp;quot; theory &amp;lt;ref&amp;gt;Gilligan S. G., &amp;amp; Bower G. H. (1983). Reminding and mood‐congruent memory. Bulletin of the Psychonomic Society, 21, 431–434)&amp;lt;/ref&amp;gt;. This study was undertaken with that principle in mind, and investigated the depth of cerebellar involvement in emotional memory in depression. A link between the volume and density of cerebellar gray matter with measurements of emotional memory was hypothesised. &lt;br /&gt;
&lt;br /&gt;
The experiment was conducted between patients with Major Depressive Disorder (MDD) and healthy controls (HCs)&amp;lt;ref name=”PMID5516611”&amp;gt;&amp;lt;pubmed&amp;gt;5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Patients with MDD displayed an atrophy in both gray matter and white matter, most severely in the posterior lobule. There was a significant impairment in emotional memory and decreased volume of the cerebellum in both anterior and posterior lobules. There was marked abnormalities in cortical density, but only a reduction in volume was found to be associated with decreased emotional memory. The severity of depressive symptoms correlated with both volume and density reduction in the grey matter. &lt;br /&gt;
The posterior, anterior and flocculonodular lobes of patients with MDD displayed marked structural differences from the healthy controls, and a functional connectivity between lobules VI and VII of the cerebellum and the cerebrum could indicate that the decreased density in the lobules of MDD patients contributes to alterations in this connectivity. The flocculonodular lobe is especially implicated in MDD. The lobe is associated with vestibular regulation;  Soza and Aviles (2007)&amp;lt;ref name=”PMID17074443”&amp;gt;&amp;lt;pubmed&amp;gt;17074443&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; found that patients who experienced vestibular vertigo also experienced depressive symptoms. This study also determined that patients who experienced depression also experienced bouts of dizziness. Thus, an unprecedentedly widespread area of the cerebellum is displayed to be connected with emotional memory, in particular, with positive or negative memory retention and could lead towards a cure for depression. &lt;br /&gt;
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==Dystonia==&lt;br /&gt;
[[File:Cerebellum Dystonia.png|thumb|'''Figure 29:''' Direct comparison of dystonia scores for animals with torsinA knockdown in the cerebellum alone (TorsinA CB, N = 20) compared with mice with knockdown in the cerebellum and basal ganglia (TorsinA CB+BG, N = 3) at three representative time points; 3 weeks, 11 weeks , and 13 weeks post-injection. There wasn't a significant difference in dystonia score between mice with torsinA knockdown in the cerebellum alone compared to those with knockdown in the cerebellum and basal ganglia &amp;lt;ref name=”PMIDPMC5340526”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5340526&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
This investigation into a potential link between dystonia -a disorder where muscles contract involuntarily- and the cerebellum attempts to delineate its pathophysiological role in the disease &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;5429509&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; . The main concern is that the etiology of dystonia appears to be extremely varied, and as such, unpredictable. There is no significant neural degeneration, but in secondary cases there may be structural lesions present in tissue which could be areas of pathophysiology in dystonia &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;27173653&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Dystonia may manifest itself in almost any body part, indicating that the neural area responsible most likely must not be very specific. This in combination with the involuntary nature of dystonia seems to indicate that the cerebellum is the more than likely involved in the disease. &lt;br /&gt;
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Basal ganglia abnormalities are hinted to be a causative agent in dystonia.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;9679773&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The gap in the knowledge of the true interactions between basal ganglia and the cerebellum with regards to dystonia have led to a hypothesis; that the difference in basal ganglia malfunctioning versus abnormal interaction between the ganglia and the cerebellum could reflect the heterogenous pathophysiology of dystonia; either primary or secondary. Some experimental evidence currently available implies that cerebellar dysfunction could affect the topographic distribution of the symptoms of dystonia, and therefore further research is warranted to investigate the full depth of basal ganglia involvement in the disease. &lt;br /&gt;
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==Adaptation to Delayed Action Effects==&lt;br /&gt;
[[File:Adaptation Cerebellum.png|thumb|'''Figure 30:''' In real stimulation, a considerable increase in pre-stimulus low-frequency activity is only found in the right cerebellar hemisphere (near to the stimulation site). But in sham stimulation, pre-stimulus low-frequency activity increases in both the right cerebellar hemisphere and cerebellar vermis.&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.]]&lt;br /&gt;
Sensory attenuation refers to when individuals filters unnecessary information. When there is a perturbation between actions and the following-sound, the sensory attenuation is reduced &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
An example of perturbation is when there is a delay when an individual presses a button with sound immediately expected, but instead the sound is delayed. Sensory attenuation can be further described by the forward model theory. The forward model theory suggests that predictions for sensory consequences (for example, sound that is heard) are made simultaneously with the motor movement&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Predictions and real sensory input (what really happens), after the sound delay is conducted, are compared in the model. If the prediction and real sensory input do not matchup, sensory attenuation is observed. The prediction errors are then relayed to other brain areas for further processing&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
The process of sensory attenuation usually re-emerges after the disruption to the normal mechanism &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The re-emerging of this is a process of either correcting previous predictions or updating initial forward models to minimise prediction errors. The cerebellum is currently being researched on how it plays an important role in updating the forward model within the brain&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. One investigation seeks to find evidence on the involvement of the cerebellum in learning to predict the unexpected delays. This investigation has found that low-frequency activity in the cerebellum, prior to the stimulation, plays a key role in adapting to the delayed stimulus &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
==Addiction==&lt;br /&gt;
[[File:Addiction Cerebellum.png|thumb|'''Figure 31:''' Nissl staining showing the dopamine receptor expression within the cerebellum of a songbird &amp;lt;ref name=”PMIDPMC2904815”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2904815&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
The cerebellum has only recently been suspected to be involved in addictive behaviour, as some arguments provided for the initiation of research into the cerebellar role on addiction&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26602022&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellum is shown to be intrinsically linked with dopamine release and reception&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;16451810&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;; with dopamine being the main hormone on which addiction is predicated, it is likely that the cerebellum could influence the response to the addictive stimuli. It has also been established that addictive drugs cause specific molecular mechanisms, changes in synapse plasticity&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;10224304&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, and influence intracellular transduction pathways as well as gene expression in the cerebellum&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25262781&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The specificity of the drugs in targeting the cerebellum could highlight the link between the affected organ and addictive behaviour. Addictive drugs such as cocaine have been demonstrated to produce a behavioral sensitivity in mice, and an associated change in cerebellar plasticity. The change of the morphology of Purkinje cells and synaptic terminals in the mice most likely contributed to the difference in reception of the drug&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25619460&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, this link has not yet been fully investigated. &lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Although there are numerous articles and ongoing research on the cerebellum, there are still investigations yet to be performed. Some questions that could be answered in future research include:&lt;br /&gt;
*Is the cerebellum size related to human intelligence?&lt;br /&gt;
*Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*What changes in cerebellum development lead to the social impairments seen in those with Autism Spectrum Disorder?&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;28150911&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*Do we need the cerebellum to function and survive?&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
*'''ApoER2''' – Works with VLDLR and is a very important receptor in the brain affecting neuronal function and development. &lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
*'''Dopamine''' – neurotransmitter and a precursor of substances including adrenaline. &lt;br /&gt;
*'''Eurydendoid cells''' – cerebellar efferent neurons.&lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
*'''Hoxa2''' – a gene that encodes for a transcription factor which could be involved in the development of the positioning of the hindbrain. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
*'''Otx2''' – a protein that is involved with defining the layers and regions of the cerebral cortex and cerebellum.&lt;br /&gt;
*'''Perturbation''' –  (In the context of the Current Research) alternation to the normal mechanism that would happen in response to a stimulation &lt;br /&gt;
*'''Plasticity''' – the brains ability to change at any age. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
*'''Tentorium''' – fold of the dura mater forming division between cerebrum and cerebellum.&lt;br /&gt;
*'''VLDLR''' – Very-low-density-lipoprotein receptor, it’s a transmembrane lipoprotein receptor&lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Fetal_MRI_of_cerebellum.png&amp;diff=317018</id>
		<title>File:Fetal MRI of cerebellum.png</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Fetal_MRI_of_cerebellum.png&amp;diff=317018"/>
		<updated>2017-10-26T05:27:42Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: =Fetal MRI of cerebellum=
Sagittal MRI of fetal cerebellum. Gradient echo of a fetus at 33 weeks of gestation.

==References==
&amp;lt;pubmed&amp;gt;10.1177/0883073813486296&amp;lt;/pubmed&amp;gt;&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;=Fetal MRI of cerebellum=&lt;br /&gt;
Sagittal MRI of fetal cerebellum. Gradient echo of a fetus at 33 weeks of gestation.&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
&amp;lt;pubmed&amp;gt;10.1177/0883073813486296&amp;lt;/pubmed&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=316962</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=316962"/>
		<updated>2017-10-26T05:10:10Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brain's weight but contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence key historical discoveries, current research and animal models will be discussed. Towards the end of the page there are future questions listed on future investigations involving the cerebellum and the abnormalities from an affected cerebellum are also highlighted. Terms that may be difficult to understand have also been identified and defined.&lt;br /&gt;
&lt;br /&gt;
The following video provides a brief overview on the cerebellum which will be further discussed on this page:&lt;br /&gt;
&amp;lt;html5media height=&amp;quot;315&amp;quot; width=&amp;quot;560&amp;quot;&amp;gt;https://www.youtube.com/watch?v=Fir-v6EoZNE&amp;lt;/html5media&amp;gt; &amp;lt;ref&amp;gt; 2-Minute Neuroscience on Cerebellum. (2015). Retrieved October 25, 2017, from https://www.youtube.com/watch?v=Fir-v6EoZNE &amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016). Wikimedia Commons, the free media repository. Retrieved October 24, 2017, from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system: Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;400&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;1100&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Fastigial Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Interposed Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Dentate Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Vestibular Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Development=&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|'''Figure 14:''' Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tube. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tube does not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 5:''' (Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 6:''' (Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Developmental Weeks==&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
|&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
|  [[File:Stage9 dorsal.jpg|200px|thumb|'''Figure 7:''' Early stage of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage9 dorsal.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage9_dorsal.jpg&amp;lt;/ref&amp;gt;]] [[File:Stage10 bf5.jpg|200px|thumb|'''Figure 8: '''Late stages of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage10 bf5.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage10_bf5.jpg&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb|'''Figure 9:''' Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|'''Figure 10:''' Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|'''Figure 11:''' Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|'''Figure 12:''' Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb|'''Figure 13:''' Inferior image of a fetal cerebellum at second trimester&amp;lt;ref&amp;gt;Nuchal Fold Edema. Retrieved October 15, 2017, from http://www.fetalultrasound.com/online/text/2-006.HTM&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 15:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 16:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Overview of Development==&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
==Overview of Cerebellar Cell Development==&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers; layers are shown in Figure 15. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 17:''' Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 18:''' SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 19:''' Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Key Historical Discoveries=&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1500s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Galen, Vesalius and Varolio&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Late 1700s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Luigi Rolando, Pierre Flourens, David Ferrier&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Ferrier's findings of cerebellum.gif|220px|thumb|right|Ferrier's findings on a monkey's cerebellum with stimulation points discovered&amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;]] &lt;br /&gt;
[[File:Flourens pigeon.gif|220px|thumb|right| A pigeon which had its brain lesioned in an one of Flourens initial experiments. This enabled Flourens to understand the gross anatomy of the cerebrum and cerebellum of mammals. &amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens, Luigi Luciani and David Ferrier were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Ernesto Lugaro&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Joseph Babinski and Gordon Holmes&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Mid 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt; Ramon y Cajal&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|220px|thumb|right|'''Figure 21:''' Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]] &lt;br /&gt;
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Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed. &lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1880s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Olof Larsell&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1960s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;John Eccles and Janos Szentágothai&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
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=Animal Studies=&lt;br /&gt;
==Animal Models==&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
[[File:Isthmic Organiser.png|310px|thumb|'''Figure 22:''' The Isthmic Organizer (IsO; shown in yellow) forms at the boundary of the posterior midbrain and anterior hindbrain: the IsO secretes Fgf8 and other growth factors, and is essential for defining the regions of the neural plate that will become the posterior midbrain (shown in blue) and the cerebellum (CB; green). &amp;lt;ref name=&amp;quot;PMID3870571&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|'''Figure 23:''' Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be corresponding to the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
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=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
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{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;220&amp;quot;| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
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| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|220px|thumb|center|'''Figure 24:''' Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|220px|thumb|center|'''Figure 25:''' Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|220px|thumb|center|'''Figure 26:''' Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|220px|thumb|center|'''Figure 27:''' Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
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=Current Research= &lt;br /&gt;
==Emotional memory in depression==&lt;br /&gt;
[[File:Screen Shot 2017-10-26 at 10.20.18 am.png|thumb|'''Figure 28:''' In this image you can see differences between the two groups of gray matter density in the cerebellar subregions. Cool color: decreased gray matter density in depression; Warm color: increased gray matter density in depression. &amp;lt;ref name=”PMIDPMC5516611”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Past investigations have concluded that damage to the posterior lobule of the cerebellum can cause individuals to show changes in manner or emotional instability, similar to a degree of depression or psychosis, without an outward cerebellar motor syndrome&amp;lt;ref name=&amp;quot;PMID16434422&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16434422&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is highly suggestive of the cerebellum's role in emotional memory despite its involvement with motor control. Patients with Major Depressive Disorder (MDD) display a tendency to only selectively recall aspects of scenarios that match their moods, conforming with the &amp;quot;mood-congruent memory (MCM)&amp;quot; theory &amp;lt;ref&amp;gt;Gilligan S. G., &amp;amp; Bower G. H. (1983). Reminding and mood‐congruent memory. Bulletin of the Psychonomic Society, 21, 431–434)&amp;lt;/ref&amp;gt;. This study was undertaken with that principle in mind, and investigated the depth of cerebellar involvement in emotional memory in depression. A link between the volume and density of cerebellar gray matter with measurements of emotional memory was hypothesised. &lt;br /&gt;
&lt;br /&gt;
The experiment was conducted between patients with Major Depressive Disorder (MDD) and healthy controls (HCs)&amp;lt;ref name=”PMID5516611”&amp;gt;&amp;lt;pubmed&amp;gt;5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Patients with MDD displayed an atrophy in both gray matter and white matter, most severely in the posterior lobule. There was a significant impairment in emotional memory and decreased volume of the cerebellum in both anterior and posterior lobules. There was marked abnormalities in cortical density, but only a reduction in volume was found to be associated with decreased emotional memory. The severity of depressive symptoms correlated with both volume and density reduction in the grey matter. &lt;br /&gt;
The posterior, anterior and flocculonodular lobes of patients with MDD displayed marked structural differences from the healthy controls, and a functional connectivity between lobules VI and VII of the cerebellum and the cerebrum could indicate that the decreased density in the lobules of MDD patients contributes to alterations in this connectivity. The flocculonodular lobe is especially implicated in MDD. The lobe is associated with vestibular regulation;  Soza and Aviles (2007)&amp;lt;ref name=”PMID17074443”&amp;gt;&amp;lt;pubmed&amp;gt;17074443&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; found that patients who experienced vestibular vertigo also experienced depressive symptoms. This study also determined that patients who experienced depression also experienced bouts of dizziness. Thus, an unprecedentedly widespread area of the cerebellum is displayed to be connected with emotional memory, in particular, with positive or negative memory retention and could lead towards a cure for depression. &lt;br /&gt;
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==Dystonia==&lt;br /&gt;
[[File:Cerebellum Dystonia.png|thumb|'''Figure 29:''' Direct comparison of dystonia scores for animals with torsinA knockdown in the cerebellum alone (TorsinA CB, N = 20) compared with mice with knockdown in the cerebellum and basal ganglia (TorsinA CB+BG, N = 3) at three representative time points; 3 weeks, 11 weeks , and 13 weeks post-injection. There wasn't a significant difference in dystonia score between mice with torsinA knockdown in the cerebellum alone compared to those with knockdown in the cerebellum and basal ganglia &amp;lt;ref name=”PMIDPMC5340526”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5340526&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
This investigation into a potential link between dystonia -a disorder where muscles contract involuntarily- and the cerebellum attempts to delineate its pathophysiological role in the disease &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;5429509&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; . The main concern is that the etiology of dystonia appears to be extremely varied, and as such, unpredictable. There is no significant neural degeneration, but in secondary cases there may be structural lesions present in tissue which could be areas of pathophysiology in dystonia &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;27173653&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Dystonia may manifest itself in almost any body part, indicating that the neural area responsible most likely must not be very specific. This in combination with the involuntary nature of dystonia seems to indicate that the cerebellum is the more than likely involved in the disease. &lt;br /&gt;
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Basal ganglia abnormalities are hinted to be a causative agent in dystonia.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;9679773&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The gap in the knowledge of the true interactions between basal ganglia and the cerebellum with regards to dystonia have led to a hypothesis; that the difference in basal ganglia malfunctioning versus abnormal interaction between the ganglia and the cerebellum could reflect the heterogenous pathophysiology of dystonia; either primary or secondary. Some experimental evidence currently available implies that cerebellar dysfunction could affect the topographic distribution of the symptoms of dystonia, and therefore further research is warranted to investigate the full depth of basal ganglia involvement in the disease. &lt;br /&gt;
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==Adaptation to Delayed Action Effects==&lt;br /&gt;
[[File:Adaptation Cerebellum.png|thumb|'''Figure 30:''' In real stimulation, a considerable increase in pre-stimulus low-frequency activity is only found in the right cerebellar hemisphere (near to the stimulation site). But in sham stimulation, pre-stimulus low-frequency activity increases in both the right cerebellar hemisphere and cerebellar vermis.&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.]]&lt;br /&gt;
Sensory attenuation refers to when individuals filters unnecessary information. When there is a perturbation between actions and the following-sound, the sensory attenuation is reduced &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
An example of perturbation is when there is a delay when an individual presses a button with sound immediately expected, but instead the sound is delayed. Sensory attenuation can be further described by the forward model theory. The forward model theory suggests that predictions for sensory consequences (for example, sound that is heard) are made simultaneously with the motor movement&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Predictions and real sensory input (what really happens), after the sound delay is conducted, are compared in the model. If the prediction and real sensory input do not matchup, sensory attenuation is observed. The prediction errors are then relayed to other brain areas for further processing&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
The process of sensory attenuation usually re-emerges after the disruption to the normal mechanism &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The re-emerging of this is a process of either correcting previous predictions or updating initial forward models to minimise prediction errors. The cerebellum is currently being researched on how it plays an important role in updating the forward model within the brain&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. One investigation seeks to find evidence on the involvement of the cerebellum in learning to predict the unexpected delays. This investigation has found that low-frequency activity in the cerebellum, prior to the stimulation, plays a key role in adapting to the delayed stimulus &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
==Addiction==&lt;br /&gt;
[[File:Addiction Cerebellum.png|thumb|'''Figure 31:''' Nissl staining showing the dopamine receptor expression within the cerebellum of a songbird &amp;lt;ref name=”PMIDPMC2904815”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2904815&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
The cerebellum has only recently been suspected to be involved in addictive behaviour, as some arguments provided for the initiation of research into the cerebellar role on addiction&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26602022&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellum is shown to be intrinsically linked with dopamine release and reception&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;16451810&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;; with dopamine being the main hormone on which addiction is predicated, it is likely that the cerebellum could influence the response to the addictive stimuli. It has also been established that addictive drugs cause specific molecular mechanisms, changes in synapse plasticity&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;10224304&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, and influence intracellular transduction pathways as well as gene expression in the cerebellum&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25262781&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The specificity of the drugs in targeting the cerebellum could highlight the link between the affected organ and addictive behaviour. Addictive drugs such as cocaine have been demonstrated to produce a behavioral sensitivity in mice, and an associated change in cerebellar plasticity. The change of the morphology of Purkinje cells and synaptic terminals in the mice most likely contributed to the difference in reception of the drug&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25619460&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, this link has not yet been fully investigated. &lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Although there are numerous articles and ongoing research on the cerebellum, there are still investigations yet to be performed. Some questions that could be answered in future research include:&lt;br /&gt;
*Is the cerebellum size related to human intelligence?&lt;br /&gt;
*Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*What changes in cerebellum development lead to the social impairments seen in those with Autism Spectrum Disorder?&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;28150911&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*Do we need the cerebellum to function and survive?&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
*'''ApoER2''' – Works with VLDLR and is a very important receptor in the brain affecting neuronal function and development. &lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
*'''Dopamine''' – neurotransmitter and a precursor of substances including adrenaline. &lt;br /&gt;
*'''Eurydendoid cells''' – cerebellar efferent neurons.&lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
*'''Hoxa2''' – a gene that encodes for a transcription factor which could be involved in the development of the positioning of the hindbrain. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
*'''Otx2''' – a protein that is involved with defining the layers and regions of the cerebral cortex and cerebellum.&lt;br /&gt;
*'''Perturbation''' –  (In the context of the Current Research) alternation to the normal mechanism that would happen in response to a stimulation &lt;br /&gt;
*'''Plasticity''' – the brains ability to change at any age. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
*'''Tentorium''' – fold of the dura mater forming division between cerebrum and cerebellum.&lt;br /&gt;
*'''VLDLR''' – Very-low-density-lipoprotein receptor, it’s a transmembrane lipoprotein receptor&lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
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=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=316946</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=316946"/>
		<updated>2017-10-26T05:07:46Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
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&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brain's weight but contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence key historical discoveries, current research and animal models will be discussed. Towards the end of the page there are future questions listed on future investigations involving the cerebellum and the abnormalities from an affected cerebellum are also highlighted. Terms that may be difficult to understand have also been identified and defined.&lt;br /&gt;
&lt;br /&gt;
The following video provides a brief overview on the cerebellum which will be further discussed on this page:&lt;br /&gt;
&amp;lt;html5media height=&amp;quot;315&amp;quot; width=&amp;quot;560&amp;quot;&amp;gt;https://www.youtube.com/watch?v=Fir-v6EoZNE&amp;lt;/html5media&amp;gt; &amp;lt;ref&amp;gt; 2-Minute Neuroscience on Cerebellum. (2015). Retrieved October 25, 2017, from https://www.youtube.com/watch?v=Fir-v6EoZNE &amp;lt;/ref&amp;gt;&lt;br /&gt;
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=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016). Wikimedia Commons, the free media repository. Retrieved October 24, 2017, from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system: Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;400&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;1100&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Fastigial Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Interposed Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Dentate Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Vestibular Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
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===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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=Cerebellum Development=&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|'''Figure 14:''' Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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==Neural Development==&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tube. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tube does not close effectively.&lt;br /&gt;
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==Early Brain Vesicles==&lt;br /&gt;
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===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 5:''' (Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
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'''Figure 6:''' (Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
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*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Cerebellum Developmental Weeks==&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
|&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
|  [[File:Stage9 dorsal.jpg|200px|thumb|'''Figure 7:''' Early stage of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage9 dorsal.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage9_dorsal.jpg&amp;lt;/ref&amp;gt;]] [[File:Stage10 bf5.jpg|200px|thumb|'''Figure 8: '''Late stages of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage10 bf5.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage10_bf5.jpg&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb|'''Figure 9:''' Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|'''Figure 10:''' Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|'''Figure 11:''' Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|'''Figure 12:''' Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb|'''Figure 13:''' Inferior image of a fetal cerebellum at second trimester&amp;lt;ref&amp;gt;Nuchal Fold Edema. Retrieved October 15, 2017, from http://www.fetalultrasound.com/online/text/2-006.HTM&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 15:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 16:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Overview of Development==&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
==Overview of Cerebellar Cell Development==&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers; layers are shown in Figure 15. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 17:''' Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 18:''' SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 19:''' Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Key Historical Discoveries=&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1500s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Galen, Vesalius and Varolio&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Late 1700s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Luigi Rolando, Pierre Flourens, David Ferrier&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Ferrier's findings of cerebellum.gif|220px|thumb|right|Ferrier's findings on a monkey's cerebellum with stimulation points discovered&amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;]] &lt;br /&gt;
[[File:Flourens pigeon.gif|220px|thumb|left| A pigeon which had its brain lesioned in an one of Flourens initial experiments. This enabled Flourens to understand the gross anatomy of the cerebrum and cerebellum of mammals. &amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens, Luigi Luciani and David Ferrier were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Ernesto Lugaro&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Joseph Babinski and Gordon Holmes&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Mid 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt; Ramon y Cajal&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|220px|thumb|right|'''Figure 21:''' Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]] &lt;br /&gt;
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Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed. &lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1880s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Olof Larsell&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1960s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;John Eccles and Janos Szentágothai&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
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=Animal Studies=&lt;br /&gt;
==Animal Models==&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
[[File:Isthmic Organiser.png|310px|thumb|'''Figure 22:''' The Isthmic Organizer (IsO; shown in yellow) forms at the boundary of the posterior midbrain and anterior hindbrain: the IsO secretes Fgf8 and other growth factors, and is essential for defining the regions of the neural plate that will become the posterior midbrain (shown in blue) and the cerebellum (CB; green). &amp;lt;ref name=&amp;quot;PMID3870571&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|'''Figure 23:''' Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be corresponding to the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
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=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
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{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;220&amp;quot;| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
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| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|220px|thumb|center|'''Figure 24:''' Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|220px|thumb|center|'''Figure 25:''' Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|220px|thumb|center|'''Figure 26:''' Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|220px|thumb|center|'''Figure 27:''' Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
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=Current Research= &lt;br /&gt;
==Emotional memory in depression==&lt;br /&gt;
[[File:Screen Shot 2017-10-26 at 10.20.18 am.png|thumb|'''Figure 28:''' In this image you can see differences between the two groups of gray matter density in the cerebellar subregions. Cool color: decreased gray matter density in depression; Warm color: increased gray matter density in depression. &amp;lt;ref name=”PMIDPMC5516611”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Past investigations have concluded that damage to the posterior lobule of the cerebellum can cause individuals to show changes in manner or emotional instability, similar to a degree of depression or psychosis, without an outward cerebellar motor syndrome&amp;lt;ref name=&amp;quot;PMID16434422&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16434422&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is highly suggestive of the cerebellum's role in emotional memory despite its involvement with motor control. Patients with Major Depressive Disorder (MDD) display a tendency to only selectively recall aspects of scenarios that match their moods, conforming with the &amp;quot;mood-congruent memory (MCM)&amp;quot; theory &amp;lt;ref&amp;gt;Gilligan S. G., &amp;amp; Bower G. H. (1983). Reminding and mood‐congruent memory. Bulletin of the Psychonomic Society, 21, 431–434)&amp;lt;/ref&amp;gt;. This study was undertaken with that principle in mind, and investigated the depth of cerebellar involvement in emotional memory in depression. A link between the volume and density of cerebellar gray matter with measurements of emotional memory was hypothesised. &lt;br /&gt;
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The experiment was conducted between patients with Major Depressive Disorder (MDD) and healthy controls (HCs)&amp;lt;ref name=”PMID5516611”&amp;gt;&amp;lt;pubmed&amp;gt;5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Patients with MDD displayed an atrophy in both gray matter and white matter, most severely in the posterior lobule. There was a significant impairment in emotional memory and decreased volume of the cerebellum in both anterior and posterior lobules. There was marked abnormalities in cortical density, but only a reduction in volume was found to be associated with decreased emotional memory. The severity of depressive symptoms correlated with both volume and density reduction in the grey matter. &lt;br /&gt;
The posterior, anterior and flocculonodular lobes of patients with MDD displayed marked structural differences from the healthy controls, and a functional connectivity between lobules VI and VII of the cerebellum and the cerebrum could indicate that the decreased density in the lobules of MDD patients contributes to alterations in this connectivity. The flocculonodular lobe is especially implicated in MDD. The lobe is associated with vestibular regulation;  Soza and Aviles (2007)&amp;lt;ref name=”PMID17074443”&amp;gt;&amp;lt;pubmed&amp;gt;17074443&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; found that patients who experienced vestibular vertigo also experienced depressive symptoms. This study also determined that patients who experienced depression also experienced bouts of dizziness. Thus, an unprecedentedly widespread area of the cerebellum is displayed to be connected with emotional memory, in particular, with positive or negative memory retention and could lead towards a cure for depression. &lt;br /&gt;
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==Dystonia==&lt;br /&gt;
[[File:Cerebellum Dystonia.png|thumb|'''Figure 29:''' Direct comparison of dystonia scores for animals with torsinA knockdown in the cerebellum alone (TorsinA CB, N = 20) compared with mice with knockdown in the cerebellum and basal ganglia (TorsinA CB+BG, N = 3) at three representative time points; 3 weeks, 11 weeks , and 13 weeks post-injection. There wasn't a significant difference in dystonia score between mice with torsinA knockdown in the cerebellum alone compared to those with knockdown in the cerebellum and basal ganglia &amp;lt;ref name=”PMIDPMC5340526”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5340526&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
This investigation into a potential link between dystonia -a disorder where muscles contract involuntarily- and the cerebellum attempts to delineate its pathophysiological role in the disease &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;5429509&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; . The main concern is that the etiology of dystonia appears to be extremely varied, and as such, unpredictable. There is no significant neural degeneration, but in secondary cases there may be structural lesions present in tissue which could be areas of pathophysiology in dystonia &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;27173653&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Dystonia may manifest itself in almost any body part, indicating that the neural area responsible most likely must not be very specific. This in combination with the involuntary nature of dystonia seems to indicate that the cerebellum is the more than likely involved in the disease. &lt;br /&gt;
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Basal ganglia abnormalities are hinted to be a causative agent in dystonia.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;9679773&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The gap in the knowledge of the true interactions between basal ganglia and the cerebellum with regards to dystonia have led to a hypothesis; that the difference in basal ganglia malfunctioning versus abnormal interaction between the ganglia and the cerebellum could reflect the heterogenous pathophysiology of dystonia; either primary or secondary. Some experimental evidence currently available implies that cerebellar dysfunction could affect the topographic distribution of the symptoms of dystonia, and therefore further research is warranted to investigate the full depth of basal ganglia involvement in the disease. &lt;br /&gt;
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==Adaptation to Delayed Action Effects==&lt;br /&gt;
[[File:Adaptation Cerebellum.png|thumb|'''Figure 30:''' In real stimulation, a considerable increase in pre-stimulus low-frequency activity is only found in the right cerebellar hemisphere (near to the stimulation site). But in sham stimulation, pre-stimulus low-frequency activity increases in both the right cerebellar hemisphere and cerebellar vermis.&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.]]&lt;br /&gt;
Sensory attenuation refers to when individuals filters unnecessary information. When there is a perturbation between actions and the following-sound, the sensory attenuation is reduced &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
An example of perturbation is when there is a delay when an individual presses a button with sound immediately expected, but instead the sound is delayed. Sensory attenuation can be further described by the forward model theory. The forward model theory suggests that predictions for sensory consequences (for example, sound that is heard) are made simultaneously with the motor movement&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Predictions and real sensory input (what really happens), after the sound delay is conducted, are compared in the model. If the prediction and real sensory input do not matchup, sensory attenuation is observed. The prediction errors are then relayed to other brain areas for further processing&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
The process of sensory attenuation usually re-emerges after the disruption to the normal mechanism &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The re-emerging of this is a process of either correcting previous predictions or updating initial forward models to minimise prediction errors. The cerebellum is currently being researched on how it plays an important role in updating the forward model within the brain&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. One investigation seeks to find evidence on the involvement of the cerebellum in learning to predict the unexpected delays. This investigation has found that low-frequency activity in the cerebellum, prior to the stimulation, plays a key role in adapting to the delayed stimulus &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
==Addiction==&lt;br /&gt;
[[File:Addiction Cerebellum.png|thumb|'''Figure 31:''' Nissl staining showing the dopamine receptor expression within the cerebellum of a songbird &amp;lt;ref name=”PMIDPMC2904815”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2904815&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
The cerebellum has only recently been suspected to be involved in addictive behaviour, as some arguments provided for the initiation of research into the cerebellar role on addiction&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26602022&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellum is shown to be intrinsically linked with dopamine release and reception&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;16451810&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;; with dopamine being the main hormone on which addiction is predicated, it is likely that the cerebellum could influence the response to the addictive stimuli. It has also been established that addictive drugs cause specific molecular mechanisms, changes in synapse plasticity&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;10224304&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, and influence intracellular transduction pathways as well as gene expression in the cerebellum&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25262781&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The specificity of the drugs in targeting the cerebellum could highlight the link between the affected organ and addictive behaviour. Addictive drugs such as cocaine have been demonstrated to produce a behavioral sensitivity in mice, and an associated change in cerebellar plasticity. The change of the morphology of Purkinje cells and synaptic terminals in the mice most likely contributed to the difference in reception of the drug&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25619460&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, this link has not yet been fully investigated. &lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Although there are numerous articles and ongoing research on the cerebellum, there are still investigations yet to be performed. Some questions that could be answered in future research include:&lt;br /&gt;
*Is the cerebellum size related to human intelligence?&lt;br /&gt;
*Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*What changes in cerebellum development lead to the social impairments seen in those with Autism Spectrum Disorder?&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;28150911&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*Do we need the cerebellum to function and survive?&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
*'''ApoER2''' – Works with VLDLR and is a very important receptor in the brain affecting neuronal function and development. &lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
*'''Dopamine''' – neurotransmitter and a precursor of substances including adrenaline. &lt;br /&gt;
*'''Eurydendoid cells''' – cerebellar efferent neurons.&lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
*'''Hoxa2''' – a gene that encodes for a transcription factor which could be involved in the development of the positioning of the hindbrain. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
*'''Otx2''' – a protein that is involved with defining the layers and regions of the cerebral cortex and cerebellum.&lt;br /&gt;
*'''Perturbation''' –  (In the context of the Current Research) alternation to the normal mechanism that would happen in response to a stimulation &lt;br /&gt;
*'''Plasticity''' – the brains ability to change at any age. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
*'''Tentorium''' – fold of the dura mater forming division between cerebrum and cerebellum.&lt;br /&gt;
*'''VLDLR''' – Very-low-density-lipoprotein receptor, it’s a transmembrane lipoprotein receptor&lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Flourens_pigeon.gif&amp;diff=316900</id>
		<title>File:Flourens pigeon.gif</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Flourens_pigeon.gif&amp;diff=316900"/>
		<updated>2017-10-26T04:44:52Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: =Flourens pigeon=
A pigeon which had its brain lesioned in an one of Flourens initial experiments. This enabled Flourens to understand the gross anatomy of the cerebrum and cerebellum of mammals.

==References==
http://www.cerebromente.org.br/n01/freno...&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;=Flourens pigeon=&lt;br /&gt;
A pigeon which had its brain lesioned in an one of Flourens initial experiments. This enabled Flourens to understand the gross anatomy of the cerebrum and cerebellum of mammals.&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&lt;br /&gt;
&lt;br /&gt;
===Copyright===&lt;br /&gt;
Copyright © 1997 State University of Campinas&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Ferrier%27s_findings_of_cerebellum.gif&amp;diff=316890</id>
		<title>File:Ferrier's findings of cerebellum.gif</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Ferrier%27s_findings_of_cerebellum.gif&amp;diff=316890"/>
		<updated>2017-10-26T04:40:28Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;=Ferrier's findings on a monkey's cerebellum with stimulation points=&lt;br /&gt;
&lt;br /&gt;
==Reference==&lt;br /&gt;
&amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Copyright===&lt;br /&gt;
Copyright © 1997 State University of Campinas&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=316884</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=316884"/>
		<updated>2017-10-26T04:38:49Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brain's weight but contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence key historical discoveries, current research and animal models will be discussed. Towards the end of the page there are future questions listed on future investigations involving the cerebellum and the abnormalities from an affected cerebellum are also highlighted. Terms that may be difficult to understand have also been identified and defined.&lt;br /&gt;
&lt;br /&gt;
The following video provides a brief overview on the cerebellum which will be further discussed on this page:&lt;br /&gt;
&amp;lt;html5media height=&amp;quot;315&amp;quot; width=&amp;quot;560&amp;quot;&amp;gt;https://www.youtube.com/watch?v=Fir-v6EoZNE&amp;lt;/html5media&amp;gt; &amp;lt;ref&amp;gt; 2-Minute Neuroscience on Cerebellum. (2015). Retrieved October 25, 2017, from https://www.youtube.com/watch?v=Fir-v6EoZNE &amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016). Wikimedia Commons, the free media repository. Retrieved October 24, 2017, from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system: Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;400&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;1100&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Fastigial Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Interposed Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Dentate Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Vestibular Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Development=&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|'''Figure 14:''' Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tube. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tube does not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 5:''' (Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 6:''' (Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Developmental Weeks==&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
|&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
|  [[File:Stage9 dorsal.jpg|200px|thumb|'''Figure 7:''' Early stage of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage9 dorsal.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage9_dorsal.jpg&amp;lt;/ref&amp;gt;]] [[File:Stage10 bf5.jpg|200px|thumb|'''Figure 8: '''Late stages of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage10 bf5.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage10_bf5.jpg&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb|'''Figure 9:''' Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|'''Figure 10:''' Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|'''Figure 11:''' Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|'''Figure 12:''' Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb|'''Figure 13:''' Inferior image of a fetal cerebellum at second trimester&amp;lt;ref&amp;gt;Nuchal Fold Edema. Retrieved October 15, 2017, from http://www.fetalultrasound.com/online/text/2-006.HTM&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 15:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 16:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Overview of Development==&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
==Overview of Cerebellar Cell Development==&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers; layers are shown in Figure 15. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 17:''' Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 18:''' SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 19:''' Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Key Historical Discoveries=&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1500s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Galen, Vesalius and Varolio&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Late 1700s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Luigi Rolando, Pierre Flourens, David Ferrier&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens, Luigi Luciani and David Ferrier were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
[[File:Ferrier's findings of cerebellum.gif|220px|thumb|right|Ferrier's findings on a monkey's cerebellum with stimulation points discovered&amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Ernesto Lugaro&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Joseph Babinski and Gordon Holmes&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Mid 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt; Ramon y Cajal&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|220px|thumb|right|'''Figure 20:''' Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]] &lt;br /&gt;
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Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed. &lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1880s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Olof Larsell&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1960s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;John Eccles and Janos Szentágothai&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
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=Animal Studies=&lt;br /&gt;
==Animal Models==&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
[[File:Isthmic Organiser.png|310px|thumb|'''Figure 21:''' The Isthmic Organizer (IsO; shown in yellow) forms at the boundary of the posterior midbrain and anterior hindbrain: the IsO secretes Fgf8 and other growth factors, and is essential for defining the regions of the neural plate that will become the posterior midbrain (shown in blue) and the cerebellum (CB; green). &amp;lt;ref name=&amp;quot;PMID3870571&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|'''Figure 22:''' Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be corresponding to the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
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=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
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{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;220&amp;quot;| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
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| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|220px|thumb|center|'''Figure 23:''' Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|220px|thumb|center|'''Figure 24:''' Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|220px|thumb|center|'''Figure 25:''' Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|220px|thumb|center|'''Figure 26:''' Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
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=Current Research= &lt;br /&gt;
==Emotional memory in depression==&lt;br /&gt;
[[File:Screen Shot 2017-10-26 at 10.20.18 am.png|thumb|'''Figure 27:''' In this image you can see differences between the two groups of gray matter density in the cerebellar subregions. Cool color: decreased gray matter density in depression; Warm color: increased gray matter density in depression. &amp;lt;ref name=”PMIDPMC5516611”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Past investigations have concluded that damage to the posterior lobule of the cerebellum can cause individuals to show changes in manner or emotional instability, similar to a degree of depression or psychosis, without an outward cerebellar motor syndrome&amp;lt;ref name=&amp;quot;PMID16434422&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16434422&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is highly suggestive of the cerebellum's role in emotional memory despite its involvement with motor control. Patients with Major Depressive Disorder (MDD) display a tendency to only selectively recall aspects of scenarios that match their moods, conforming with the &amp;quot;mood-congruent memory (MCM)&amp;quot; theory &amp;lt;ref&amp;gt;Gilligan S. G., &amp;amp; Bower G. H. (1983). Reminding and mood‐congruent memory. Bulletin of the Psychonomic Society, 21, 431–434)&amp;lt;/ref&amp;gt;. This study was undertaken with that principle in mind, and investigated the depth of cerebellar involvement in emotional memory in depression. A link between the volume and density of cerebellar gray matter with measurements of emotional memory was hypothesised. &lt;br /&gt;
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The experiment was conducted between patients with Major Depressive Disorder (MDD) and healthy controls (HCs)&amp;lt;ref name=”PMID5516611”&amp;gt;&amp;lt;pubmed&amp;gt;5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Patients with MDD displayed an atrophy in both gray matter and white matter, most severely in the posterior lobule. There was a significant impairment in emotional memory and decreased volume of the cerebellum in both anterior and posterior lobules. There was marked abnormalities in cortical density, but only a reduction in volume was found to be associated with decreased emotional memory. The severity of depressive symptoms correlated with both volume and density reduction in the grey matter. &lt;br /&gt;
The posterior, anterior and flocculonodular lobes of patients with MDD displayed marked structural differences from the healthy controls, and a functional connectivity between lobules VI and VII of the cerebellum and the cerebrum could indicate that the decreased density in the lobules of MDD patients contributes to alterations in this connectivity. The flocculonodular lobe is especially implicated in MDD. The lobe is associated with vestibular regulation;  Soza and Aviles (2007)&amp;lt;ref name=”PMID17074443”&amp;gt;&amp;lt;pubmed&amp;gt;17074443&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; found that patients who experienced vestibular vertigo also experienced depressive symptoms. This study also determined that patients who experienced depression also experienced bouts of dizziness. Thus, an unprecedentedly widespread area of the cerebellum is displayed to be connected with emotional memory, in particular, with positive or negative memory retention and could lead towards a cure for depression. &lt;br /&gt;
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==Dystonia==&lt;br /&gt;
[[File:Cerebellum Dystonia.png|thumb|'''Figure 28:''' Direct comparison of dystonia scores for animals with torsinA knockdown in the cerebellum alone (TorsinA CB, N = 20) compared with mice with knockdown in the cerebellum and basal ganglia (TorsinA CB+BG, N = 3) at three representative time points; 3 weeks, 11 weeks , and 13 weeks post-injection. There wasn't a significant difference in dystonia score between mice with torsinA knockdown in the cerebellum alone compared to those with knockdown in the cerebellum and basal ganglia &amp;lt;ref name=”PMIDPMC5340526”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5340526&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
This investigation into a potential link between dystonia -a disorder where muscles contract involuntarily- and the cerebellum attempts to delineate its pathophysiological role in the disease &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;5429509&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; . The main concern is that the etiology of dystonia appears to be extremely varied, and as such, unpredictable. There is no significant neural degeneration, but in secondary cases there may be structural lesions present in tissue which could be areas of pathophysiology in dystonia &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;27173653&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Dystonia may manifest itself in almost any body part, indicating that the neural area responsible most likely must not be very specific. This in combination with the involuntary nature of dystonia seems to indicate that the cerebellum is the more than likely involved in the disease. &lt;br /&gt;
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Basal ganglia abnormalities are hinted to be a causative agent in dystonia.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;9679773&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The gap in the knowledge of the true interactions between basal ganglia and the cerebellum with regards to dystonia have led to a hypothesis; that the difference in basal ganglia malfunctioning versus abnormal interaction between the ganglia and the cerebellum could reflect the heterogenous pathophysiology of dystonia; either primary or secondary. Some experimental evidence currently available implies that cerebellar dysfunction could affect the topographic distribution of the symptoms of dystonia, and therefore further research is warranted to investigate the full depth of basal ganglia involvement in the disease. &lt;br /&gt;
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==Adaptation to Delayed Action Effects==&lt;br /&gt;
[[File:Adaptation Cerebellum.png|thumb|'''Figure 29:''' In real stimulation, a considerable increase in pre-stimulus low-frequency activity is only found in the right cerebellar hemisphere (near to the stimulation site). But in sham stimulation, pre-stimulus low-frequency activity increases in both the right cerebellar hemisphere and cerebellar vermis.&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.]]&lt;br /&gt;
Sensory attenuation refers to when individuals filters unnecessary information. When there is a perturbation between actions and the following-sound, the sensory attenuation is reduced &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
An example of perturbation is when there is a delay when an individual presses a button with sound immediately expected, but instead the sound is delayed. Sensory attenuation can be further described by the forward model theory. The forward model theory suggests that predictions for sensory consequences (for example, sound that is heard) are made simultaneously with the motor movement&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Predictions and real sensory input (what really happens), after the sound delay is conducted, are compared in the model. If the prediction and real sensory input do not matchup, sensory attenuation is observed. The prediction errors are then relayed to other brain areas for further processing&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
The process of sensory attenuation usually re-emerges after the disruption to the normal mechanism &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The re-emerging of this is a process of either correcting previous predictions or updating initial forward models to minimise prediction errors. The cerebellum is currently being researched on how it plays an important role in updating the forward model within the brain&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. One investigation seeks to find evidence on the involvement of the cerebellum in learning to predict the unexpected delays. This investigation has found that low-frequency activity in the cerebellum, prior to the stimulation, plays a key role in adapting to the delayed stimulus &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
==Addiction==&lt;br /&gt;
[[File:Addiction Cerebellum.png|thumb|'''Figure 30:''' Nissl staining showing the dopamine receptor expression within the cerebellum of a songbird &amp;lt;ref name=”PMIDPMC2904815”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2904815&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
The cerebellum has only recently been suspected to be involved in addictive behaviour, as some arguments provided for the initiation of research into the cerebellar role on addiction&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26602022&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellum is shown to be intrinsically linked with dopamine release and reception&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;16451810&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;; with dopamine being the main hormone on which addiction is predicated, it is likely that the cerebellum could influence the response to the addictive stimuli. It has also been established that addictive drugs cause specific molecular mechanisms, changes in synapse plasticity&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;10224304&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, and influence intracellular transduction pathways as well as gene expression in the cerebellum&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25262781&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The specificity of the drugs in targeting the cerebellum could highlight the link between the affected organ and addictive behaviour. Addictive drugs such as cocaine have been demonstrated to produce a behavioral sensitivity in mice, and an associated change in cerebellar plasticity. The change of the morphology of Purkinje cells and synaptic terminals in the mice most likely contributed to the difference in reception of the drug&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25619460&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, this link has not yet been fully investigated. &lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Although there are numerous articles and ongoing research on the cerebellum, there are still investigations yet to be performed. Some questions that could be answered in future research include:&lt;br /&gt;
*Is the cerebellum size related to human intelligence?&lt;br /&gt;
*Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*What changes in cerebellum development lead to the social impairments seen in those with Autism Spectrum Disorder?&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;28150911&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*Do we need the cerebellum to function and survive?&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
*'''ApoER2''' – Works with VLDLR and is a very important receptor in the brain affecting neuronal function and development. &lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
*'''Dopamine''' – neurotransmitter and a precursor of substances including adrenaline. &lt;br /&gt;
*'''Eurydendoid cells''' – cerebellar efferent neurons.&lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
*'''Hoxa2''' – a gene that encodes for a transcription factor which could be involved in the development of the positioning of the hindbrain. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
*'''Otx2''' – a protein that is involved with defining the layers and regions of the cerebral cortex and cerebellum.&lt;br /&gt;
*'''Perturbation''' –  (In the context of the Current Research) alternation to the normal mechanism that would happen in response to a stimulation &lt;br /&gt;
*'''Plasticity''' – the brains ability to change at any age. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
*'''Tentorium''' – fold of the dura mater forming division between cerebrum and cerebellum.&lt;br /&gt;
*'''VLDLR''' – Very-low-density-lipoprotein receptor, it’s a transmembrane lipoprotein receptor&lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Ferrier%27s_findings_of_cerebellum.gif&amp;diff=316862</id>
		<title>File:Ferrier's findings of cerebellum.gif</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Ferrier%27s_findings_of_cerebellum.gif&amp;diff=316862"/>
		<updated>2017-10-26T04:33:04Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: =Ferrier's findings on a monkey's cerebellum with stimulation points=

==Reference==
&amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;

===Copyright===&lt;/p&gt;
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&lt;div&gt;=Ferrier's findings on a monkey's cerebellum with stimulation points=&lt;br /&gt;
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==Reference==&lt;br /&gt;
&amp;lt;ref&amp;gt;http://www.cerebromente.org.br/n01/frenolog/frenloc.htm&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Copyright===&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=316818</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=316818"/>
		<updated>2017-10-26T04:23:00Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
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&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brain's weight but contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence key historical discoveries, current research and animal models will be discussed. Towards the end of the page there are future questions listed on future investigations involving the cerebellum and the abnormalities from an affected cerebellum are also highlighted. Terms that may be difficult to understand have also been identified and defined.&lt;br /&gt;
&lt;br /&gt;
The following video provides a brief overview on the cerebellum which will be further discussed on this page:&lt;br /&gt;
&amp;lt;html5media height=&amp;quot;315&amp;quot; width=&amp;quot;560&amp;quot;&amp;gt;https://www.youtube.com/watch?v=Fir-v6EoZNE&amp;lt;/html5media&amp;gt; &amp;lt;ref&amp;gt; 2-Minute Neuroscience on Cerebellum. (2015). Retrieved October 25, 2017, from https://www.youtube.com/watch?v=Fir-v6EoZNE &amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016). Wikimedia Commons, the free media repository. Retrieved October 24, 2017, from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
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&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system: Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;400&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;1100&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Fastigial Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Interposed Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Dentate Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Vestibular Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Development=&lt;br /&gt;
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==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|'''Figure 14:''' Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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==Neural Development==&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tube. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tube does not close effectively.&lt;br /&gt;
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==Early Brain Vesicles==&lt;br /&gt;
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===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 5:''' (Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 6:''' (Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Developmental Weeks==&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
|&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
|width=&amp;quot;200&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
|  [[File:Stage9 dorsal.jpg|200px|thumb|'''Figure 7:''' Early stage of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage9 dorsal.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage9_dorsal.jpg&amp;lt;/ref&amp;gt;]] [[File:Stage10 bf5.jpg|200px|thumb|'''Figure 8: '''Late stages of neurulation&amp;lt;ref&amp;gt;2017. '''Embryology''' ''Stage10 bf5.jpg''. Retrieved October 15, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Stage10_bf5.jpg&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb|'''Figure 9:''' Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|'''Figure 10:''' Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|'''Figure 11:''' Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|'''Figure 12:''' Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb|'''Figure 13:''' Inferior image of a fetal cerebellum at second trimester&amp;lt;ref&amp;gt;Nuchal Fold Edema. Retrieved October 15, 2017, from http://www.fetalultrasound.com/online/text/2-006.HTM&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 15:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 16:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Overview of Development==&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
==Overview of Cerebellar Cell Development==&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers; layers are shown in Figure 15. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 17:''' Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 18:''' SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 19:''' Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Key Historical Discoveries=&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1500s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Galen, Vesalius and Varolio&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Late 1700s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Luigi Rolando, Pierre Flourens&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Ernesto Lugaro&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Early 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Joseph Babinski and Gordon Holmes&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Mid 1800s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt; Ramon y Cajal&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | [[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|220px|thumb|right|'''Figure 20:''' Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]] &lt;br /&gt;
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Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed. &lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1880s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;Olof Larsell&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''1960s'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | &amp;lt;center&amp;gt;John Eccles and Janos Szentágothai&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
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=Animal Studies=&lt;br /&gt;
==Animal Models==&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
[[File:Isthmic Organiser.png|310px|thumb|'''Figure 21:''' The Isthmic Organizer (IsO; shown in yellow) forms at the boundary of the posterior midbrain and anterior hindbrain: the IsO secretes Fgf8 and other growth factors, and is essential for defining the regions of the neural plate that will become the posterior midbrain (shown in blue) and the cerebellum (CB; green). &amp;lt;ref name=&amp;quot;PMID3870571&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|'''Figure 22:''' Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be corresponding to the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
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=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
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{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;220&amp;quot;| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
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| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|220px|thumb|center|'''Figure 23:''' Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|220px|thumb|center|'''Figure 24:''' Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|220px|thumb|center|'''Figure 25:''' Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|220px|thumb|center|'''Figure 26:''' Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
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=Current Research= &lt;br /&gt;
==Emotional memory in depression==&lt;br /&gt;
[[File:Screen Shot 2017-10-26 at 10.20.18 am.png|thumb|'''Figure 27:''' In this image you can see differences between the two groups of gray matter density in the cerebellar subregions. Cool color: decreased gray matter density in depression; Warm color: increased gray matter density in depression. &amp;lt;ref name=”PMIDPMC5516611”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Past investigations have concluded that damage to the posterior lobule of the cerebellum can cause individuals to show changes in manner or emotional instability, similar to a degree of depression or psychosis, without an outward cerebellar motor syndrome&amp;lt;ref name=&amp;quot;PMID16434422&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16434422&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is highly suggestive of the cerebellum's role in emotional memory despite its involvement with motor control. Patients with Major Depressive Disorder (MDD) display a tendency to only selectively recall aspects of scenarios that match their moods, conforming with the &amp;quot;mood-congruent memory (MCM)&amp;quot; theory &amp;lt;ref&amp;gt;Gilligan S. G., &amp;amp; Bower G. H. (1983). Reminding and mood‐congruent memory. Bulletin of the Psychonomic Society, 21, 431–434)&amp;lt;/ref&amp;gt;. This study was undertaken with that principle in mind, and investigated the depth of cerebellar involvement in emotional memory in depression. A link between the volume and density of cerebellar gray matter with measurements of emotional memory was hypothesised. &lt;br /&gt;
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The experiment was conducted between patients with Major Depressive Disorder (MDD) and healthy controls (HCs)&amp;lt;ref name=”PMID5516611”&amp;gt;&amp;lt;pubmed&amp;gt;5516611&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Patients with MDD displayed an atrophy in both gray matter and white matter, most severely in the posterior lobule. There was a significant impairment in emotional memory and decreased volume of the cerebellum in both anterior and posterior lobules. There was marked abnormalities in cortical density, but only a reduction in volume was found to be associated with decreased emotional memory. The severity of depressive symptoms correlated with both volume and density reduction in the grey matter. &lt;br /&gt;
The posterior, anterior and flocculonodular lobes of patients with MDD displayed marked structural differences from the healthy controls, and a functional connectivity between lobules VI and VII of the cerebellum and the cerebrum could indicate that the decreased density in the lobules of MDD patients contributes to alterations in this connectivity. The flocculonodular lobe is especially implicated in MDD. The lobe is associated with vestibular regulation;  Soza and Aviles (2007)&amp;lt;ref name=”PMID17074443”&amp;gt;&amp;lt;pubmed&amp;gt;17074443&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; found that patients who experienced vestibular vertigo also experienced depressive symptoms. This study also determined that patients who experienced depression also experienced bouts of dizziness. Thus, an unprecedentedly widespread area of the cerebellum is displayed to be connected with emotional memory, in particular, with positive or negative memory retention and could lead towards a cure for depression. &lt;br /&gt;
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==Dystonia==&lt;br /&gt;
[[File:Cerebellum Dystonia.png|thumb|'''Figure 28:''' Direct comparison of dystonia scores for animals with torsinA knockdown in the cerebellum alone (TorsinA CB, N = 20) compared with mice with knockdown in the cerebellum and basal ganglia (TorsinA CB+BG, N = 3) at three representative time points; 3 weeks, 11 weeks , and 13 weeks post-injection. There wasn't a significant difference in dystonia score between mice with torsinA knockdown in the cerebellum alone compared to those with knockdown in the cerebellum and basal ganglia &amp;lt;ref name=”PMIDPMC5340526”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5340526&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
This investigation into a potential link between dystonia -a disorder where muscles contract involuntarily- and the cerebellum attempts to delineate its pathophysiological role in the disease &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;5429509&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; . The main concern is that the etiology of dystonia appears to be extremely varied, and as such, unpredictable. There is no significant neural degeneration, but in secondary cases there may be structural lesions present in tissue which could be areas of pathophysiology in dystonia &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;27173653&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Dystonia may manifest itself in almost any body part, indicating that the neural area responsible most likely must not be very specific. This in combination with the involuntary nature of dystonia seems to indicate that the cerebellum is the more than likely involved in the disease. &lt;br /&gt;
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Basal ganglia abnormalities are hinted to be a causative agent in dystonia.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;9679773&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The gap in the knowledge of the true interactions between basal ganglia and the cerebellum with regards to dystonia have led to a hypothesis; that the difference in basal ganglia malfunctioning versus abnormal interaction between the ganglia and the cerebellum could reflect the heterogenous pathophysiology of dystonia; either primary or secondary. Some experimental evidence currently available implies that cerebellar dysfunction could affect the topographic distribution of the symptoms of dystonia, and therefore further research is warranted to investigate the full depth of basal ganglia involvement in the disease. &lt;br /&gt;
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==Adaptation to Delayed Action Effects==&lt;br /&gt;
[[File:Adaptation Cerebellum.png|thumb|'''Figure 29:''' In real stimulation, a considerable increase in pre-stimulus low-frequency activity is only found in the right cerebellar hemisphere (near to the stimulation site). But in sham stimulation, pre-stimulus low-frequency activity increases in both the right cerebellar hemisphere and cerebellar vermis.&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.]]&lt;br /&gt;
Sensory attenuation refers to when individuals filters unnecessary information. When there is a perturbation between actions and the following-sound, the sensory attenuation is reduced &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
An example of perturbation is when there is a delay when an individual presses a button with sound immediately expected, but instead the sound is delayed. Sensory attenuation can be further described by the forward model theory. The forward model theory suggests that predictions for sensory consequences (for example, sound that is heard) are made simultaneously with the motor movement&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Predictions and real sensory input (what really happens), after the sound delay is conducted, are compared in the model. If the prediction and real sensory input do not matchup, sensory attenuation is observed. The prediction errors are then relayed to other brain areas for further processing&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
The process of sensory attenuation usually re-emerges after the disruption to the normal mechanism &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The re-emerging of this is a process of either correcting previous predictions or updating initial forward models to minimise prediction errors. The cerebellum is currently being researched on how it plays an important role in updating the forward model within the brain&amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. One investigation seeks to find evidence on the involvement of the cerebellum in learning to predict the unexpected delays. This investigation has found that low-frequency activity in the cerebellum, prior to the stimulation, plays a key role in adapting to the delayed stimulus &amp;lt;ref name=”PMIDPMC5571438”&amp;gt;&amp;lt;pubmed&amp;gt;PMC5571438&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
==Addiction==&lt;br /&gt;
[[File:Addiction Cerebellum.png|thumb|'''Figure 30:''' Nissl staining showing the dopamine receptor expression within the cerebellum of a songbird &amp;lt;ref name=”PMIDPMC2904815”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2904815&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
The cerebellum has only recently been suspected to be involved in addictive behaviour, as some arguments provided for the initiation of research into the cerebellar role on addiction&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26602022&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellum is shown to be intrinsically linked with dopamine release and reception&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;16451810&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;; with dopamine being the main hormone on which addiction is predicated, it is likely that the cerebellum could influence the response to the addictive stimuli. It has also been established that addictive drugs cause specific molecular mechanisms, changes in synapse plasticity&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;10224304&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, and influence intracellular transduction pathways as well as gene expression in the cerebellum&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25262781&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The specificity of the drugs in targeting the cerebellum could highlight the link between the affected organ and addictive behaviour. Addictive drugs such as cocaine have been demonstrated to produce a behavioral sensitivity in mice, and an associated change in cerebellar plasticity. The change of the morphology of Purkinje cells and synaptic terminals in the mice most likely contributed to the difference in reception of the drug&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25619460&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, this link has not yet been fully investigated. &lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Although there are numerous articles and ongoing research on the cerebellum, there are still investigations yet to be performed. Some questions that could be answered in future research include:&lt;br /&gt;
*Is the cerebellum size related to human intelligence?&lt;br /&gt;
*Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*What changes in cerebellum development lead to the social impairments seen in those with Autism Spectrum Disorder?&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;28150911&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
*Do we need the cerebellum to function and survive?&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
*'''ApoER2''' – Works with VLDLR and is a very important receptor in the brain affecting neuronal function and development. &lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
*'''Dopamine''' – neurotransmitter and a precursor of substances including adrenaline. &lt;br /&gt;
*'''Eurydendoid cells''' – cerebellar efferent neurons.&lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
*'''Hoxa2''' – a gene that encodes for a transcription factor which could be involved in the development of the positioning of the hindbrain. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
*'''Otx2''' – a protein that is involved with defining the layers and regions of the cerebral cortex and cerebellum.&lt;br /&gt;
*'''Perturbation''' –  (In the context of the Current Research) alternation to the normal mechanism that would happen in response to a stimulation &lt;br /&gt;
*'''Plasticity''' – the brains ability to change at any age. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
*'''Tentorium''' – fold of the dura mater forming division between cerebrum and cerebellum.&lt;br /&gt;
*'''VLDLR''' – Very-low-density-lipoprotein receptor, it’s a transmembrane lipoprotein receptor&lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315380</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315380"/>
		<updated>2017-10-25T06:42:13Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
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&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016, December 15). Wikimedia Commons, the free media repository. Retrieved 12:48, October 24, 2017 from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png|500px]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
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| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb| Inferior image of a fetal cerebellum at second trimester]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 7''': Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 8''': SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 9''': Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1500s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Galen, Vesalius and Varolio&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Late 1700s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Luigi Rolando, Pierre Flourens&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ernesto Lugaro&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Joseph Babinski and Gordon Holmes&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Mid 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ramon y Cajal&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed. &lt;br /&gt;
&amp;lt;center&amp;gt;[[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 10:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1880s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Olof Larsell&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1960s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | John Eccles and Janos Szentágothai&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
[[File:Isthmic Organiser.png|thumb|'''Figure 11:''' Isthmic Organiser &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be correspondingto the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|250px|thumb|Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|250px|thumb|Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|250px|thumb|Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|250px|thumb|Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516611/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429509/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571438/&lt;br /&gt;
&lt;br /&gt;
http://www.sciencedirect.com/science/article/pii/S0149763415002754?via%3Dihub &lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Is the cerebellum size related to human intelligence?&lt;br /&gt;
&lt;br /&gt;
Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315374</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315374"/>
		<updated>2017-10-25T06:39:52Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
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&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016, December 15). Wikimedia Commons, the free media repository. Retrieved 12:48, October 24, 2017 from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png|500px]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb| Inferior image of a fetal cerebellum at second trimester]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 7''': Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 8''': SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 9''': Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1500s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Galen, Vesalius and Varolio&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Late 1700s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Luigi Rolando, Pierre Flourens&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ernesto Lugaro&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Joseph Babinski and Gordon Holmes&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Mid 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ramon y Cajal&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed. &lt;br /&gt;
&amp;lt;center&amp;gt;[[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 10:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1880s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Olof Larsell&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1960s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | John Eccles and Janos Szentágothai&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
[[File:Isthmic Organiser.png|thumb|'''Figure 11:''' Isthmic Organiser &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be correspondingto the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|250px|thumb|Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|250px|thumb|Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|250px|thumb|Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|250px|thumb|Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516611/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429509/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571438/&lt;br /&gt;
&lt;br /&gt;
http://www.sciencedirect.com/science/article/pii/S0149763415002754?via%3Dihub &lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Is the cerebellum size related to human intelligence?&lt;br /&gt;
&lt;br /&gt;
Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315368</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315368"/>
		<updated>2017-10-25T06:37:07Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016, December 15). Wikimedia Commons, the free media repository. Retrieved 12:48, October 24, 2017 from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png|500px]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb| Inferior image of a fetal cerebellum at second trimester]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
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==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
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===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
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==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 7''': Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 8''': SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 9''': Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
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&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1500s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Galen, Vesalius and Varolio&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Late 1700s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Luigi Rolando, Pierre Flourens&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ernesto Lugaro&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Joseph Babinski and Gordon Holmes&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Mid 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ramon y Cajal&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed. &lt;br /&gt;
&amp;lt;centre&amp;gt;[[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 10:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;centre&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1880s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Olof Larsell&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1960s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | John Eccles and Janos Szentágothai&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
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=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
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==Isthmic Organiser==&lt;br /&gt;
[[File:Isthmic Organiser.png|thumb|'''Figure 11:''' Isthmic Organiser &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be correspondingto the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
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=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|250px|thumb|Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|250px|thumb|Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|250px|thumb|Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|250px|thumb|Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516611/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429509/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571438/&lt;br /&gt;
&lt;br /&gt;
http://www.sciencedirect.com/science/article/pii/S0149763415002754?via%3Dihub &lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Is the cerebellum size related to human intelligence?&lt;br /&gt;
&lt;br /&gt;
Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315360</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315360"/>
		<updated>2017-10-25T06:34:37Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016, December 15). Wikimedia Commons, the free media repository. Retrieved 12:48, October 24, 2017 from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png|500px]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb| Inferior image of a fetal cerebellum at second trimester]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 7''': Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 8''': SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 9''': Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1500s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Galen, Vesalius and Varolio&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Late 1700s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Luigi Rolando, Pierre Flourens&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ernesto Lugaro&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Joseph Babinski and Gordon Holmes&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Mid 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ramon y Cajal&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed. [[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 10:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1880s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Olof Larsell&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1960s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | John Eccles and Janos Szentágothai&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
[[File:Isthmic Organiser.png|thumb|'''Figure 11:''' Isthmic Organiser &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be correspondingto the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|250px|thumb|Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|250px|thumb|Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|250px|thumb|Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|250px|thumb|Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516611/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429509/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571438/&lt;br /&gt;
&lt;br /&gt;
http://www.sciencedirect.com/science/article/pii/S0149763415002754?via%3Dihub &lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Is the cerebellum size related to human intelligence?&lt;br /&gt;
&lt;br /&gt;
Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315244</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315244"/>
		<updated>2017-10-25T03:09:55Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016, December 15). Wikimedia Commons, the free media repository. Retrieved 12:48, October 24, 2017 from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png|500px]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb| Inferior image of a fetal cerebellum at second trimester]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 7''': Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 8''': SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 9''': Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1500s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Galen, Vesalius and Varolio&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Late 1700s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Luigi Rolando, Pierre Flourens&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ernesto Lugaro&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Joseph Babinski and Gordon Holmes&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Mid 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ramon y Cajal&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed.&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1880s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Olof Larsell&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1960s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | John Eccles and Janos Szentágothai&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 10:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
[[File:Isthmic Organiser.png|thumb|'''Figure 11:''' Isthmic Organiser &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be correspondingto the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|250px|thumb|Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|250px|thumb|Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|250px|thumb|Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|250px|thumb|Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516611/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429509/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571438/&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Is the cerebellum size related to human intelligence?&lt;br /&gt;
&lt;br /&gt;
Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315240</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315240"/>
		<updated>2017-10-25T03:07:05Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016, December 15). Wikimedia Commons, the free media repository. Retrieved 12:48, October 24, 2017 from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb| Inferior image of a fetal cerebellum at second trimester]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 7''': Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 8''': SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 9''': Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1500s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Galen, Vesalius and Varolio&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Late 1700s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Luigi Rolando, Pierre Flourens&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ernesto Lugaro&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Joseph Babinski and Gordon Holmes&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Mid 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ramon y Cajal&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed.&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1880s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Olof Larsell&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1960s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | John Eccles and Janos Szentágothai&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 10:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
[[File:Isthmic Organiser.png|thumb|'''Figure 11:''' Isthmic Organiser &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be correspondingto the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|250px|thumb|Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|250px|thumb|Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|250px|thumb|Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|250px|thumb|Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516611/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429509/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571438/&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Is the cerebellum size related to human intelligence?&lt;br /&gt;
&lt;br /&gt;
Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
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		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Second_Trimester_Cerebellum.jpeg&amp;diff=315236</id>
		<title>File:Second Trimester Cerebellum.jpeg</title>
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&lt;div&gt;=Second Trimester Cerebellum=&lt;br /&gt;
Inferior image of a fetal cerebellum at second trimester&lt;br /&gt;
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==Reference==&lt;br /&gt;
&amp;lt;ref&amp;gt;http://www.fetalultrasound.com/online/text/2-006.HTM&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Copyright===&lt;br /&gt;
© 1995 The Authors. Published by the Ultrasound of Life, Interactive Fetal Ultrasound and MRI teaching under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/3.0/, which permits unrestricted use, provided the original author and source are credited.&lt;br /&gt;
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		<title>2017 Group Project 6</title>
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='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016, December 15). Wikimedia Commons, the free media repository. Retrieved 12:48, October 24, 2017 from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|200px|thumb| Caudal, inferior image of a cerebellum at second trimester]]&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 7''': Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 8''': SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 9''': Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1500s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Galen, Vesalius and Varolio&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Late 1700s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Luigi Rolando, Pierre Flourens&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ernesto Lugaro&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Joseph Babinski and Gordon Holmes&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Mid 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ramon y Cajal&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed.&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1880s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Olof Larsell&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1960s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | John Eccles and Janos Szentágothai&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 10:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
[[File:Isthmic Organiser.png|thumb|'''Figure 11:''' Isthmic Organiser &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be correspondingto the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|250px|thumb|Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|250px|thumb|Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|250px|thumb|Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|250px|thumb|Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516611/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429509/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571438/&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Is the cerebellum size related to human intelligence?&lt;br /&gt;
&lt;br /&gt;
Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315232</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315232"/>
		<updated>2017-10-25T03:01:26Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016, December 15). Wikimedia Commons, the free media repository. Retrieved 12:48, October 24, 2017 from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|400px|thumb| Caudal, inferior image of a cerebellum at second trimester]]&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 7''': Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 8''': SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 9''': Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1500s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Galen, Vesalius and Varolio&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Late 1700s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Luigi Rolando, Pierre Flourens&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ernesto Lugaro&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Joseph Babinski and Gordon Holmes&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Mid 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ramon y Cajal&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed.&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1880s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Olof Larsell&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1960s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | John Eccles and Janos Szentágothai&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 10:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
[[File:Isthmic Organiser.png|thumb|'''Figure 11:''' Isthmic Organiser &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be correspondingto the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|250px|thumb|Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|250px|thumb|Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|250px|thumb|Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|250px|thumb|Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516611/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429509/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571438/&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Is the cerebellum size related to human intelligence?&lt;br /&gt;
&lt;br /&gt;
Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315228</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315228"/>
		<updated>2017-10-25T02:59:07Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016, December 15). Wikimedia Commons, the free media repository. Retrieved 12:48, October 24, 2017 from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Second Trimester Cerebellum.jpeg|400px|thumb| Caudal, inferior image of a cerebellum at second trimester]]&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 7''': Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 8''': SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 9''': Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;Zhang, G., Assadi, A. H., McNeil, R. S., Beffert, U., Wynshaw-Boris, A., Herz, J., . . . D'Arcangelo, G. (2007). The Pafah1b Complex Interacts with the Reelin Receptor VLDLR. PLoS ONE, 2(2), 252nd ser. doi:https://doi.org/10.1371/journal.pone.0000252&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1500s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Galen, Vesalius and Varolio&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Late 1700s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Luigi Rolando, Pierre Flourens&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ernesto Lugaro&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Joseph Babinski and Gordon Holmes&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Mid 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ramon y Cajal&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed.&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1880s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Olof Larsell&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1960s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | John Eccles and Janos Szentágothai&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 10:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
[[File:Isthmic Organiser.png|thumb|'''Figure 11:''' Isthmic Organiser &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be correspondingto the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|250px|thumb|Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|250px|thumb|Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|250px|thumb|Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|250px|thumb|Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516611/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429509/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571438/&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Is the cerebellum size related to human intelligence?&lt;br /&gt;
&lt;br /&gt;
Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Second_Trimester_Cerebellum.jpeg&amp;diff=315226</id>
		<title>File:Second Trimester Cerebellum.jpeg</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Second_Trimester_Cerebellum.jpeg&amp;diff=315226"/>
		<updated>2017-10-25T02:53:54Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;=Second Trimester Cerebellum=&lt;br /&gt;
Caudal, inferior image of the cerebellum at second trimester&lt;br /&gt;
&lt;br /&gt;
==Reference==&lt;br /&gt;
&amp;lt;ref&amp;gt;http://www.fetalultrasound.com/online/text/2-006.HTM&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Copyright===&lt;br /&gt;
© 1995 The Authors. Published by the Ultrasound of Life, Interactive Fetal Ultrasound and MRI teaching under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/3.0/, which permits unrestricted use, provided the original author and source are credited.&lt;br /&gt;
&lt;br /&gt;
{{Template:Student Image}}&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Second_Trimester_Cerebellum.jpeg&amp;diff=315224</id>
		<title>File:Second Trimester Cerebellum.jpeg</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=File:Second_Trimester_Cerebellum.jpeg&amp;diff=315224"/>
		<updated>2017-10-25T02:48:32Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: =Second Trimester Cerebellum=
Caudal, inferior image of the cerebellum at second trimester

==Reference==
&amp;lt;ref&amp;gt;http://www.fetalultrasound.com/online/text/2-006.HTM&amp;lt;/ref&amp;gt;

===Copyright===&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;=Second Trimester Cerebellum=&lt;br /&gt;
Caudal, inferior image of the cerebellum at second trimester&lt;br /&gt;
&lt;br /&gt;
==Reference==&lt;br /&gt;
&amp;lt;ref&amp;gt;http://www.fetalultrasound.com/online/text/2-006.HTM&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Copyright===&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315218</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315218"/>
		<updated>2017-10-25T02:37:58Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
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&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
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[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016, December 15). Wikimedia Commons, the free media repository. Retrieved 12:48, October 24, 2017 from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
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&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
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===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 7''': Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 8''': SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 9''': Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;1800349&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;500&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;700&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1500s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Galen, Vesalius and Varolio&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Late 1700s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Luigi Rolando, Pierre Flourens&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ernesto Lugaro&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Joseph Babinski and Gordon Holmes&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Mid 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ramon y Cajal&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed.&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1880s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Olof Larsell&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1960s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | John Eccles and Janos Szentágothai&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 10:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
[[File:Isthmic Organiser.png|thumb|'''Figure 11:''' Isthmic Organiser &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be correspondingto the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|250px|thumb|Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|250px|thumb|Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|250px|thumb|Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|250px|thumb|Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516611/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429509/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571438/&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Is the cerebellum size related to human intelligence?&lt;br /&gt;
&lt;br /&gt;
Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315214</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315214"/>
		<updated>2017-10-25T02:35:35Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016, December 15). Wikimedia Commons, the free media repository. Retrieved 12:48, October 24, 2017 from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 7''': Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 8''': SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 9''': Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;1800349&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1500s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Galen, Vesalius and Varolio&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Late 1700s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Luigi Rolando, Pierre Flourens&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ernesto Lugaro&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Joseph Babinski and Gordon Holmes&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Mid 1800s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Ramon y Cajal&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed.&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1880s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | Olof Larsell&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1960s'''&lt;br /&gt;
| width=&amp;quot;40&amp;quot; | John Eccles and Janos Szentágothai&lt;br /&gt;
| width=&amp;quot;80&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 10:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
[[File:Isthmic Organiser.png|thumb|'''Figure 11:''' Isthmic Organiser &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be correspondingto the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|250px|thumb|Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|250px|thumb|Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|250px|thumb|Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|250px|thumb|Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516611/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429509/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571438/&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Is the cerebellum size related to human intelligence?&lt;br /&gt;
&lt;br /&gt;
Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315210</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315210"/>
		<updated>2017-10-25T02:30:51Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016, December 15). Wikimedia Commons, the free media repository. Retrieved 12:48, October 24, 2017 from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 7''': Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 8''': SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 9''': Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;1800349&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1500s'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Galen, Vesalius and Varolio&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Late 1700s''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Luigi Rolando, Pierre Flourens&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |''' Early 1800s'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Ernesto Lugaro&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Joseph Babinski and Gordon Holmes&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Mid 1800s'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Ramon y Cajal&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed.&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1880s'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Olof Larsell&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1960s'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | John Eccles and Janos Szentágothai&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 10:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
[[File:Isthmic Organiser.png|thumb|'''Figure 11:''' Isthmic Organiser &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be correspondingto the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|250px|thumb|Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|250px|thumb|Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|250px|thumb|Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|250px|thumb|Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516611/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429509/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571438/&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Is the cerebellum size related to human intelligence?&lt;br /&gt;
&lt;br /&gt;
Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315206</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315206"/>
		<updated>2017-10-25T02:28:17Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016, December 15). Wikimedia Commons, the free media repository. Retrieved 12:48, October 24, 2017 from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 7''': Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 8''': SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 9''': Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;1800349&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 10:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Year'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Discoverer''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description '''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1500s'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Galen, Vesalius and Varolio&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Described the macroscopic anatomy of the cerebellum&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Late 1700s''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Luigi Rolando, Pierre Flourens&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Provided experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |''' Early 1800s'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Ernesto Lugaro&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | First defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Early 1800s'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Joseph Babinski and Gordon Holmes&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Mid 1800s'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Ramon y Cajal&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed.&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1880s'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Olof Larsell&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''1960s'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | John Eccles and Janos Szentágothai&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Pieced together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
[[File:Isthmic Organiser.png|thumb|'''Figure 11:''' Isthmic Organiser &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be correspondingto the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|250px|thumb|Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|250px|thumb|Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|250px|thumb|Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|250px|thumb|Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516611/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429509/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571438/&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Is the cerebellum size related to human intelligence?&lt;br /&gt;
&lt;br /&gt;
Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315114</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=315114"/>
		<updated>2017-10-25T00:59:57Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
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&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
&lt;br /&gt;
=Basic Anatomy of the Cerebellum=&lt;br /&gt;
&lt;br /&gt;
The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;&amp;gt;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;File:CerebellumDiv.png. (2016, December 15). Wikimedia Commons, the free media repository. Retrieved 12:48, October 24, 2017 from https://commons.wikimedia.org/w/index.php?title=File:CerebellumDiv.png&amp;amp;oldid=226277429.&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref name=&amp;quot;Venturini, S. (2017, October 21). The Cerebellum. Retrieved October 23, 2017, from http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;quot;/&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;The Blood Supply of the Brain and Spinal Cord. (2001). In D. Purves, G. Augustine, &amp;amp; D. Fitzpatrick (Eds.), Neuroscience (2nd ed.). Sunderland, MA: Sinauer Associates.&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;Danbolt, N. C., &amp;amp; Zhou, Y. (n.d.). The Cerebellar Cortex. Retrieved October 23, 2017, from http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;D’Angelo, E. (2013). Cerebellar Granule Cell. Handbook of the Cerebellum and Cerebellar Disorders, 3, 767-791. doi: 10.1007/978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;Harting, J. K. (1997). Deep Nuclei. Retrieved October 23, 2017, from http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;12418089&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain.png]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;22237006&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19335795&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref name=&amp;quot;PMID21380713&amp;quot;/&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum. There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref name=&amp;quot;PMID4552263&amp;quot;/&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions.&amp;lt;ref name=&amp;quot;PMID3213765&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the [https://en.wikipedia.org/wiki/Rhombic_lip rhombic lip]  to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the [https://en.wikipedia.org/wiki/Pia_mater pia mater] and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;16806506&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;Sotelo, C., &amp;amp; Rossi, F. (2013). Purkinje Cell Migration and Differentiation. Handbook of the Cerebellum and Cerebellar Disorders, 2, 147-178. doi:10.1007/978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 7''': Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signalling in Cerebellar Development==&lt;br /&gt;
[[File:Cell signalling in cerebellum development.jpg|500px|thumb|'''Figure 8''': SHH (green) acts on EGL to stimulate proliferation, on Bergmann glia (B) to induce differentiation, and has an unknown function on purkinje cells (P).  Laminin and heparan sulfate have a synergistic effect on SHH and fibronectin and vitronectin have an inhibitory effect on SHH.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;22291620&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===Proliferation in the EGL===&lt;br /&gt;
Many different cell signalling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  [https://en.wikipedia.org/wiki/Sonic_hedgehog '''Sonic hedgehog'''] (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The '''external germinal layer''' (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for '''Atoh1''', a transcription factor that represses differentiation and promotes division via SHH signalling.  In a similar manner to SHH and Atoh1, the pia mater secretes '''Sdf1''' which interacts with the receptor '''Cxcr4''' to maintain proliferation in the EGL. [https://en.wikipedia.org/wiki/Notch_signaling_pathway Notch2 signalling] and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP). &lt;br /&gt;
===Exit from the EGL===&lt;br /&gt;
BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of '''Neurod1''' and interaction with the extracellular matrix components of the inner EGL, '''vitronectin''', '''F3''', and '''contactin'''.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;  Granule cell migration is stimulated by '''D-serine''' secreted by the Bergmann glia.  This can be inhibited by '''DAAO''' or '''SR'''.&amp;lt;ref name=&amp;quot;PMID16806506&amp;quot;/&amp;gt; &lt;br /&gt;
&lt;br /&gt;
[[File:Reelin signalling.jpg|300px|thumb|'''Figure 9''': Reelin is a large signalling molecule that initiates a signal transduction pathway to induce formation of a monolayer of purkinje cells and detach purkinje cells from radial glia.&amp;lt;ref&amp;gt;&amp;lt;Pubmed&amp;gt;1800349&amp;lt;/Pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
===FGF and the Isthmus===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Fibroblast_growth_factor '''Fibroblast Growth Factor'''] (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of [https://en.wikipedia.org/wiki/Rhombomere rhombomere] 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
===Reelin and purkinje cells===&lt;br /&gt;
[https://en.wikipedia.org/wiki/Reelin '''Reelin'''] is an important signalling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors '''VLDLR''' and '''ApoER2''', adaptor protein '''Dab1''', and many other further downstream intracellular signalling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
===Transcription factors===&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors [https://en.wikipedia.org/wiki/Hox_gene '''Hoxa2'''] and '''Otx2'''.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref name=&amp;quot;PMID3051031&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 10:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Human interest in the cerebellum has persisted since even the early 1500's, where Galen, Vesalius and Varolio gave the first few attempts to fully describe the macroscopic anatomy of the cerebellum. However, it was not until the late 1700's that advances were made to gain experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
Ernesto Lugaro first defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;Joseph Babinski and Gordon Holmes further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Ramon y Cajal made an especially important contribution to understanding the cerebellum. He refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed.&lt;br /&gt;
&lt;br /&gt;
Olof Larsell is credited for developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
With the advent of electron microscopy, John Eccles and Janos Szentágothai in the 1960s managed to piece together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref name=&amp;quot;PMID25336734&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
[[File:Isthmic Organiser.png|thumb|'''Figure 11:''' Isthmic Organiser &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3870571&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
[[File:Zebrafish.jpg|210px|thumb|right|Schematic of the cerebellar circuitry in zebrafish. PN: Purkinje neuron; E: Eurydendroid cell; G: Granule cell; S: Stellate cell. &amp;lt;ref name=”PMIDPMC4584246”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4584246&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
==Cell Structures==&lt;br /&gt;
The cellular structures in the cerebellum (including Purkinje cells and granule cells) have been investigated in various animal models. One animal model is the zebra fish which is a bony fish (teleosts). Like mammals, the zebrafish cerebellum contains several types of neurons which function as either excitatory or inhibitory neurons &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Glutamate is utilised by excitatory neurons as their major neurotransmitter. Excitatory neurons include granule cells, unipolar brush cells and eurydendroid cells. The eurydendoid cells are predicted to be correspondingto the deep cerebellar neurons in mammals &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The inhibitory neurons use y-aminobutric acid (GABA) and/or glycine (also known as GABAergic neurons) for neurotransmission. Purkinje cells, Golgi and stellate cells are inhibitory neurons. However, a difference between mammal and teleosts is the lack of basket cells. Basket cells are GABAergic neurons that contribute project their axons to the Purkinje cells &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. This is important, because as earlier highlighted Purkinje cells (inhibitory neurons) and granule cells (excitatory cells) contribute to the three cortical layers of the cerebellum. This model is important for understanding what structures contribute to the neurotransmission process in the cerebellum. &lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS) which will be explained in the table below.&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Abnormality'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Brain Imaging'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Dandy-Walker Malformation'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The causes of DWM are still being researched and hence there has not been any clear causes. However, some causes include maternal diabetes, chromosomal defects that affect foetal brain development, infections in the mother that pass to the developing foetus and exposure of the unborn baby to certain toxins.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;&amp;gt;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;lt;/ref&amp;gt; Symptoms of DWM include motor and speaking development delays, poor muscle coordination, vision and hearing impairment.&amp;lt;ref name=&amp;quot;Pediatric Dandy-Walker Malformation. (2017). Retrieved October 23, 2017, from https://childrensnational.org/choose-childrens/conditions-and-treatments/fetal-carepregnancy/dandy-walker-malformation&amp;quot;/&amp;gt; &lt;br /&gt;
| [[File:DandyWalkerMalformation.jpeg|250px|thumb|Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| &amp;lt;center&amp;gt;'''Joubert Syndrome'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development. JS is inherited as mutations in any of many genes, however, how mutations lead to JS is still being investigated. Mutations cause problems in the structure and function of cilia and hence signalling pathways may be disrupted during development &amp;lt;ref&amp;gt; Joubert syndrome. (2016). Retrieved October 22, 2017, from https://rarediseases.info.nih.gov/diseases/6802/joubert-syndrome&amp;lt;/ref&amp;gt;.&lt;br /&gt;
| [[File:JoubertSyndrome.jpg|250px|thumb|Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| &amp;lt;center&amp;gt;''' Chiari Syndrome I-III'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. As a result of genetic mutations or maternal diet lacking vitamins or nutrients, structural defects in the brain and spinal cord can occur during foetal development leading to Chiari Syndrome &amp;lt;ref&amp;gt; Chiari Malformation Fact Sheet. (2017). Retrieved October 22, 2017, from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Chiari-Malformation-Fact-Sheet&amp;lt;/ref&amp;gt;&lt;br /&gt;
| [[File:ChiariMalformation.jpg|250px|thumb|Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot;&lt;br /&gt;
| &amp;lt;center&amp;gt;'''Rhombencephalosynapsis'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Rhombencephalosynapsis is predicted to result from disturbed cerebellar development at approximately 33–34 days of gestation &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cause of rhombencephalosynapsis is thought to be a genetic defect in the isthmic organizer, resulting in abnormal dorsal patterning, causing the mentioned defects &amp;lt;ref name=”PMID18409180”&amp;gt;&amp;lt;pubmed&amp;gt;18409180&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum. Rhombencephalosynapsis can be identified from a range of symptoms, from involuntary muscle coordination, severe cerebral palsy or mental retardation&amp;lt;ref name=”PMID25816977”&amp;gt;&amp;lt;pubmed&amp;gt;25816977&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
| &amp;lt;center&amp;gt;[[File:Rhombencephalosynapsis.jpg|250px|thumb|Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
=Current Research= &lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516611/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429509/&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571438/&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
Is the cerebellum size related to human intelligence?&lt;br /&gt;
&lt;br /&gt;
Does the p53 gene function in cerebellum development? If so, does this function relate to the development of embryonic cancers? &amp;lt;ref name=”PMC4853753”&amp;gt;&amp;lt;pubmed&amp;gt; 4853753&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
&lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus.&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=312300</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=312300"/>
		<updated>2017-10-16T10:09:53Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
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&lt;div&gt;{{ANAT2341Project2017header}}&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project page --&amp;gt;&lt;br /&gt;
='''Cerebellum'''=&lt;br /&gt;
&lt;br /&gt;
=Introduction=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
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=Basic Anatomy of the Cerebellum=&lt;br /&gt;
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The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
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[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
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'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref&amp;gt;http://teachmeanatomy.info/neuro/structures/cerebellum&amp;lt;/ref&amp;gt;&lt;br /&gt;
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[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
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'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;https://commons.wikimedia.org/wiki/File:CerebellumDiv.png&amp;lt;/ref&amp;gt;&lt;br /&gt;
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[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref&amp;gt;http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;https://www.ncbi.nlm.nih.gov/books/NBK11042/&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Ectoderm==&lt;br /&gt;
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There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
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==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 1.43.55 pm.png|thumb|'''Figure 4:''' (A). Cell types and where they are found in the cerebellar cortical layers. (B) Shows how the different layers of the cerebellum can be easily determined. P - the Purkinje layer; G - the granular layer; M - the molecular layer; W - the white matter. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3527225&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; ]]&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
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===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;https://link.springer.com/referenceworkentry/10.1007%2F978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref&amp;gt;Thomas Butts, Mary J Green, Richard J T Wingate Development of the cerebellum: simple steps to make a 'little brain'. Development: 2014, 141(21);4031-41 PubMed 25336734&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Cerebellar Nuclei===&lt;br /&gt;
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{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Fastigial Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Interposed Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Dentate Nucleus'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |'''Vestibular Nuclei'''&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.&lt;br /&gt;
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&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
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===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;https://link.springer.com/content/pdf/10.1046%2Fj.0022-7722.2002.00021.x.pdf&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Early Brain Vesicles==&lt;br /&gt;
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===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain Vesicles.jpeg]]&lt;br /&gt;
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(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;https://www.karger.com/Article/FullText/334842&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
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(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;http://onlinelibrary.wiley.com/doi/10.1111/j.1447-0756.2008.00964.x/full&amp;lt;/ref&amp;gt;;&lt;br /&gt;
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*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
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*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
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*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
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==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
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The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
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=Cerebellum Developmental Weeks=&lt;br /&gt;
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===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
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| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
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| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
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===Second Trimester===&lt;br /&gt;
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{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
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==Neural Development==&lt;br /&gt;
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[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum &amp;lt;ref&amp;gt;https://discovery.lifemapsc.com/library/review-of-medical-embryology/chapter-26-embryonic-folding-and-flexion-of-the-embryo'&amp;lt;/ref&amp;gt; . There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
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==Cerebellum Development==&lt;br /&gt;
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[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 5:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 6:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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===Overview of Development===&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles:&lt;br /&gt;
*Prosencephalon&lt;br /&gt;
*Mesencephalon &lt;br /&gt;
*Rhombencephalon&lt;br /&gt;
The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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The cerebellar territory is defined by the expression of Hoxa2 genes (from posterior) and Otx2 (from anterior) genes and these genes are controlled by proteins Wnt and fibroblast growth factor families which regulate the expression of these genes in order to establish the cerebellar territory &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when the primary fissure deepens by the end of the third month and thus divides the vermis, shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
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===Overview of Cerebellar Cell Development===&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, layers show in Figure 5. &lt;br /&gt;
*Molecular Layer: consists of excitatory granular cell axons, purkinje cell dendritic fibres. stellate and basket cells.&lt;br /&gt;
*Purkinje Cell Layer: consists of a single layer of inhibitory Purkinje cells. &lt;br /&gt;
*Granular Cell Layer: Dense layer of excitatory granule cells, golgi cells and unipolar brush cells.&lt;br /&gt;
&lt;br /&gt;
The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. The dorsomedial ventricular zone of the fourth ventricle gives rise to the principal neuronal output, the Purkinje cell and other neurons within the cerebellum The secondary germinal zone, coming from the adjacent rhombic lip generates the cerebellar granule cells as well as a subpopulation of neurons of cerebellar nuclei and several precerebellar nuclei &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;.&lt;br /&gt;
Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cell &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
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==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the rhombic lip to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the pia mater and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer&amp;lt;ref&amp;gt;http://dev.biologists.org/content/141/21/4031&amp;lt;/ref&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref&amp;gt;https://www.researchgate.net/publication/6977220_d-Serine_signalling_in_the_brain_friend_and_foe/figures?lo=1&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;https://link.springer.com/referenceworkentry/10.1007%2F978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
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[[File:Granule Cell and Purkinje Cell Migration.png]]&lt;br /&gt;
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Figure 7: Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Cell Signaling in Cerebellar Development==&lt;br /&gt;
Many different cell signaling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  Sonic hedgehog (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The external germinal layer (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for Atoh1, a transcription factor that represses differentiation and promotes division via SHH signaling.  In a similar manner to SHH and Atoh1, the pia mater secretes Sdf1 which interacts with the receptor Cxcr4 to maintain proliferation in the EGL. Notch2 signaling and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP).  BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of Neurod1 and interaction with the extracellular matrix components of the inner EGL, vitronectin, F3, and contactin. &amp;lt;ref&amp;gt;Thomas Butts, Mary J Green, Richard J T Wingate Development of the cerebellum: simple steps to make a 'little brain'. Development: 2014, 141(21);4031-41 PubMed 25336734&amp;lt;/ref&amp;gt;  Granule cell migration is stimulated by D-serine secreted by the Bergmann glia.  This can be inhibited by DAAO or SR.&amp;lt;ref&amp;gt;Magalie Martineau, Gérard Baux, Jean-Pierre Mothet D-serine signalling in the brain: friend and foe. Trends Neurosci.: 2006, 29(8);481-91 PubMed 16806506&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
Fibroblast Growth Factor (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of rhombomere 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref&amp;gt;Thomas Butts, Mary J Green, Richard J T Wingate Development of the cerebellum: simple steps to make a 'little brain'. Development: 2014, 141(21);4031-41 PubMed 25336734&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Reelin is an important signaling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors VLDLR and ApoER2, adaptor protein Dab1, and many other further downstream intracellular signaling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
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The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors Hoxa2 and Otx2.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
[[File:Screen Shot 2017-10-16 at 3.01.32 pm.png|200px|thumb|Figure 8:  Drawing of Purkinje cells (A) and granule cells (B) from pigeon cerebellum. Drawn by Santiago Ramón y Cajal, 1899. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4308982&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
Human interest in the cerebellum has persisted since even the early 1500's, where Galen, Vesalius and Varolio gave the first few attempts to fully describe the macroscopic anatomy of the cerebellum. However, it was not until the late 1700's that advances were made to gain experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
Ernesto Lugaro first defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;Joseph Babinski and Gordon Holmes further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Ramon y Cajal made an especially important contribution to understanding the cerebellum. He refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed.&lt;br /&gt;
&lt;br /&gt;
Olof Larsell is credited for developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
With the advent of electron microscopy, John Eccles and Janos Szentágothai in the 1960s managed to piece together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;https://www.ncbi.nlm.nih.gov/pubmed/19272426&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS). &lt;br /&gt;
==Dandy-Walker Malformation==&lt;br /&gt;
Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
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[[File:DandyWalkerMalformation.jpeg|435px]]&lt;br /&gt;
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Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Joubert Syndrome==&lt;br /&gt;
Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development.&lt;br /&gt;
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[[File:JoubertSyndrome.jpg|225px]]&lt;br /&gt;
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Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Chiari Syndrome I-III==&lt;br /&gt;
Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
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[[File:ChiariMalformation.jpg|225px]]&lt;br /&gt;
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Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Rhombencephalosynapsis==&lt;br /&gt;
Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum.&lt;br /&gt;
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[[File:Rhombencephalosynapsis.jpg|225px]]&lt;br /&gt;
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Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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=Future Questions=&lt;br /&gt;
&lt;br /&gt;
=Terms=&lt;br /&gt;
* '''Purkinje cells ''' – a class of GABAnergic neurons that are located in the cortex of the cerebellum, they are large, branched cells. &lt;br /&gt;
* '''Granule cells ''' – are small neurons, and they are the most numerous in the brain. They are packed in a thick layer of the cerebellar cortex and emit only 4 or 5 dendrites. They receive all input from mossy fibres. &lt;br /&gt;
* '''Deep nuclei cells''' – Purkinje cells project to the deep nuclei cells and these are the only form of output cell in the cerebellar cortex. They also receive excitatory inputs from the mossy and climbing fibers. &lt;br /&gt;
* '''Glia cells ''' – They are nonneuronal cells and they support cells and they surround neurons and insulate them, there are many types of glia cells: oligodendrocytes, ependymal cells, astrocytes, Schwann cells etc. &lt;br /&gt;
* '''Basket cells'''– multipolar GABAergic interneurons. They are located on different regions of the brain and cerebellum. They function in making inhibitory synapses and control the overall potential of target cells. &lt;br /&gt;
* '''Stellate cells ''' – in the cerebellum, they are located in the molecular layer and they synapse onto purkinje cells. &lt;br /&gt;
* '''Cerebellar nuclei ''' – These cells receive inhibitory inputs from the purkinje cells, and excitatory inputs from mossy and climbing fibres. &lt;br /&gt;
* '''Bergmann Glia ''' – they are a type of radial astrocyte, cell bodies are in the Purkinje cell layer of the cerebellum. &lt;br /&gt;
* '''Neural tube ''' – a hollow prenatal structure that forms the brain and spinal cord. Formed by the folding and fusion of the opposite ectodermal folds. &lt;br /&gt;
* '''Flocculonodular lobe ''' – lobe of the cerebellum that consists of a nodule and the flocculus. It is located on the anteroinferior surface of the cerebellum.&lt;br /&gt;
* '''Vermis ''' – rounded and elongated section of the central part of cerebellum, lies between the two hemispheres. &lt;br /&gt;
* '''Vetrobrobasilar System ''' – consists of the two vertebral arteries and one basilar artery and these are located towards the back of the brain. Provide around 20% of the intracranial bloody supply. &lt;br /&gt;
* '''Dendrites ''' – an extension of a nerve cell, impulses travel along these extensions and they synapse at another cell body. &lt;br /&gt;
* '''Mossy fibres ''' – major input of the cerebellum, relays sensory information from the pons to the granule cells and then sent to the purkinje cells for processing. &lt;br /&gt;
* '''Climbing fibres ''' – provide excitatory input to the cerebellum, they have a crucial role in motor behaviors. Axons pass through the pons, then synapse with the deep cerebellar nuclei and purkinje cells. &lt;br /&gt;
* '''Pons ''' – a part of the brain that links the medulla oblongata and the thalamus. &lt;br /&gt;
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{{Glossary}}&lt;br /&gt;
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=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
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		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=311708</id>
		<title>2017 Group Project 6</title>
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		<updated>2017-10-13T05:14:22Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
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=&amp;lt;span style=&amp;quot;color:#0000FF&amp;quot;&amp;gt;Cerebellum&amp;lt;/span&amp;gt;=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
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=Introduction=&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
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=Basic Anatomy of the Cerebellum=&lt;br /&gt;
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The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
&lt;br /&gt;
[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
&lt;br /&gt;
'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref&amp;gt;http://teachmeanatomy.info/neuro/structures/cerebellum&amp;lt;/ref&amp;gt;&lt;br /&gt;
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[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
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'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;https://commons.wikimedia.org/wiki/File:CerebellumDiv.png&amp;lt;/ref&amp;gt;&lt;br /&gt;
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&lt;br /&gt;
[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref&amp;gt;http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;https://www.ncbi.nlm.nih.gov/books/NBK11042/&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Ectoderm==&lt;br /&gt;
&lt;br /&gt;
There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;https://link.springer.com/referenceworkentry/10.1007%2F978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref&amp;gt;Thomas Butts, Mary J Green, Richard J T Wingate Development of the cerebellum: simple steps to make a 'little brain'. Development: 2014, 141(21);4031-41 PubMed 25336734&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;https://link.springer.com/content/pdf/10.1046%2Fj.0022-7722.2002.00021.x.pdf&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Fastigial Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Interposed Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Dentate Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Vestibular Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.  &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
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==Early Brain Vesicles==&lt;br /&gt;
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===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain Vesicles.jpeg]]&lt;br /&gt;
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(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;https://www.karger.com/Article/FullText/334842&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
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(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;http://onlinelibrary.wiley.com/doi/10.1111/j.1447-0756.2008.00964.x/full&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum &amp;lt;ref&amp;gt;https://discovery.lifemapsc.com/library/review-of-medical-embryology/chapter-26-embryonic-folding-and-flexion-of-the-embryo'&amp;lt;/ref&amp;gt; . There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 4:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 5:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles; prosencephalon, mesencephalon and rhombencephalon. The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when he primary fissure deepens by the end of the third month and divides the vermis shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, the first is a single layer of inhibitory Purkinje cells which are sandwiched between a dense layer of excitatory granule cells, and another molecular layer of granular cell axons and purkinje cell dendritic fibres. The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer (Figure 4) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
The adjacent rhombic lips gives rise to cerebellar granule cells. &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;. Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cells. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
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==Cellular Migration==&lt;br /&gt;
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===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the rhombic lip to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the pia mater and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer&amp;lt;ref&amp;gt;http://dev.biologists.org/content/141/21/4031&amp;lt;/ref&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref&amp;gt;https://www.researchgate.net/publication/6977220_d-Serine_signalling_in_the_brain_friend_and_foe/figures?lo=1&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;https://link.springer.com/referenceworkentry/10.1007%2F978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
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[[File:Granule Cell and Purkinje Cell Migration.png]]&lt;br /&gt;
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Figure 6: Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Cell Signaling in Cerebellar Development==&lt;br /&gt;
Many different cell signaling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  Sonic hedgehog (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The external germinal layer (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for Atoh1, a transcription factor that represses differentiation and promotes division via SHH signaling.  In a similar manner to SHH and Atoh1, the pia mater secretes Sdf1 which interacts with the receptor Cxcr4 to maintain proliferation in the EGL. Notch2 signaling and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP).  BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of Neurod1 and interaction with the extracellular matrix components of the inner EGL, vitronectin, F3, and contactin. &amp;lt;ref&amp;gt;Thomas Butts, Mary J Green, Richard J T Wingate Development of the cerebellum: simple steps to make a 'little brain'. Development: 2014, 141(21);4031-41 PubMed 25336734&amp;lt;/ref&amp;gt;  Granule cell migration is stimulated by D-serine secreted by the Bergmann glia.  This can be inhibited by DAAO or SR.&amp;lt;ref&amp;gt;Magalie Martineau, Gérard Baux, Jean-Pierre Mothet D-serine signalling in the brain: friend and foe. Trends Neurosci.: 2006, 29(8);481-91 PubMed 16806506&amp;lt;/ref&amp;gt;  &lt;br /&gt;
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Fibroblast Growth Factor (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of rhombomere 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref&amp;gt;Thomas Butts, Mary J Green, Richard J T Wingate Development of the cerebellum: simple steps to make a 'little brain'. Development: 2014, 141(21);4031-41 PubMed 25336734&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Reelin is an important signaling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors VLDLR and ApoER2, adaptor protein Dab1, and many other further downstream intracellular signaling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
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The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors Hoxa2 and Otx2.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
Human interest in the cerebellum has persisted since even the early 1500's, where Galen, Vesalius and Varolio gave the first few attempts to fully describe the macroscopic anatomy of the cerebellum. However, it was not until the late 1700's that advances were made to gain experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
Ernesto Lugaro first defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;Joseph Babinski and Gordon Holmes further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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Ramon y Cajal made an especially important contribution to understanding the cerebellum. He refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed.&lt;br /&gt;
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Olof Larsell is credited for developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
With the advent of electron microscopy, John Eccles and Janos Szentágothai in the 1960s managed to piece together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;https://www.ncbi.nlm.nih.gov/pubmed/19272426&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
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=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Isthmic Organiser==&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS). &lt;br /&gt;
==Dandy-Walker Malformation==&lt;br /&gt;
Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
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[[File:DandyWalkerMalformation.jpeg|435px]]&lt;br /&gt;
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Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Joubert Syndrome==&lt;br /&gt;
Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development.&lt;br /&gt;
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[[File:JoubertSyndrome.jpg|225px]]&lt;br /&gt;
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Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Chiari Syndrome I-III==&lt;br /&gt;
Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
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[[File:ChiariMalformation.jpg|225px]]&lt;br /&gt;
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Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Rhombencephalosynapsis==&lt;br /&gt;
Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum.&lt;br /&gt;
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[[File:Rhombencephalosynapsis.jpg|225px]]&lt;br /&gt;
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Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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=Future Questions=&lt;br /&gt;
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=Glossary=&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
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=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
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		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=311706</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=311706"/>
		<updated>2017-10-13T05:13:03Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
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=&amp;lt;span style=&amp;quot;color:#0000FF&amp;quot;&amp;gt;&amp;lt;centre&amp;gt;Cerebellum&amp;lt;centre&amp;gt;&amp;lt;/span&amp;gt;=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
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=Introduction=&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
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=Basic Anatomy of the Cerebellum=&lt;br /&gt;
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The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
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[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
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'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref&amp;gt;http://teachmeanatomy.info/neuro/structures/cerebellum&amp;lt;/ref&amp;gt;&lt;br /&gt;
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[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
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'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;https://commons.wikimedia.org/wiki/File:CerebellumDiv.png&amp;lt;/ref&amp;gt;&lt;br /&gt;
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[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref&amp;gt;http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;https://www.ncbi.nlm.nih.gov/books/NBK11042/&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Ectoderm==&lt;br /&gt;
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There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
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==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
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===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;https://link.springer.com/referenceworkentry/10.1007%2F978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref&amp;gt;Thomas Butts, Mary J Green, Richard J T Wingate Development of the cerebellum: simple steps to make a 'little brain'. Development: 2014, 141(21);4031-41 PubMed 25336734&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;https://link.springer.com/content/pdf/10.1046%2Fj.0022-7722.2002.00021.x.pdf&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Fastigial Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Interposed Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Dentate Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Vestibular Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.  &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain Vesicles.jpeg]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;https://www.karger.com/Article/FullText/334842&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;http://onlinelibrary.wiley.com/doi/10.1111/j.1447-0756.2008.00964.x/full&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum &amp;lt;ref&amp;gt;https://discovery.lifemapsc.com/library/review-of-medical-embryology/chapter-26-embryonic-folding-and-flexion-of-the-embryo'&amp;lt;/ref&amp;gt; . There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 4:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 5:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles; prosencephalon, mesencephalon and rhombencephalon. The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when he primary fissure deepens by the end of the third month and divides the vermis shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, the first is a single layer of inhibitory Purkinje cells which are sandwiched between a dense layer of excitatory granule cells, and another molecular layer of granular cell axons and purkinje cell dendritic fibres. The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer (Figure 4) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
The adjacent rhombic lips gives rise to cerebellar granule cells. &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;. Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cells. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the rhombic lip to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the pia mater and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer&amp;lt;ref&amp;gt;http://dev.biologists.org/content/141/21/4031&amp;lt;/ref&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref&amp;gt;https://www.researchgate.net/publication/6977220_d-Serine_signalling_in_the_brain_friend_and_foe/figures?lo=1&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;https://link.springer.com/referenceworkentry/10.1007%2F978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png]]&lt;br /&gt;
&lt;br /&gt;
Figure 6: Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signaling in Cerebellar Development==&lt;br /&gt;
Many different cell signaling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  Sonic hedgehog (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The external germinal layer (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for Atoh1, a transcription factor that represses differentiation and promotes division via SHH signaling.  In a similar manner to SHH and Atoh1, the pia mater secretes Sdf1 which interacts with the receptor Cxcr4 to maintain proliferation in the EGL. Notch2 signaling and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP).  BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of Neurod1 and interaction with the extracellular matrix components of the inner EGL, vitronectin, F3, and contactin. &amp;lt;ref&amp;gt;Thomas Butts, Mary J Green, Richard J T Wingate Development of the cerebellum: simple steps to make a 'little brain'. Development: 2014, 141(21);4031-41 PubMed 25336734&amp;lt;/ref&amp;gt;  Granule cell migration is stimulated by D-serine secreted by the Bergmann glia.  This can be inhibited by DAAO or SR.&amp;lt;ref&amp;gt;Magalie Martineau, Gérard Baux, Jean-Pierre Mothet D-serine signalling in the brain: friend and foe. Trends Neurosci.: 2006, 29(8);481-91 PubMed 16806506&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
Fibroblast Growth Factor (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of rhombomere 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref&amp;gt;Thomas Butts, Mary J Green, Richard J T Wingate Development of the cerebellum: simple steps to make a 'little brain'. Development: 2014, 141(21);4031-41 PubMed 25336734&amp;lt;/ref&amp;gt;&lt;br /&gt;
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Reelin is an important signaling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors VLDLR and ApoER2, adaptor protein Dab1, and many other further downstream intracellular signaling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
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The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors Hoxa2 and Otx2.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Key Historical Discoveries==&lt;br /&gt;
Human interest in the cerebellum has persisted since even the early 1500's, where Galen, Vesalius and Varolio gave the first few attempts to fully describe the macroscopic anatomy of the cerebellum. However, it was not until the late 1700's that advances were made to gain experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
Ernesto Lugaro first defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;Joseph Babinski and Gordon Holmes further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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Ramon y Cajal made an especially important contribution to understanding the cerebellum. He refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed.&lt;br /&gt;
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Olof Larsell is credited for developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
With the advent of electron microscopy, John Eccles and Janos Szentágothai in the 1960s managed to piece together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;https://www.ncbi.nlm.nih.gov/pubmed/19272426&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
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=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Isthmic Organiser==&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
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=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS). &lt;br /&gt;
==Dandy-Walker Malformation==&lt;br /&gt;
Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
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[[File:DandyWalkerMalformation.jpeg|435px]]&lt;br /&gt;
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Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Joubert Syndrome==&lt;br /&gt;
Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development.&lt;br /&gt;
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[[File:JoubertSyndrome.jpg|225px]]&lt;br /&gt;
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Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Chiari Syndrome I-III==&lt;br /&gt;
Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
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[[File:ChiariMalformation.jpg|225px]]&lt;br /&gt;
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Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Rhombencephalosynapsis==&lt;br /&gt;
Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum.&lt;br /&gt;
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[[File:Rhombencephalosynapsis.jpg|225px]]&lt;br /&gt;
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Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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=Future Questions=&lt;br /&gt;
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=Glossary=&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
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=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
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		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=311696</id>
		<title>2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=2017_Group_Project_6&amp;diff=311696"/>
		<updated>2017-10-13T05:10:56Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
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=&amp;lt;span style=&amp;quot;color:#0000FF&amp;quot;&amp;gt;Cerebellum&amp;lt;/span&amp;gt;=&lt;br /&gt;
The cerebellum is a large portion of the brain that functions in coordination, balance and control, and its development occurs both prenatally and postnatally. The cerebellum underlies the occipital and temporal lobes of the cerebral cortex and constitutes to about 10% of the brains weight however contains around 50% of the neurons.&lt;br /&gt;
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=Introduction=&lt;br /&gt;
This page will highlight the anatomy of the cerebellum, its developmental process, current research on the structure, animal models and abnormalities associated with it. The anatomy will discuss the distinguishable lobes and zones of the cerebellum. The anatomy of the cerebellum cannot be completely discussed without explaining the vasculature of the structure and hence this page will provide a brief overview of it. The development of the cerebellum discusses the neural development and where the cerebellum forms on the neural tube. The development will highlight how the circuitry of the post-natal cerebellum came to be from neurons. Hence purkinje cells, granule cells, deep nuclei cells, glia cells and cerebellar nuclei will be highlighted to discuss the developmental process. A developmental timeline of the formation of the cerebellum is also included on this page. The cerebellum is a topic of continuous research and past findings would not have been done without the use of animal models, hence current research and animal models will be discussed. The abnormalities that could happen if the cerebellum were to be affected is also highlighted.&lt;br /&gt;
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=Basic Anatomy of the Cerebellum=&lt;br /&gt;
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The cerebellum has 3 distinguishable lobes; flocculonodular lobe, anterior lobe and the posterior lobe. The anterior and posterior lobe can be further divided in a midline cerebellar vermis and lateral cerebellar hemispheres (Figure 1)&lt;br /&gt;
&amp;lt;ref name=”PMID9735944”&amp;gt;&amp;lt;pubmed&amp;gt; 9735944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. In a superior cerebellar view, the cerebellum contains a vermis that runs through the middle of the organ and 2 intermediate zones located laterally from the vermis (Figure 2).&lt;br /&gt;
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[[File:Anatomical-Lobes-of-the-Cerebellum.jpg|500px]]&lt;br /&gt;
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'''Figure 1:''' Anatomical lobes observed in the cerebellum; anterior lobe, posterior lobe and flocculonodular lobe, which is divided by two fissures – the primary fissure and posterolateral fissure &amp;lt;ref&amp;gt;http://teachmeanatomy.info/neuro/structures/cerebellum&amp;lt;/ref&amp;gt;&lt;br /&gt;
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[[File:Cerebellum anatomical subdivisions.png|500px]]&lt;br /&gt;
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'''Figure 2:''' Superior view of the 3 cerebellar zones. The middle is the vermis. Either side of the vermis is the intermediate zone. Lateral to the intermediate zone is the lateral hemispheres. There is no difference in gross structure between the lateral hemispheres and intermediate zones. &amp;lt;ref&amp;gt;https://commons.wikimedia.org/wiki/File:CerebellumDiv.png&amp;lt;/ref&amp;gt;&lt;br /&gt;
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[[File:Arteries of the cerebellum.jpeg|thumb|'''Figure 3:''' Diagram of the main arteries of the cerebellum &amp;lt;ref&amp;gt;http://teachmeanatomy.info/neuro/structures/cerebellum/&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
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==Vasculature== &lt;br /&gt;
The cerebellum contains 3 bilateral paired arteries which supplies this organ with oxygenated blood. These arteries all originate from the vertebrobasilar system; Superior Cerebellar Artery (SCA), Anterior Inferior Cerebellar Artery (AICA) and the Posterior inferior cerebellar artery (PICA). The SCA and AICA are branches of the basilar artery, which wraps around the anterior aspect of the pons before reaching the cerebellum. The PICA arises from the left and right vertebral artery, which form the basilar artery &amp;lt;ref&amp;gt;https://www.ncbi.nlm.nih.gov/books/NBK11042/&amp;lt;/ref&amp;gt;. The PICA and AICA combine to supply the inferior half of the cerebellum, while the SCA supplies the majority of the superior half. The PICA and SCA combine to supply the vermis&amp;lt;ref name=”PMID2535662”&amp;gt;&amp;lt;pubmed&amp;gt; 2535662&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Blood is then drained by superior and inferior cerebellar veins into the superior petrosal and then straight dural venous sinuses. (Figure 3) &amp;lt;ref name=”PMID27766499”&amp;gt;&amp;lt;pubmed&amp;gt; 27766499&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
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==Ectoderm==&lt;br /&gt;
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There are 3 germ layers present in the early embryo; ectoderm (most distal layer), mesoderm (middle layer) and endoderm (most proximal layer). The ectoderm differentiates into the nervous system, forming the spine, peripheral nerves, cerebrum and cerebellum. It also differentiates to form tooth enamel, epidermis, and the linings of the mouth, anus, sweat glands and nostrils&amp;lt;ref name=”PMID14550785”&amp;gt;&amp;lt;pubmed&amp;gt; 14550785&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
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==Microanatomy== &lt;br /&gt;
===Cortical Layers===&lt;br /&gt;
There are 3 major cortical layers of the cerebellum: the molecular layer, the purkinje cell layer, and the granule cell layer.  The molecular layer contains basket cells, stellate cells and the purkinje cell and Golgi cell dendrites.  The purkinje cell layer contains purkinje cell bodies and Bergmann glia.  The granule cell layer contains granule cells, mossy fibers, and Golgi cell bodies. &amp;lt;ref&amp;gt;http://neurotransporter.org/Cerebellum.html&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Purkinje/Pyramidal Cells===&lt;br /&gt;
Discovered by Jan Evangelista Purkinje in 1837, purkinje cells are inhibitory neurons found in the outside layer of the cerebellum.  They receive signals from the granule cell parallel fibers and the superior olive and send inhibitory signals to the deep nuclei in the white matter region via GABA signaling.  Purkinje cells have a large branching network of dendrites which allows them to be identified by their morphology.&lt;br /&gt;
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===Granule Cells===&lt;br /&gt;
Named for their small cell body, cerebellar granule cells of were discovered by Camillo Golgi and Ramon y Cajal in 1899.  Cerebellar granule cells are the most numerous cell type in the human brain.  They receive signals from mossy fibers of the pons and synapse on the fast network of dendrites of the pyramidal cells.  Cerebellar granule cells are glutamatergic and the only excitatory neurons found in the cerebellum.&lt;br /&gt;
&amp;lt;ref&amp;gt;https://link.springer.com/referenceworkentry/10.1007%2F978-94-007-1333-8_31&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Deep Nuclei===&lt;br /&gt;
There are four different deep nuclei of the cerebellum: the dentate, interpositus, fastigial, and vestibular nuclei.  The dentate nucleus receives signals from the lateral purkinje cells, the interpositus nucleus receives signals from the intermediate purkinje cells, the fastigial nucleus receives signals from the medial purkinje cells, and the vestibular nucleus receives signals from the flocculonodular purkinje cells.  The deep nuclei integrate the inhibitory signals from the purkinje cells and the excitatory signals from the mossy and climbing fibers to determine their output signals. &amp;lt;ref&amp;gt;http://www.neuroanatomy.wisc.edu/cere/text/P5/intro.htm&amp;lt;/ref&amp;gt; The dentate nucleus in particular is thought to be implicated in higher level cognitive processing.  It is enlarged in primates and humans and not observed in non-mammalian species.&amp;lt;ref&amp;gt;Thomas Butts, Mary J Green, Richard J T Wingate Development of the cerebellum: simple steps to make a 'little brain'. Development: 2014, 141(21);4031-41 PubMed 25336734&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Bergmann Glia===&lt;br /&gt;
Glial cells of the cerebellum were described by Ramon y Cajal in 1911.  He divided them into 3 main categories: the glia of the white matter, the astrocytes of the granule cell layer, and the Bergmann glia of the Purkinje cell layer.  Also known as Goligi epithelial cells, Bergmann glia are unipolar astrocytes that have cell bodies located in the Purkinje cell layer and long processes projecting into the molecular layer.  The Bergmann glia's processes interact with the dendrites of Purkinje cells at synapses with parallel and climbing fibers.  Bergmann first characterized the long processes of cells he saw in the cerebellum of cats, dogs, and humans in 1857.  Ramon y Cajal later described these cells as &amp;quot;epithelial cells with Bergmann fibers,&amp;quot; giving the glia their name. &amp;lt;ref&amp;gt;https://link.springer.com/content/pdf/10.1046%2Fj.0022-7722.2002.00021.x.pdf&amp;lt;/ref&amp;gt;&lt;br /&gt;
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===Cerebellar Nuclei===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Cerebellar Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Description''' &amp;lt;/center&amp;gt;&lt;br /&gt;
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|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Fastigial Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Most medially located of the cerebellar nuclei. Receives input from the vermis and cerebellar afferents that carry vestibular, proximal somatosensory, auditory and visual information.  &amp;lt;/center&amp;gt;&lt;br /&gt;
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|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Interposed Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Consists of emboliform nucleus and globose nucleus. Interposed nuclei are situated laterally with respect to the fastigial nucleus. Receives input from intermediate zone and cerebellar afferents that carry spinal, proximal somatosensory, auditory and visual information. &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Dentate Nucleus'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Largest of the cerebellar nuclei. Lateral to interposed nuclei. Receives input from lateral hemisphere and cerebellar afferents that carry information from cerebral cortex. &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Vestibular Nuclei'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Located outside cerebellum in the medulla. Considered to be cerebellar nuclei as their connectivity patterns are identical to those of cerebellar nuclei. Receive input from flocculonodular lobe and from the vestibular labyrinth.  &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;ref&amp;gt;Knierim, J. (n.d.). Chapter 5: Cerebellum. Retrieved 10 3, 2017, from Neuroscience: http://neuroscience.uth.tmc.edu/s3/chapter05.html&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
==Early Brain Vesicles==&lt;br /&gt;
&lt;br /&gt;
===Primary Brain Vesicles===&lt;br /&gt;
[[File:Primary Brain Vesicles.jpeg]]&lt;br /&gt;
&lt;br /&gt;
(Week 4) 3 primary brain vesicles are formed; forebrain (prosencephalon) midbrain (mesencephalon), and hindbrain (rhombencephalon) &amp;lt;ref&amp;gt;https://www.karger.com/Article/FullText/334842&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Secondary===&lt;br /&gt;
[[File:Secondary brain vesicle.jpeg|700px]]&lt;br /&gt;
&lt;br /&gt;
(Week 5) 3 primary vesicles develop into 5 secondary vesicles &amp;lt;ref&amp;gt;http://onlinelibrary.wiley.com/doi/10.1111/j.1447-0756.2008.00964.x/full&amp;lt;/ref&amp;gt;;&lt;br /&gt;
&lt;br /&gt;
*Prosencephalon develops into telencephalon (which includes the endbrain and cerebral hemispheres) and diencephalon (located between the brain and forms an optic outgrowth)&lt;br /&gt;
&lt;br /&gt;
*Mesencephalon does not further develop into a secondary brain vesicle&lt;br /&gt;
&lt;br /&gt;
*Rhombencephalon develops into the metencephalon (behind the brain), and myelencephalon (contains medulla)&lt;br /&gt;
&lt;br /&gt;
==Metencephalon==&lt;br /&gt;
The metencephalon refers to the embryonic neural structure that eventually gives rise dorsally, to the cerebellum and ventrally, to the pons. The metencephalon is the anterior part of the rhombencephalon (hindbrain) and differentiates from the posterior part of the rhombencephalon (myencephalon) at week 5 of development. &lt;br /&gt;
&lt;br /&gt;
The dorsal surface is characterised by its highly folded folia separated by grooves termed sulci. The median area is referred to as the vermis, which eventually becomes the most superior aspect of the cerebellum. &amp;lt;ref&amp;gt;Gerardo De Iuliis PhD, Dino Pulerà MScBMC, CMI, in The Dissection of Vertebrates (Second Edition), 2011&amp;lt;/ref&amp;gt; The first structure that belies the future cerebellum are the rhombic lips that appear on the metencephalon of a 5-6 week old embryo. The rhombic lips are aptly rhombus-shaped and denote the perimeter between the roof plate and the main body of the rhombencephalon. The anterior pair of lips mark the site at which the cerebellum will develop. &amp;lt;ref&amp;gt;Bruce M. Carlson MD, PhD, in Human Embryology and Developmental Biology (Fifth Edition), 2014&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Cerebellum Developmental Weeks=&lt;br /&gt;
&lt;br /&gt;
===First Trimester===&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Images'''&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 3'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; ''Neurulation'': Notochord and somites are formed under the ectoderm. The ectoderm then forms the neural plate which then forms the neural tube and then the brain and spinal chord. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Stage9 dorsal.jpg|200px|thumb|Early stage of neurulation]] [[File:Stage10 bf5.jpg|200px|thumb|Late stages of neurulation]]&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 4'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon, mesencephalon and rhombencephalon is developed.&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; | [[File:Human Stage13 sagittal upper half01.jpg|200px|thumb| Sagittal view of superior end of embryo &amp;lt;ref&amp;gt; Hill, M.A. 2017 Embryology Human Stage13 sagittal upper half01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage13_sagittal_upper_half01.jpg&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Week 5'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Prosencephalon develops into telencephalon and diencephalon. The rhombencephalon differentiates into metencephalon and myelencephalon. The metencephalon will later develop the pons and cerebellum. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage14 neural01.jpg|200px|thumb|Lateral view of embryo central nervous system at 5 weeks &amp;lt;ref&amp;gt;M.A. 2017 Embryology Human Stage14 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage14_neural01.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''week 6'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; A pair of thickenings on the lateral side of the alar plate is formed. This is called the rhombic lip. &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  7-9'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; The rhombic lip is fused medially to the midbrain. The primitive choroid plexus is fused with the cerebellar hemisphere to form the centrally located eosinophilic matrix. During this process, the inferior olive develops into a thick medulla forming a 'bulbo-pontine extension' &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Development of cerebellum cell layer (future Purkinje cells) and choroid plexuses of the fourth and lateral ventricles &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt; 2252222&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  &amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; [[File:Human Stage21 neural01.jpg|200px|thumb|Left lateral view of embryonic CNS&amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural01.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural01.jpg&amp;lt;/ref&amp;gt;]] [[File:Human Stage21 neural02.jpg|200px|thumb|Left medial view of lateral embryonic CNS &amp;lt;ref&amp;gt;Hill, M.A. 2017 Embryology Human Stage21 neural02.jpg. Retrieved October 4, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/File:Human_Stage21_neural02.jpg&amp;lt;/ref&amp;gt;]] &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
===Second Trimester===&lt;br /&gt;
&lt;br /&gt;
{| border=&amp;quot;0&amp;quot;&lt;br /&gt;
|-bgcolor=&amp;quot;CEDFF2&amp;quot; &lt;br /&gt;
| width=&amp;quot;300&amp;quot; |&amp;lt;center&amp;gt;'''Week'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;600&amp;quot; |&amp;lt;center&amp;gt;'''Development''' &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-bgcolor=&amp;quot;F5FAFF&amp;quot; &lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''weeks 11-12'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Cerebellar hemisphere grows in size and thickness. Laminar configuration becomes present and vermis fissures start to develop. Mechanical stress such as shear and rotation can be detected by the cerebellum, causing several deep fissures to be developed &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| width=&amp;quot;40&amp;quot; |&amp;lt;center&amp;gt;'''Weeks  15-16'''&amp;lt;/center&amp;gt;&lt;br /&gt;
| width=&amp;quot;65&amp;quot; |&amp;lt;center&amp;gt; Nodule and flocculus is developed. Several deep fissures are formed in the vermis  which has increased in thickness similar to the hemispheres  &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21380713&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &amp;lt;/center&amp;gt;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==Neural Development==&lt;br /&gt;
&lt;br /&gt;
[[File:2 day old embryo diagram.jpeg|200px|thumb|Diagram of a 2 Day Old &lt;br /&gt;
Embryo Illustrating the Beginnings of Neural Development &amp;lt;ref&amp;gt;Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Neural Development.&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the neural groove fusing to form the neural tube, which then folds to form the cranial and caudal region of the embryo, and ultimately form the cerebellum &amp;lt;ref&amp;gt;https://discovery.lifemapsc.com/library/review-of-medical-embryology/chapter-26-embryonic-folding-and-flexion-of-the-embryo'&amp;lt;/ref&amp;gt; . There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
==Cerebellum Development==&lt;br /&gt;
&lt;br /&gt;
[[File:Neural Circuit in the Cerebellum.jpg|thumb|'''Figure 4:''' Cerebellar neuronal circuits (A): Representation of zebrafish cerebellar neurons (B): Sagittal section of the adult zebrafish cerebellum (C): Zebrafish cerebellar structure schematic representation &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
[[File:Screen Shot 2017-10-05 at 3.29.59 pm.png|thumb|'''Figure 5:''' Cerebellum cell development: A 7 day old rat cerebellum that has been sectioned to show the 3 layers of cells - external granule layer, purkinje cells and internal granular layer (a). Showing granule cell precursors proliferating to differentiate into granule neurons (b). Cell organisation (c) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4061865&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;]]&lt;br /&gt;
&lt;br /&gt;
As the neural tube folds, the anterior portion develops the three brain vesicles; prosencephalon, mesencephalon and rhombencephalon. The rhombencephalon then further divides into the mesencephalic and myelincephalic vesicles on embryonic day 9. The neural tube failure to close then creates a gap along the dorsal sides and this produces a mouth-like structure as the tube bends to establish the pontine flexure. The pontine flexure further deepens bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brain stem) fold underneath developing the cerebellum plate &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;7605067&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
Further development of the cerebellum begins between days 40 and 45 and it arises mostly from the metencephalon however the rhombic lips also contributes. The roof plate which is derived from the dorsal part of the alar plate thickens during development to become the cerebellum. The regulation of patterning involved when he primary fissure deepens by the end of the third month and divides the vermis shows to be particularly important for development. The two lateral bulges are separated into the cranial anterior lob and caudal middle lobe. As the lobes divide further into lobules, fissures are formed and this continues throughout embryonic, fetal and postnatal life, thus increasing the surface area of the cerebellar cortex. The most primitive part of the cerebellum to form is the flocculonodular lobe, which is derived from separation of the first transverse fissure and this functions to keep connections with the vestibular system and it is also concerned with subconsciously controlling equilibrium. The flocculonodular lobe is separated from another crucial part of the cerebellum, corpus cerebelli, by the posterolateral fissure. &lt;br /&gt;
&lt;br /&gt;
The cerebellum is connected to the brain stem via three pairs of peduncles and this allows the afferent and efferent pathways to enter and exit the cerebellum. Cerebellum afferent fibers can be grouped into two major types: mossy fibers and climbing fibres. Mossy fibres contribute to most of the afferent fibres in the cerebellum and they communicate with the cerebellar nuclei neurons and with Purkinje cells through granule cells embryonically, however postnatally they displace from Purkinje cells and synapse with their adult targets, the granule cell dendrites. Whilst mossy fibres originate from numerous sites in the nervous system, climbing fibers originate exclusively from the inferior olivary nucleus. Climbing fibers directly synapse with the cerebellar nuclei and Purkinje cells, relaying information to the cerebellum from several regions. The direction of these afferent fibres to their target neurons early in development are controlled by genes and molecules &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.&lt;br /&gt;
&lt;br /&gt;
The cerebellum has a very basic structure consisting 2 principal classes of neurons and 3 layers, the first is a single layer of inhibitory Purkinje cells which are sandwiched between a dense layer of excitatory granule cells, and another molecular layer of granular cell axons and purkinje cell dendritic fibres. The granule cells receive inputs from outside the cerebellum and project these inputs to purkinje cells where the majority of these inputs are further projected to a variety of cerebellar nuclei in the white matter &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Within the layers there are some other main neuronal cell types, the stellate and basket cells are located in the molecular layer, whilst granule, golgi and unipolar brush cells are located in the granular layer (Figure 4) &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  Among these principal neurons, there is a diverse set of interneurons which are responsible for coordinating the output of the Purkinje cells to the cerebellar nuclei.&lt;br /&gt;
&lt;br /&gt;
The nuclei from the cerebellum are formed by a complex process of neurogenesis and neuronal migration. There are two types of grey matter in the cerebellum, the deep cerebellar nuclei and an external cerebellar cortex. There are 4 deep nuclei formed and the output of the cerebellar cortex are relayed through these nuclei, the ventricular layer produces 4 types of neurons that migrate to the cortex. &lt;br /&gt;
The adjacent rhombic lips gives rise to cerebellar granule cells. &amp;lt;ref&amp;gt;Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R. and Francis-West, P.H., 2014. Larsen's Human Embryology E-Book. Elsevier Health Sciences.&amp;lt;/ref&amp;gt;. Granule cells function in coordinating afferent input to and motor output from the cerebellum through excitatory connections with the Purkinje cells. &lt;br /&gt;
Proper cerebellum function requires well-organised neuronal connections and the integration of afferent and efferent fibres throughout the cerebellar circuit &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;4552263&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellum functions in sensorimotor, balance control and vestibular ocular reflex, however recent studies have come out and shown that the cerebellum has a wide range of cognitive functions which include speech, memory and cognitive functions &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3213765&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
==Cellular Migration==&lt;br /&gt;
&lt;br /&gt;
===Granule Cells===&lt;br /&gt;
Granule cells migrate tangentially from the rhombic lip to form the transient structure, the external germinal layer (EGL).  The EGL consists of an outer and inner layer that is sandwiched between the pia mater and the purkinje cell layer.  During this tangential migration, granule cells extend two horizontal processes.  Granule cells move from the outer layer of the EGL to differentiate in the inner layer of the EGL.  Differentiated cells continue to move radially to the granule cell layer on the inner surface of the purkinje cell layer&amp;lt;ref&amp;gt;http://dev.biologists.org/content/141/21/4031&amp;lt;/ref&amp;gt;  During radial migration, granule cells extend vertical processes and move through the purkinje cell layer on the radial processes of Bergmann glia.&amp;lt;ref&amp;gt;https://www.researchgate.net/publication/6977220_d-Serine_signalling_in_the_brain_friend_and_foe/figures?lo=1&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
===Purkinje Cells===&lt;br /&gt;
Purkinje cells originate from the ventricular neuroepithelium and migrate radially towards the pial surface.  Many studies have shown that purkinje cells use radial glia processes as a scaffold in this migration.  The movement results in a 3 to 4 cell thick layer of purkinje cells beneath the EGL.  This layer becomes 1 cell thick 1 week after birth.&amp;lt;ref&amp;gt;https://link.springer.com/referenceworkentry/10.1007%2F978-94-007-1333-8_9&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
[[File:Granule Cell and Purkinje Cell Migration.png]]&lt;br /&gt;
&lt;br /&gt;
Figure 6: Granule cell (yellow) and purkinje cell (green) migration timetable in mouse cerebellum. Top shows sagittal sections of entire cerebellum. Bottom shows movement of individual cells at interface of EGL and purkinje cell layer.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;26475605&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Cell Signaling in Cerebellar Development==&lt;br /&gt;
Many different cell signaling pathways are involved with cell migration, proliferation, and differentiation in the cerebellum.  Sonic hedgehog (SHH) is particularly important in the proliferation of granule cells in the external germinal layer.  The external germinal layer (EGL) is the area of transit amplification of granule cell precursors.  This layer is transient and lies on the external surface of the cerebellum until the cells differentiate and migrate radially to their final destination in the internal granule cell layer.  SHH is secreted by the purkinje cells and acts locally, causing the granule cell precursors to undergo mitosis and Bergmann glia to differentiate.  The autocrine function of SHH on the purkinje cells is unknown. &amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3263706&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Proliferating cells in the EGL must also be positive for Atoh1, a transcription factor that represses differentiation and promotes division via SHH signaling.  In a similar manner to SHH and Atoh1, the pia mater secretes Sdf1 which interacts with the receptor Cxcr4 to maintain proliferation in the EGL. Notch2 signaling and its stimulation of Atoh1 and repression of Bone Morphogenetic Protein (BMP).  BMPs are involved in arresting granule cell proliferation in the EGL and stimulating differentiation.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Cells exit proliferation and move to the inner EGL where they differentiate upon expression of Neurod1 and interaction with the extracellular matrix components of the inner EGL, vitronectin, F3, and contactin. &amp;lt;ref&amp;gt;Thomas Butts, Mary J Green, Richard J T Wingate Development of the cerebellum: simple steps to make a 'little brain'. Development: 2014, 141(21);4031-41 PubMed 25336734&amp;lt;/ref&amp;gt;  Granule cell migration is stimulated by D-serine secreted by the Bergmann glia.  This can be inhibited by DAAO or SR.&amp;lt;ref&amp;gt;Magalie Martineau, Gérard Baux, Jean-Pierre Mothet D-serine signalling in the brain: friend and foe. Trends Neurosci.: 2006, 29(8);481-91 PubMed 16806506&amp;lt;/ref&amp;gt;  &lt;br /&gt;
&lt;br /&gt;
Fibroblast Growth Factor (FGF) plays a role in allocating the isthmus area of the cerebellum.  FGF8 is found in high concentrations in the rostral region of rhombomere 1 and decreased concentrations near the caudal region of rhombomere 1.  It is necessary for the formation of the vermis of the cerebellum but the cerebellar hemispheres form independently of FGF8.&amp;lt;ref&amp;gt;Thomas Butts, Mary J Green, Richard J T Wingate Development of the cerebellum: simple steps to make a 'little brain'. Development: 2014, 141(21);4031-41 PubMed 25336734&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Reelin is an important signaling molecule that plays a role in many different in the developing brain.  Reelin is a glycoprotein secreted by cells in the EGL and rhombic lip and affects purkinje cells through a signal transduction pathway involving receptors VLDLR and ApoER2, adaptor protein Dab1, and many other further downstream intracellular signaling molecules.  Reelin has shown to play a role in formation of the monolayer of purkinje cells and detachment of purkinje cells from radial glia.  It may also affect other cell morphology and migration in the cerebellum.&amp;lt;ref&amp;gt;Hevner R. F. (2008) Reelin and the Cerebellum. In: Fatemi S. H. (eds) Reelin Glycoprotein. Springer, New York, NY&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The region of rhombomere 1, a segment of the metencephalon that forms the cerebellum, is bound by the expression of the transcription factors Hoxa2 and Otx2.  Otx2 is expressed in the midbrain and the lack of Otx2 marks the rostral border of the cerebellar primordium.  Hoxa2 is expressed in the hindbrain region and lack of Hoxa2 marks the caudal border of the cerebellar primordium.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;3051031&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Key Historical Discoveries==&lt;br /&gt;
Human interest in the cerebellum has persisted since even the early 1500's, where Galen, Vesalius and Varolio gave the first few attempts to fully describe the macroscopic anatomy of the cerebellum. However, it was not until the late 1700's that advances were made to gain experimental evidence for the function of the cerebellum. Luigi Rolando identified a specifically motor impact after cerebellar lesions developed, as opposed to an intellectual or sensory effect. This led to the conclusion that the cerebellum incited and managed movement. Pierre Flourens and Luigi Luciani were able to use this albeit crude experimentation to further define that the cerebellum coordinated movement instead of creating it, and also to differentiate between the short-term and long-term effects of cerebellar lesions, respectively. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; &lt;br /&gt;
&lt;br /&gt;
Ernesto Lugaro first defined &amp;quot;plasticity&amp;quot; as we know it in neuroscience, and also discovered the specific cells in the cerebellum that are named after him. He also furthered research into the functions of glia and defined &amp;quot;nervous conduction and transmission&amp;quot; in its current meaning. &amp;lt;ref name=”12481483”&amp;gt;&amp;lt;pubmed&amp;gt;12481483&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;Joseph Babinski and Gordon Holmes further defined the exact nature of the effect of cerebellar lesions on motor control, and found loss of coordination in antagonistic muscles and also basic loss of muscle control. It was also found that the side of the cerebellum the lesion developed on, affected the same side of the body. &amp;lt;ref name=”PMID19272426”&amp;gt;&amp;lt;pubmed&amp;gt;19272426&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Ramon y Cajal made an especially important contribution to understanding the cerebellum. He refuted Camillo Golgi's previous assertion that axons and dendrites would fuse, and also delineated the differing types of cells, most importantly of which were the mossy and climbing fibers of the cerebellum. However, this contribution could not be fully utilised until further technology was developed.&lt;br /&gt;
&lt;br /&gt;
Olof Larsell is credited for developing a standard nomenclature for cerebellar anatomy that eventually spread world-wide, and for conducting a series of studies that illuminated our understanding of the rhombencephalon. &amp;lt;ref&amp;gt;&amp;quot;In Memoriam: Olof Larsell, 1886-1964.&amp;quot; Journal of comparative neurology 123:1-4 (1964).&amp;lt;/ref&amp;gt;&lt;br /&gt;
With the advent of electron microscopy, John Eccles and Janos Szentágothai in the 1960s managed to piece together the first complete map of the functional anatomy of the cerebellum and define the excitory and inhibitory nature of each cell type provided by Cajal. Further discoveries into the relationships between cell synapses, cell natures, and the minutiae of their structures by Jan Voogd, Olov Oscarsson and David Armstrong around the 1970's defined the organisation of Purkinje cells into &amp;quot;a series of longitudinal parasagittal bands&amp;quot;, the specificity of which explains the solely Purkinje-axon-output of the cerebellar cortex. &amp;lt;ref&amp;gt;https://www.ncbi.nlm.nih.gov/pubmed/19272426&amp;lt;/ref&amp;gt; The current focus in research now leans towards connecting cerebellar function with learning, emotion and perception of time.&lt;br /&gt;
&lt;br /&gt;
=Animal Models=&lt;br /&gt;
The mouse model is a primary model organism in the study of cerebellum development, but organisms such as Drosophila (fruit fly), C. elegans (roundworm), Saccharomyces cerevisiae (Baker's yeast), cats, dogs, and cattle are also used in some types of diseases.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;19669387&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;  Looking at a variety of different of organisms' cerebellar development can elucidate the evolution of the cerebellum and further understanding of cerebellar constituents.&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;25336734&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Isthmic Organiser==&lt;br /&gt;
Throughout history there have been many investigations on the cerebellum and how it has developed through research involving chicken embryos and mice. As previously mentioned the neural plate closes to form the neural tubes which have anterior-posterior (AP) and dorsal-ventral (DV) axes. Earlier experiments involving chick-quail chimera suggested that the cerebellum was derived from both midbrain and hindbrain. However, through successive gene expression and fate mapping studies, it was discovered that the anterior-most rhombomere of the hindbrain is where the cerebellum is formed from &amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Once the axes are formed the isthmic organiser (IsO) is formed which plays a vital role in establishing the anterior limit of the cerebellar territory. The IsO in other words is the mid-hindbrain boundary &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. However, the IsO does not position itself without the help of transcription factors. Studies of mouse and chicken embryos have shown that two homeo domain-containing transcription factors Otx2 and Gbx2 have an important role in positioning the isthmic organiser &amp;lt;ref name=”PMID21309081”&amp;gt;&amp;lt;pubmed&amp;gt;21309081&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Surgical movement of the isthmic tissue to more anterior or posterior regions of the neural tube of 10-somite stage chick embryos led to ectopic midbrain and cerebellar structures&amp;lt;ref name=”PMID14567957”&amp;gt;&amp;lt;pubmed&amp;gt; 14567957&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;, indicating that where the IsO is placed is an important factor in establishing where the cerebellum positions.&lt;br /&gt;
&lt;br /&gt;
=Abnormalities=&lt;br /&gt;
Abnormalities found within the posterior fossa of the cranium may affect the functioning and development of the cerebellum. The abnormalities affecting the cerebellum include Dandy-Walker-Malformation, Joubert Syndrome, Tecto-Cerebllar Dysraphism and Rhombencephalosynapsis (RS). &lt;br /&gt;
==Dandy-Walker Malformation==&lt;br /&gt;
Dandy-Walker-Malformation (DWM) includes the incomplete development of the cerebellar vermis with cystic dilatation of the 4th ventricle and enlargement of the posterior fossa &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. The cerebellar vermis (found at the medial, cortico-nuclear zone of the cerebellum&amp;lt;ref name=”PMIDPMC3179064”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3179064&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;) may either be elevated or rotated upwards &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;.  The communication of the 4th ventricle with the midline posterior fossa cyst can be seen on MRI scans of DWM &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Other structures that can be identified on MRI scans include upward displacement of the tentorium and anterolateral shift of cerebellar hemispheres &amp;lt;ref name=”PMID21093738”&amp;gt;&amp;lt;pubmed&amp;gt; 21093738&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
[[File:DandyWalkerMalformation.jpeg|435px]]&lt;br /&gt;
&lt;br /&gt;
Brain MRIs. Brain imaging of patients with Dandy-Walker malformation (CCM067, CCM095) and patients with normal cerebellum and posterior fossa (CCM001). A: sagittal midline T1-weighted images. B: axial T2-weighted images. &amp;lt;ref name=”PMID PMC3667004”&amp;gt;&amp;lt;pubmed&amp;gt; PMC3667004&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Joubert Syndrome==&lt;br /&gt;
Joubert syndrome (JS) is described as a rare inherited genetic disorder characterised by lack of muscle coordination, intellectual disability, respiratory disturbances and abnormal eye movement &amp;lt;ref name=”PMIDPMC2913941”&amp;gt;&amp;lt;pubmed&amp;gt;PMC2913941&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. On neuroimaging, the cerebellar vermis is identified to have gone through hypoplasia (underdevelopment) or dysplasia (abnormal development) &amp;lt;ref name=”PMID22108217”&amp;gt;&amp;lt;pubmed&amp;gt;22108217&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. It is also described as the &amp;quot;molar tooth sign&amp;quot; on brain imaging, which the &amp;quot;molar tooth&amp;quot; shaped is caused by the defects in the midbrain-hindbrain development.&lt;br /&gt;
&lt;br /&gt;
[[File:JoubertSyndrome.jpg|225px]]&lt;br /&gt;
&lt;br /&gt;
Brain Imaging of Joubert Syndrome: Cranial MRI showing “molar tooth sign” (arrows)&amp;lt;ref name=”PMIDPMC3896311”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3896311&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Chiari Syndrome I-III==&lt;br /&gt;
Chiari Syndrome I-III is when the structures within the posterior cranial fossa protrude into the spinal canal &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt; which can affect the development and functioning of the cerebellum in the long term. Chiari Syndrome can be classified into four types. The downward shift of the cerebellar tonsils to beneath the foramen magnum is type 1 and the downward movement of the vermis, medulla oblongata and pons with the fourth ventricle is type 2 &amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. When majority of the cerebellum lies in the foramen magnum it is type 3 and when it is completely in the foramen magnum (and therefore cannot develop normally) it is type 4&amp;lt;ref name=”PMID18762395”&amp;gt;&amp;lt;pubmed&amp;gt;18762395&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
[[File:ChiariMalformation.jpg|225px]]&lt;br /&gt;
&lt;br /&gt;
Cerebellar tonsils herniation on magnetic resonance imaging: Chiari malformation type I&amp;lt;ref name=”PMIDPMC4279813”&amp;gt;&amp;lt;pubmed&amp;gt;PMC4279813&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Rhombencephalosynapsis==&lt;br /&gt;
Rhombencephalosynapsis is a rare cerebellar defect whereby there is dorsal fusion of the cerebral hemispheres, fusion of dentate nuclei and superior cerebellar peduncles as well as the agenesis of the cerebella vermis &amp;lt;ref name=”PMID18155944”&amp;gt;&amp;lt;pubmed&amp;gt;18155944&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;. Like other mentioned abnormalities there is development delay because of the underdeveloped cerebellum.&lt;br /&gt;
&lt;br /&gt;
[[File:Rhombencephalosynapsis.jpg|225px]]&lt;br /&gt;
&lt;br /&gt;
Partial Rhombencephalosynapsis with fused upper parts of the cerebellum&amp;lt;ref name=”PMIDPMC3447431”&amp;gt;&amp;lt;pubmed&amp;gt;PMC3447431&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Future Questions=&lt;br /&gt;
&lt;br /&gt;
=Glossary=&lt;br /&gt;
{{Glossary}}&lt;br /&gt;
&lt;br /&gt;
=References=&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=User:Z5114433&amp;diff=311188</id>
		<title>User:Z5114433</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=User:Z5114433&amp;diff=311188"/>
		<updated>2017-10-11T13:05:47Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341ProjectGroup2017table}}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Here is the [[Student Page]] demonstration page I showed in the Practical class.&lt;br /&gt;
&lt;br /&gt;
Use this page to practice editing and don't forget to add a topic to the [[2017 Group Project 6]] page.&lt;br /&gt;
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[[Student Page]]&lt;br /&gt;
&lt;br /&gt;
[[File:Chicken embryo E-cad and P-cad gastrulation.png|500px]]&lt;br /&gt;
Chicken embryo E-cadherin and P-cadherin in gastrulation&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;27097030&amp;lt;/pubmed&amp;gt;&amp;lt;/ref&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Search Databases==&lt;br /&gt;
[http://www.ncbi.nlm.nih.gov/sites/gquery?term=embryo ''embryo''&lt;br /&gt;
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[http://www.ncbi.nlm.nih.gov/sites/gquery?term=GIT ''GIT'']&lt;br /&gt;
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&amp;lt;br&amp;gt;&lt;br /&gt;
{{2017ANAT2341 footer}}&lt;br /&gt;
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=Peer Review=&lt;br /&gt;
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'''Group 1''': Overall, the page is has nice structuring making it relatively easy to follow. But they are missing major topics necessary including historical discoveries, developmental signalling processes, current research and animal models. The introduction was short and concise, which provided a relevant amount of background knowledge. The anatomy and functions of the cerebral cortex could be put before the development so that it ties in with the introduction. The images and videos were relevant to the topic, which aided in understanding the content. However, labelling, adding a description and citing is necessary for images and videos which has not been done. A table would be a great feature for the timeline because right now its annoying to read and has a messy, unfinished look. References need fixing.&lt;br /&gt;
&lt;br /&gt;
'''Group 2''': The page flows very well and is easy to read. However, there is incorrect citing or no citing at all for images and texts which can trigger copyright issues, in some sections (mostly the beginning) of the page. The structure and anatomical position is extremely easy to read and comprehend, as well as the use of a table for development. Id advise to insert more images for development and the remaining sections to help the reader visualise the process instead of being overwhelmed by the information. Developmental abnormalities seem to contain information not necessarily needed. Maybe add the 5 paragraphs above &amp;quot;Kidney developmental abnormalities are diverse and they correspond to defects at different stages of kidney development&amp;quot; statement in a separate research topic. Good use of images for abnormalities though. Overall, the page is quite informative and has been researched effectively. It could be improved by slight tweaks in format aforementioned and correct referencing.&lt;br /&gt;
&lt;br /&gt;
'''Group 3''':Overall, this page had a finished feel because the page is so heavily packed with information, there are some sections that were not completed. There is however, a lot of information that may leave the reader feeling a bit overwhelmed. Some sections are also hard to understand and comprehend especially due to the heavy use of biotechnological jargon (ie. SMAD-dependent, SMAD-independent pathways, β-catenin). A terminology/glossary section would be extremely helpful for this issue. I'd advise using more images in &amp;quot;Abnormal Development&amp;quot; (ie. x-rays or physical observations of sufferers) to help the reader visualise such abnormalities. Referencing under images should be moved to the references section and should be referenced using the &amp;lt; ref &amp;gt; &amp;lt; / ref &amp;gt; if in text. Overall, there is a lot of information, some of which is not necessarily important. I'd advise to cut down, make paragraphs more simple and straight to the point, and use images to help the reader visually understand and comprehend.&lt;br /&gt;
&lt;br /&gt;
'''Group 4''': The page has an unfinished feel to it due to the lack of introduction, empty subheadings towards the end of the page and &amp;quot;this section is not done yet&amp;quot; written. Abnormalities is spelt incorrectly. Clever use of self drawn diagrams to avoid copyright issues, however I think it's better to use actual images from journals because some images are hard to understand, hard to read and don't look accurate- i was unaware the sclera, choroid and retina took up so much space in the vitreous humour. Id also advise to add images to show the developments of the embryonic eye, making it more appealing for the reader. Also adding images to the &amp;quot;Development of the eye components&amp;quot; section.&lt;br /&gt;
&lt;br /&gt;
'''Group 5''': The page is quite informative, however there are incomplete sections including the introduction and the last few topics towards the end. There is a clever use of self drawn images to avoid any copyright issues, but the lung histology image can be a bit hard to read due to the lack of contrast (the grey outline and font being a bit light to read) and the image itself is bit unclear (Is it a lateral view? cross sectional? towards the apex of the lung?). The bolding of main terms at the start of the page is a nice touch, it would work better if there was a glossary at the end of the page stating the bolded terms and their meaning. It would also be better if the rest of the page had their main terms bolded as well and added to the glossary. The movies section seemed a bit out of place and did not flow from the previous and next topics, it would be better to move them into the &amp;quot;developmental&amp;quot; topics. In the abnormal development and animal models sections, more images that correlate to each subheading would be advised to help the reader visualise the abnormalities or results instead of reading chunks of words. Such images could include x-rays, images of physical observations of sufferers, graphs and figures. Development of the lungs topics were easy to: follow, read and understand, which is extremely important. Ref 22 isn't stated properly.&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_1&amp;diff=311186</id>
		<title>Talk:2017 Group Project 1</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_1&amp;diff=311186"/>
		<updated>2017-10-11T13:01:42Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
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&lt;div&gt;{{ANAT2341Project2017discussion}}&lt;br /&gt;
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&amp;lt;!-- Do not remove template above from the project discussion page --&amp;gt;&lt;br /&gt;
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=Cerebral Cortex=&lt;br /&gt;
==Introduction==&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0024757/ [[User:Z5177691|Z5177691]] ([[User talk:Z5177691|talk]]) 22:37, 23 August 2017 (AEST)&lt;br /&gt;
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==Lobes and Function==&lt;br /&gt;
4 Lobes: parietal, temporal, frontal, occipital&lt;br /&gt;
Video Overview: [https://www.khanacademy.org/science/health-and-medicine/human-anatomy-and-physiology/nervous-system-introduction/v/cerebral-cortex &amp;quot;Cerebral Histology&amp;quot;]&lt;br /&gt;
[[User:Z5177691|Z5177691]] ([[User talk:Z5177691|talk]]) 22:32, 23 August 2017 (AEST)&lt;br /&gt;
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==Neocortical Development==&lt;br /&gt;
Nature article: https://www.nature.com/nrn/journal/v9/n2/full/nrn2252.html [[User:Z5177691|Z5177691]] ([[User talk:Z5177691|talk]]) 22:57, 23 August 2017 (AEST)&lt;br /&gt;
&lt;br /&gt;
===6 Layers===&lt;br /&gt;
Layers I, II, III, IV, V, VI (see [http://www.ruf.rice.edu/~lngbrain/Sidhya/ &amp;quot;Cortical Layer Review&amp;quot;] [[User:Z5177691|Z5177691]] ([[User talk:Z5177691|talk]]) 22:57, 23 August 2017 (AEST)&lt;br /&gt;
&lt;br /&gt;
==Anatomy and Function== &lt;br /&gt;
&lt;br /&gt;
to do: &lt;br /&gt;
&lt;br /&gt;
-change from dot points &lt;br /&gt;
&lt;br /&gt;
-add images &lt;br /&gt;
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-references &lt;br /&gt;
&lt;br /&gt;
-finish function information &lt;br /&gt;
&lt;br /&gt;
===Cell Types===&lt;br /&gt;
http://www.ruf.rice.edu/~lngbrain/Sidhya/  [[User:Z5177691|Z5177691]] ([[User talk:Z5177691|talk]]) 22:57, 23 August 2017 (AEST)&lt;br /&gt;
&lt;br /&gt;
==Abnormalities==&lt;br /&gt;
PubMed Article: [https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0024757/ &amp;quot;Developmental Disorders&amp;quot;] [[User:Z5177691|Z5177691]] ([[User talk:Z5177691|talk]]) 22:41, 23 August 2017 (AEST)&lt;br /&gt;
&lt;br /&gt;
=Peer Reviews=&lt;br /&gt;
&lt;br /&gt;
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This page is very well structured and sequential. It provides a very detailed explanation of development under chronological subheadings. Subpages under images are well informed, but some images lack a proper Copyright phrase and Student Image Template to indicate reproducibility. On the main page, some subheadings need to be capitalised (formatting) and student signatures need to be provided on relevant sections, rather than student numbers . The &amp;quot;Anatomy of the Cerebral Cortex&amp;quot; section is filled with dot points, and could be improved using paragraphs, images and Wiki formatting. The layout of the Abnormalities section could be improved, by changing the headings and subheadings. The images and videos on the page are all very relevant to the topic, but I don't think the screenshots from youtube are appropriate of reputable. The page could benefit from a glossary list and 'Future Research' section. However, the reference list was well constructed. Overall the the page addresses the brief very well.&lt;br /&gt;
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Be careful in how the sentences are expressed for example in the introduction ‘the cerebral cortex is actually the outermost layer’; avoid using ‘actually’ in this sentence. Don’t forget to remove the student numbers from the posts. Minor grammatical errors; no use of commas in long sentences. The images do include copyright however the team has forgotten to place the Student Image Template that is required. The team should add a small description of the images that are on their webpage so readers will see immediately what the image is showing. The team could do a further questions subheading or an animal model subheading to explore more on the research of the Cerebral Cortex. &lt;br /&gt;
&lt;br /&gt;
Subheadings and content that have been used show a good understanding of the topic area. The use of dot points where necessary are done well which makes the project easier to understand and read through. The use of tables to demonstrate the ‘Timeline of Corticogenesis’ is done comprehensively; maybe an image for each day that is explained should be added to show consistency (as only the last row has an image). The team has used their own diagrams which shows that the team was innovative in displaying their research. The references used are cited correctly, however, there are links at the bottom where they need to fix up and place it under references. &lt;br /&gt;
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Overall, the page is has nice structuring making it relatively easy to follow. But they are missing major topics necessary including historical discoveries, developmental signalling processes, current research and animal models. The introduction was short and concise, which provided a relevant amount of background knowledge. The anatomy and functions of the cerebral cortex could be put before the development so that it ties in with the introduction. The images and videos were relevant to the topic, which aided in understanding the content. However, labelling, adding a description and citing is necessary for images and videos which has not been done. A table would be a great feature for the timeline because right now its annoying to read and has a messy, unfinished look. References need fixing.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
--&lt;br /&gt;
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The page has good structure and formatting, however there is a significant unfinished touch. Anatomy of the Cerebral Cortex heading could place all the information in a table to make it easier to read as well as images to help the viewer visualise the process. Maybe remove the student numbers because they are unnecessary and make the page look not as professional. figures and tables need to be labelled as well as referencing and copyright claims. The diagram under the statement &amp;quot;Migration and division of all six layers of the cortex is completed during the third trimester. Each layer has distinct synaptic connections and cell types that contribute to the specific functions of the cortex.&amp;quot; needs to be further explained because I had a hard time understanding the image and what each section meant. The video is a nice touch to help understand the function and placement of the cerebral cortex. Developmental abnormalities was well written, easy to understand and flowed nicely.&lt;br /&gt;
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-- &lt;br /&gt;
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The layout is looking very good, pictures could be a little smaller. I like the choice of headings, they explain well what is going to be talked about. I feel like you need to add headings like animal models and current research needs to be fixed but I’m sure that’s what is intended. I have some minor points for some of the headings: &lt;br /&gt;
Early development: &lt;br /&gt;
Spelling: Rhomboncephalon, and the instead of three at the beginning of a paragraph. Overall this heading was covered well&lt;br /&gt;
Development of cerebral cortex:&lt;br /&gt;
With images, you can add figure titles and this could make your page flow better!! Maybe expand a bit more on the key developmental zones in the human cortex, a brief explanation of what happens could help. The table is very well explained, however for E50-55 I can’t see a reference for all the information, also for the picture in the table for E50-55, you haven’t copied the copyright information so you should add that so it can be used in the page and also add the student template. I really like the drawn picture, but again a figure description would be helpful.  This section is very well done. &lt;br /&gt;
Anatomy of the cerebral cortex&lt;br /&gt;
Some great points but needs to be broken up into paragraphs. Your Wikipedia link for the image is a good image however you should find the original, I recognize it from Cajal’s drawings so I think it could be in a paper about the cerebellum with Cajal. You have good ideas for this heading, also maybe add another image. &lt;br /&gt;
Functions of the cerebral cortex&lt;br /&gt;
For functional areas, I think a 2 sentence description of each area would be good and maybe a picture for reference. &lt;br /&gt;
Abnormalities&lt;br /&gt;
Intext referencing would be better. For images, add the student template to each!! Im not entirely sure how I feel about the youtube screenshots as images, maybe use one but try and find some in research articles aswell. &lt;br /&gt;
Overall, I think you’ve done a really good job at summarizing abnormalities.&lt;br /&gt;
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The introduction was a good opening to the Cortex page as it gives a brief overview and understanding of the cortex generally. The next subheading, “Early development of the Brain”, provides of a simple and clear explanation of the early development process however images would be a great addition to help visualise the text. Try having a look at some images that were shown to us in previous lectures on the brain development where it showed the neural plate, neuroectoderm and subsequent developments. &lt;br /&gt;
The next subheading, “Development of Cerebral Cortex”, would probably do better to be called “Later Development of Cerebral Cortex” as it would be a seamless flow from the previous subheading of “Early development…”. It was good that a labelled image was used and information was added for explanation. It helped orient me as I was going on to read about the timeline of corticogenesis. The timeline was detailed and the use of bold helped highlight key terms. However, I would suggest making another column for images on each day. Visual reinforcement just makes the information easier to absorb and make more sense.&lt;br /&gt;
The subheading, “Anatomy of the Cerebral Cortex”, is clearly in the editing process. I would just once again definitely recommend the use of images in this section, both hand-drawn diagrams and labelled images from the internet. I thought the use of a video was a clever way to cover the cerebral cortex functions. A bit of general text that briefly covers the functions of the main parts would be a good addition in this section, as a segue into the video.&lt;br /&gt;
The “Abnormalities” subheading was a good balance of text and images. It was easier to read because it was split into categories. I would only suggest that you mention at the beginning of the section that abnormalities associated with the cerebral cortex development can be divided into the following categories… I can see the references were placed at the beginning of the section and I’m assuming that is temporary. It is better if they are dispersed within the text where appropriate. There are a good bunch of references but you could probably aim for 25-30 for this page.&lt;br /&gt;
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This page needs some more information about current research, signaling processes, future questions and references to animal models. It would also be good with a table or quick overview of developmental origin. There has been a good use of pictures and tables. The setup of the section about abnormalities is really good. This page needs to use more references during the sections and not only at the start of a section. A glossary list would also be good for the reader to understand the page. &lt;br /&gt;
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*'''Introduction''': Gives a quick knowledge of the cerebral cortex. A picture would be good to support this introduction and maybe a bit more description of the different terms. This section also needs references.&lt;br /&gt;
*'''Early Development:''' Good setup with bulleting. I find some of the context a bit confusing to read - especially these two sentences &amp;quot;From there three primary vesicles, there is a further division at the anterior extremity of the medullary canal into five secondary vesicles during week five&amp;quot; and &amp;quot;During the fifth week, the embryonic brain undergoes rapid growth folding the neural tube and consequently resulting in three brain flexures&amp;quot; Maybe you can rephrase this. &lt;br /&gt;
*'''Development of Cerebral Cortex:''' Good section! Good overview. &lt;br /&gt;
*'''Timeline of Corticogenesis:''' Please give a short introduction of what Corticogenesis and Neurogenesis means. Good picture supporting the E50-55, maybe you can put this picture already in the section called &amp;quot;Key developmental zones in the human cortex&amp;quot; since this is the first time we get introduced to the different zones and plates and it would give a better basic knowledge before getting into Corticogenesis. &lt;br /&gt;
*'''Anatomy and Function of the Cerebral Cortex''': These two sections should maybe be earlier on the project page together with the introduction since it's a basic understanding of the Cerebral Cortex. Both sections look a bit messy, try to work on making it more simple and easier to read - it kind of looks like personal notes and not a proper information site :-) These sections also need some references. The video in this section gives a good understanding. Good idea putting a video on the page.&lt;br /&gt;
*'''Abnormalities associated with Cerebral Cortex Development:''' This section is really good. Great overview of the different scenarios and a lot of pictures to support the reading. Instead of mentioning all the references in the start of the section, you should add the specific reference used for each subsection, this will make it easier for the reader to look up references for specific sections.&lt;br /&gt;
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In the introduction section, it was not referenced where the information facts are from. This section should introduce a brief information on the topic, what you are going to discuss on the whole wiki page, introduce current researches and animal models to support the new findings and understandings. Also, don't use &amp;quot;actually&amp;quot; in the sentence. &lt;br /&gt;
On the page, It is better to write in full sentences instead of dot points as I've seen a lot of them and include any of scientific words in the glossary section at the end of the page. Where you've inserted picture, it will be clearer to also include it within the text in brackets for example (Figure 1). &lt;br /&gt;
Any figures or pictures on this page needs references as well. &lt;br /&gt;
In the abnormality section, it is well written with supporting pictures, but in my opinion, it is easier to read if the the figures/pictures are on the same side and texts on the other side instead of alternating. This section was very thoroughly referenced too. I think a small paragraph under the heading introducing the different type of disorders before going into greater details. &lt;br /&gt;
Don't focus too much on the anatomy as I can see this section is not finished nor written in paragraph and no pictures or figures, would be better to swap anatomy with some other embryology discussion for example, signalling processes.&lt;br /&gt;
Touch on current researches, animal model if any and future questions as they were not seen on the page. Also include a glossary table. References section is looking good but more is needed.&lt;br /&gt;
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Overall I find the information provided to be concise and easy to understand. The introduction was great in giving us a brief overview of page. The layout of the early development of the brain and the development of the cerebral cortex was really nice. I like the use of bullet points as this makes it easier to read. Also good amount of referencing is seen in this area. The use of the table is also a nice touch to the page and I like the picture used for E50-55. However, it could help to have another column with pictures for each row. That would help with the understanding of the text. For the anatomy of the cerebral cortex, it seems a little messy and hard to read as it is too point form. Perhaps these could be phrased into proper sentences with certain parts placed into bullet points to make it easier to read. Also, with the anatomy, pictures would be very helpful to aid in the explanation. For the functions of the cerebral cortex, it lists the functional areas but not the functions of those areas. Although it is stated in the video, which is a nice addition to the page, this could be improved by adding short sentences that state these functions that were mentioned as well. For Sections 1.4 and 1.5, references are also needed to state where the information was obtained from. The abnormalities section provides detailed explanations of the various disorders associated with the development of the cerebral cortex. There is also a good amount of pictures used. One thing I noticed was the references which was placed on the top of the section instead of throughout the text.&lt;br /&gt;
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Overall, the page has a good structure and flow with good headings and subheadings. The information provided was concise and easy to comprehend. The introduction provides a brief overview and sufficient background knowledge about the cerebral cortex. I like how the team thought of mentioning about the early development of the brain before narrowing it down to the cerebral cortex. However these two sections do not seem to flow well. Maybe you could have 2-3 sentences that could help ease into the development of the cerebral cortex. I really love the timeline of corticogenesis. This part has been done really well. One minor improvement that could be made is to add images under each embryonic stage instead of just the last stage to better aid the reader into understanding the development. Also, a brief description of what corticogenesis is could be included before the table. For these two sections, there were a good amount of references.&lt;br /&gt;
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For the anatomy of the cerebral cortex, it seems a little messy and hard to understand as its written in point forms. Perhaps, the dot points could be changed to proper sentences with histological images to tie it together. For the functions of the cerebral cortex, I think you could use a table to list down the areas and then provide a brief description of the functions of that particular part. The video is a good addition to the page. These two sections are lacking citations and references.The abnormalities section was well done. However, the citations should be added within the text instead of at the top of the page. Since there are a lot of abnormalities, maybe the team could list in a few sentences about all the abnormalities that they are going to discuss to have a better start to the section. For the images that are used on this page, the images should be labelled as “figure 1” or “table 1”. Maybe, sections on the “animal models” and “current research” could be added to wrap the page up.&lt;br /&gt;
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Overall the project was very good and clear. Pictures were well placed and bullet points spaced out information, making the page easy to look at and follow. The layout of the beginning and end sections with the short paragraphs and interspersed bullet points broke up the information and highlighted key facts. The introduction was a good overview of the page, including a quick summary of the anatomy, function, and development of the cerebral cortex. &lt;br /&gt;
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There were some basic grammatical and spelling errors (e.g. “neurons” is spelled wrong under the subheading “Layer 4”), but for the most part did not take away from the clarity of the page. One sentence, “From there three primary vesicles, there is a further division at the anterior extremity of the medullary canal into five secondary vesicles during week five,” seems to be missing something at the beginning that would increase clarity. &lt;br /&gt;
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Some pictures had a lot of information in the summary when clicking on them while others lacked sufficient information. Some pictures that could benefit from more information are Corticogenesis of mouse and humans.jpeg, SBH.png, Disorders of Cortical Formation2.png, Symptoms of microcephaly.png, Hemimegalencephaly.png, and SchizencephalicBrain.jpg. These pictures are relevant to the topic and are pretty self-explanatory so this does not take away much clarity from the page but for the parameters of the project, additional summary should be added. The picture Stage22 HPA2L.jpg has good information in the summary but it is oddly structured. FASface.jpeg does not have any copyright information included. Having Gray754.png displayed on the page rather than as a link would look better. &lt;br /&gt;
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The video describing the functions of the cerebral cortex was a good introduction to that topic. The video was easy to watch and understand. The first video about corpus callosum agenesis was a good introduction to the topic, but the second video about corpus callosum agenesis was long and the lecturer was hard to understand. That subheading would benefit from a brief description of that topic rather that a long video explanation. &lt;br /&gt;
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The switch from a mix of bullets and short paragraphs to all bullet points in Anatomy of the Cerebral Cortex makes the page look less cohesive. The last bullet point in Layer 4 is hard to understand and the last 2 bullet points in Layer 5 would flow better if they were combined. The information in these sections are good and relatively easy to follow. &lt;br /&gt;
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Overall the project is very good. The table explaining the timetable of cortex development is a clear way to break down the topic. Breaking down the information of abnormal development into what went wrong in the embryology (e.g. migration problems vs. differentiation problems) highlights importance of embryology in congenital disorders. There is a lot of information about the abnormal development of the cortex but could use some information about past and current research and animal studies. Reference list at the end looks good but the in-text citations of abnormal development should be interspersed with the information rather than all at the beginning. &lt;br /&gt;
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The chosen headings for the development of the cerebral cortex were very suitable to highlight the key topics in providing a page of summarised information. It was then easy to navigate through the page using the shortcuts and finding information. Although, there was one sub sub heading “Timeline of Corticogenesis” that was formatted to be in bold while the rest were not. &lt;br /&gt;
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The disorders listed seems to be really interesting and it covers the whole spectrum of the case abnormalities. But I suggest to get rid of the letter bullets (e.g. A), B), C) ) for the breakdown of the abnormalities. &lt;br /&gt;
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The introduction had a quick and concise text, however, an image of the cerebellum would be suitable in this section on the side. While the sub sub heading stated that the introduction section will talk about the features of a cerebellum, a paragraph about the development and its stages were written down in this section as well. This could be moved into the ‘Early Development of the Brain’ subheading underneath. Bullet points of the brain layers as well as a diagram would be helpful for the visualisation of the brain.&lt;br /&gt;
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For the sections that explain the development in specific weeks, a table would be advisable to make it neater and easier to look at. Also, an image was left inside the table grids and it was confusing whether it was meant to be there or not. Perhaps adding a photo gallery showing the stages at the bottom of the table would be better.&lt;br /&gt;
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Hand drawn diagrams were really precise, neat and was very visually appealing. It was taking up all the space and unless it is intentional, I suggest to resize the drawing into a smaller one that fits the page as well as the accompanying text and content of the drawing.&lt;br /&gt;
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The variety of visual aids were really entertaining and were referenced properly.&lt;br /&gt;
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Finally, the reference list at the bottom of the page did not have a consistent format. It was mostly APA format however the others looked like a different format.&lt;br /&gt;
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&amp;lt;b&amp;gt;Strengths:&amp;lt;/b&amp;gt; &amp;lt;br&amp;gt; &amp;lt;br&amp;gt;&lt;br /&gt;
•	The page has an excellent structure covering a broad variety of topics regarding the cerebral cortex. It was great to see how you also explored abnormalities associated with the cerebral cortex. Furthermore the use of various subheadings and headings related to cerebral cortex development meets criteria 1 and 2 of the assessment. &amp;lt;br&amp;gt;&lt;br /&gt;
•	The presentation of the wiki page was excellent in that a variety of images, videos and tables were utilized. The use of such sources of information helps present information in a much more clear and concise manner, whilst also providing a thorough explanation to visual learners. Hence the wiki page has an element of teaching at a peer level (criteria 4 is satisfied). &amp;lt;br&amp;gt;&lt;br /&gt;
•	A large number of references have also been included within the wiki page, a characteristic which helps increase the reliability of information presented. Furthermore, most sources are recent which another great characteristic. Thus, it appears that the group has satisfied criteria 3 for the assessment. &amp;lt;br&amp;gt;&lt;br /&gt;
•	Each topic appears to show a significant amount of detail which is excellent. In addition, the use of images alongside the text is a great tool as the audience is able to better visualize the concept being described. &amp;lt;br&amp;gt;&lt;br /&gt;
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&amp;lt;b&amp;gt;Areas of improvement: &amp;lt;/b&amp;gt; &amp;lt;br&amp;gt;&lt;br /&gt;
•	Although you have provided a variety of recent references, to improve you may avoid using sources as old as 1977 as results presented from this study may be outdated. &amp;lt;br&amp;gt;&lt;br /&gt;
•	It was excellent that the functional areas of the brain were listed, however to improve you may wish to elaborate on the specific functions of these areas. You may also explore how abnormalities of these areas during development may impact upon the behaviour of the individual following birth &amp;lt;br&amp;gt;&lt;br /&gt;
•	Whilst a variety of topics have been covered, you may wish to also describe the importance of signaling throughout the process of cortical development. For example, you may investigate different growth factors and receptors involved in the process. &amp;lt;br&amp;gt;&lt;br /&gt;
•	Another possible improvement would be to perhaps include a timeline of different researchers who contributed to the in-depth understanding of the developing cortex that we have today. You may also describe what each researcher discovered. &amp;lt;br&amp;gt;&lt;br /&gt;
•	In order to completely satisfy criteria 5, you may wish to conduct further research beyond the scope of formal teaching activities. For example you may explore the contribution of animal models towards our understanding of cortical development. &amp;lt;br&amp;gt;&lt;br /&gt;
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This peer review is based on the relevant dot points of the ‘Group Assessment Criteria’, as well as subheadings suggested by Mark. This information can be found on the student page. &lt;br /&gt;
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{| border=&amp;quot;1&amp;quot; align=&amp;quot;left&amp;quot;&lt;br /&gt;
|-&lt;br /&gt;
|Criteria&lt;br /&gt;
|Strengths&lt;br /&gt;
|Weaknesses&lt;br /&gt;
|-&lt;br /&gt;
| 1. The choice of content shows a good understanding of the topic area&lt;br /&gt;
| The developmental origin of the cerebral cortex is addressed well under the sub-heading ‘Early development of the brain’. &lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
The development timeline of the cerebral cortex is described clearly and in detail in the table of the ‘Timeline of corticogenesis’.&lt;br /&gt;
&lt;br /&gt;
Abnormal development of the cerebral cortex and the associated conditions are covered in an immense amount of detail. The accompanying images and videos enhance the written information, as well as making it easier for the reader to comprehend. In addition, the sub-headings of this section compartmentalize the congenital diseases in a logical manner that highlights the link between abnormal development and specific diseases. &lt;br /&gt;
| There are several key topic areas missing from the page:&lt;br /&gt;
*There is no section covering key historical discoveries relevant to the cerebral cortex and its embryological development. &lt;br /&gt;
*There is no information relating to developmental signalling processes &lt;br /&gt;
*There is no section on current research in fields relevant to the embryological development of the cerebral cortex. &lt;br /&gt;
*There is no section on animal models that have been used to advance scientific understanding of the cerebral cortex. &lt;br /&gt;
*There is no section on future questions regarding the development of the cerebral cortex. &lt;br /&gt;
*A glossary of terms has not been included. &lt;br /&gt;
&lt;br /&gt;
Some sections that have been included are somewhat irrelevant to the subject matter. For example, there is a large (unfinished) section on the anatomy and functions of the cerebral cortex. While it is important to provide a bit of an anatomical background on the subject, it shouldn’t be a major focus of this assignment. Focus more on the sections mentioned above, and keep the project focused on the embryology of the cerebral cortex. &lt;br /&gt;
|-&lt;br /&gt;
|2. Content is correctly cited and referenced&lt;br /&gt;
|There have been attempts at referencing throughout the assignment. A reference list has been produced and appears mostly correct. References have not been repeated throughout the list. &lt;br /&gt;
&lt;br /&gt;
Peer-reviewed primary research articles have been used in this assignment.  &lt;br /&gt;
&lt;br /&gt;
The student-drawn image has been cited correctly, as have most of the images used in the ‘abnormal development’ section. &lt;br /&gt;
|Overall, referencing in this assignment is very poor. Most of the content is completely devoid of any references (see ‘introduction’, ‘anatomy of the cortex’ and ‘abnormal development), and sections that have been referenced have been referenced “by paragraph” (see ‘timeline of corticogenesis’)&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Many of the sources used in this assignment are inappropriate and/or unreliable. Try to rely more on primary research articles and less on textbooks or websites. &lt;br /&gt;
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Many of the images have been cited incorrectly and used without permission. Remember to include the full reference, the original summary and the copyright license information for each image. &lt;br /&gt;
|-&lt;br /&gt;
|3. The wiki has an element of teaching at a peer level&lt;br /&gt;
|The information presented is mostly at a level appropriate for peers. Images and hand-drawn diagrams have been included to facilitate the readers understanding of the subject matter. Some of the images contain useful descriptions of the subject matter, and aid in understanding of the topic. &lt;br /&gt;
|Many of the acronyms and terms used in this assignment are not well explained. Include a glossary of terms to make some of the content easier to follow and understand. &lt;br /&gt;
|-&lt;br /&gt;
|4. Relates the topic and content of the Wiki entry to learning aims of embryology&lt;br /&gt;
|The development of the cerebral cortex was covered extensively, which is a very important learning aim of embryology. &lt;br /&gt;
|There are certain learning aims of embryology that have not been included in this assignment, such as developmental signaling processes (see criteria 1 for more information). There has been no discussion of relevant historical or current research (adding in the subheadings “key developments” and “current research” would help rectify this).&lt;br /&gt;
|-&lt;br /&gt;
|5. The content of the wiki should demonstrate to the reader that your group has researched adequately on this topic&lt;br /&gt;
|Certain aspects have been researched and presented well (such as embryological development). &lt;br /&gt;
&lt;br /&gt;
Links to other pages of the UNSW embryology wiki have been included, however they have been used as references rather than just links. &lt;br /&gt;
|Information from the UNSW embryology wiki has been used as direct sources of information. Instead they should be included to relate this particular wiki page to other areas of learning. &lt;br /&gt;
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The small number of sources cited in the reference list demonstrates a poor and narrow approach to researching this topic. A greater library of sources should be used to create this page (mainly primary research articles).&lt;br /&gt;
|}&lt;br /&gt;
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Grade: FAIL&lt;br /&gt;
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General Comment:&lt;br /&gt;
While some aspects of the wiki page have been done well, the page is largely unfinished. Many sections still need to be added, and others are in need of improvement.&lt;br /&gt;
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		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_1&amp;diff=310648</id>
		<title>Talk:2017 Group Project 1</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_1&amp;diff=310648"/>
		<updated>2017-10-09T06:46:25Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
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=Cerebral Cortex=&lt;br /&gt;
==Introduction==&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0024757/ [[User:Z5177691|Z5177691]] ([[User talk:Z5177691|talk]]) 22:37, 23 August 2017 (AEST)&lt;br /&gt;
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==Lobes and Function==&lt;br /&gt;
4 Lobes: parietal, temporal, frontal, occipital&lt;br /&gt;
Video Overview: [https://www.khanacademy.org/science/health-and-medicine/human-anatomy-and-physiology/nervous-system-introduction/v/cerebral-cortex &amp;quot;Cerebral Histology&amp;quot;]&lt;br /&gt;
[[User:Z5177691|Z5177691]] ([[User talk:Z5177691|talk]]) 22:32, 23 August 2017 (AEST)&lt;br /&gt;
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==Neocortical Development==&lt;br /&gt;
Nature article: https://www.nature.com/nrn/journal/v9/n2/full/nrn2252.html [[User:Z5177691|Z5177691]] ([[User talk:Z5177691|talk]]) 22:57, 23 August 2017 (AEST)&lt;br /&gt;
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===6 Layers===&lt;br /&gt;
Layers I, II, III, IV, V, VI (see [http://www.ruf.rice.edu/~lngbrain/Sidhya/ &amp;quot;Cortical Layer Review&amp;quot;] [[User:Z5177691|Z5177691]] ([[User talk:Z5177691|talk]]) 22:57, 23 August 2017 (AEST)&lt;br /&gt;
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==Anatomy and Function== &lt;br /&gt;
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to do: &lt;br /&gt;
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-change from dot points &lt;br /&gt;
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-add images &lt;br /&gt;
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-references &lt;br /&gt;
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-finish function information &lt;br /&gt;
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===Cell Types===&lt;br /&gt;
http://www.ruf.rice.edu/~lngbrain/Sidhya/  [[User:Z5177691|Z5177691]] ([[User talk:Z5177691|talk]]) 22:57, 23 August 2017 (AEST)&lt;br /&gt;
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==Abnormalities==&lt;br /&gt;
PubMed Article: [https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0024757/ &amp;quot;Developmental Disorders&amp;quot;] [[User:Z5177691|Z5177691]] ([[User talk:Z5177691|talk]]) 22:41, 23 August 2017 (AEST)&lt;br /&gt;
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=Peer Reviews=&lt;br /&gt;
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This page is very well structured and sequential. It provides a very detailed explanation of development under chronological subheadings. Subpages under images are well informed, but some images lack a proper Copyright phrase to indicate reproducibility. On the main page, some subheadings need to be capitalised (formatting) and student signatures need to be provided on relevant sections. The &amp;quot;Anatomy of the Cerebral Cortex&amp;quot; section is filled with dot points, and could be improved using Wiki formatting. The layout of the Abnormalities section could be improved, by changing the headings and subheadings. The page could benefit from a glossary list and 'Future Research' section. However, the reference list was well constructed. Overall the the page addresses the brief very well.&lt;br /&gt;
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Be careful in how the sentences are expressed for example in the introduction ‘the cerebral cortex is actually the outermost layer’; avoid using ‘actually’ in this sentence. Don’t forget to remove the student numbers from the posts. Minor grammatical errors; no use of commas in long sentences. The images do include copyright however the team has forgotten to place the Student Image Template that is required. The team should add a small description of the images that are on their webpage so readers will see immediately what the image is showing. The team could do a further questions subheading or an animal model subheading to explore more on the research of the Cerebral Cortex. &lt;br /&gt;
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Subheadings and content that have been used show a good understanding of the topic area. The use of dot points where necessary are done well which makes the project easier to understand and read through. The use of tables to demonstrate the ‘Timeline of Corticogenesis’ is done comprehensively; maybe an image for each day that is explained should be added to show consistency (as only the last row has an image). The team has used their own diagrams which shows that the team was innovative in displaying their research. The references used are cited correctly, however, there are links at the bottom where they need to fix up and place it under references. &lt;br /&gt;
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Overall, the page is well structured and relatively easy to follow with the headings and subheadings relevant to the topic area (embryology of the cerebral cortex) The introduction was short and concise, which provided a relevant amount of background knowledge. Perhaps the anatomy and functions of the cerebral cortex could be put before the development so that it ties in with the introduction, however there is good amount of information under these subheadings. The images and videos were very relevant to the topic, which aided in understanding the content, however perhaps you could label them using &amp;quot;Figure 1&amp;quot;, or &amp;quot;Table 1&amp;quot; etc as well as putting an appropriate description under the image/video. The use of the table on the &amp;quot;Timeline of Corticogenesis&amp;quot; as well as a good amount of dot points made it easier to understand and read through. The page is lacking a &amp;quot;further questions&amp;quot; section which would be quite informative in understanding the research gap to date. There are a good amount of references so far and they were done correctly. Well done.&lt;br /&gt;
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The page has good structure and formatting, however there is a significant unfinished touch. Anatomy of the Cerebral Cortex heading could place all the information in a table to make it easier to read as well as images to help the viewer visualise the process. Maybe remove the student numbers because they are unnecessary and make the page look not as professional. figures and tables need to be labelled as well as referencing and copyright claims. The diagram under the statement &amp;quot;Migration and division of all six layers of the cortex is completed during the third trimester. Each layer has distinct synaptic connections and cell types that contribute to the specific functions of the cortex.&amp;quot; needs to be further explained because I had a hard time understanding the image and what each section meant. The video is a nice touch to help understand the function and placement of the cerebral cortex. Developmental abnormalities was well written, easy to understand and flowed nicely.&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_2&amp;diff=310644</id>
		<title>Talk:2017 Group Project 2</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_2&amp;diff=310644"/>
		<updated>2017-10-09T06:37:49Z</updated>

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[[User:Z8600021|Mark Hill]] ([[User talk:Z8600021|talk]]) 10:15, 14 August 2017 (AEST) OK Group 2 below are some starting places.&lt;br /&gt;
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{{Renal Links}}&lt;br /&gt;
&lt;br /&gt;
PubMed Searches: [http://www.ncbi.nlm.nih.gov/pubmed?term=Renal+Development ''Renal Development''] | [http://www.ncbi.nlm.nih.gov/pubmed?term=Kidney+Development ''Kidney Development'']&lt;br /&gt;
&lt;br /&gt;
BMC Dev Biol Search: [http://www.biomedcentral.com/bmcdevbiol/search/results?terms=Renal+Development ''Renal Development'']&lt;br /&gt;
&lt;br /&gt;
Recent papers&lt;br /&gt;
&lt;br /&gt;
&amp;lt;pubmed limit=5&amp;gt;Renal+Development&amp;lt;/pubmed&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Yay.&lt;br /&gt;
&lt;br /&gt;
[[User:Z5178275|Z5178275]] ([[User talk:Z5178275|talk]]) 16:48, 10 August 2017 (AEST) I'm keen to do anything, but I think the brain is a little to complex for me. It also seems like a lot of other groups want to do that as well.&lt;br /&gt;
&lt;br /&gt;
Cynthia here, I don't want to do the brain lol. I don't mind anything else though&lt;br /&gt;
&lt;br /&gt;
[[User:Z5076039|Z5076039]] ([[User talk:Z5076039|talk]]) 17:03, 10 August 2017 (AEST)&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Peer Reviews=&lt;br /&gt;
This page is very informative and easy to read. I like the way it begins with the anatomy of the kidney in the developed human, and then progresses through its embryological development. The inclusion of developmental timeline table aids the flow of the page. Images are well integrated into the page with informative descriptions, however are not correctly referenced and do include the suitable Copyright statement. The page references well, but many sections are still unfinished. The page would benefit from a glossary at the end, and the &amp;quot;general info on the renal system&amp;quot; section should be included higher up on the page, or integrated into one of the other sections such as under the &amp;quot;kidney&amp;quot; heading. This page is very easy to read, but still needs some work.&lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
References should be cited correctly, i.e. don’t leave the links in the paragraphs and use proper citation. The images used should include references, copyright statements as well as the Student Image template required. If there are copyright images the team could be innovative and use their own diagrams to display structures. Use references for the ‘Timeline of Kidney Embryology’ to show that a variety of sources were used to complete the table. Current Research and Future Questions subheading is incomplete. Glossary of terms could be used to explain certain words, for example explaining in simple terms what GDNF and RET are. &lt;br /&gt;
&lt;br /&gt;
Subheadings and content that have been used show a good understanding of the topic area. The team has bolded important words in relation to the kidney structure. The team has also placed a description under the images which allows readers to understand what the image is showing. The use of a table of ‘Timeline of Kidney’ allows readers to understand the content of the wikipage easily (maybe add images to the table). The team has shown comprehensive research; however, they need to show more referencing of sources to display the research that they have done. &lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
Overall this seems like a very well put together project and is very informative and easy to follow, and enjoyable to read. There is an appropriate balance of both text and visual diagrams, which greatly helped my understanding of the development of the kidneys. Figure 4 appears to be missing a reference. I do think perhaps an animation to explain nephron development may add additional clarity, and would provide another level of interaction for the reader. Perhaps also think about adding a student drawn diagram. The table is a great way to display the developmental stages in an easy to read manner. &lt;br /&gt;
The ‘blood supply’ section appears to be copy and paste which I assume will be rewritten? The section on current research is simply a list of PubMed links, and should be expanded to display content that is informative to the reader. Likewise, ‘questions for the future’ and ‘general info on the renal system’ remain as headings without any accompanying information. I think the questions for the future could be an interesting section, however general info I would think will have been covered elsewhere in the project. &lt;br /&gt;
The topic has clearly been researched well, and is well referenced, with most references being from scientific papers. &lt;br /&gt;
All in all I think this is a high quality project, that will only require a few additional tweaks to take it to the next level. &lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
The page flows very well and is easy to read. However, there is incorrect citing or no citing at all for images and texts which can trigger copyright issues, in some sections (mostly the beginning) of the page. The structure and anatomical position is extremely easy to read and comprehend, as well as the use of a table for development. Id advise to insert more images for development and the remaining sections to help the reader visualise the process instead of being overwhelmed by the information. Developmental abnormalities seem to contain information not necessarily needed. Maybe add the 5 paragraphs above &amp;quot;Kidney developmental abnormalities are diverse and they correspond to defects at different stages of kidney development&amp;quot; statement in a separate research topic. Good use of images for abnormalities though. Overall, the page is quite informative and has been researched effectively. It could be improved by slight tweaks in format aforementioned and correct referencing.&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_3&amp;diff=310640</id>
		<title>Talk:2017 Group Project 3</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_3&amp;diff=310640"/>
		<updated>2017-10-09T06:26:08Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017discussion}}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project discussion page --&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Suggested Starting Places==&lt;br /&gt;
[[User:Z8600021|Mark Hill]] ([[User talk:Z8600021|talk]]) 10:15, 14 August 2017 (AEST) OK Group 3 below are some starting places.&lt;br /&gt;
&lt;br /&gt;
{{Heart Links}}&lt;br /&gt;
&lt;br /&gt;
PubMed Searches: [http://www.ncbi.nlm.nih.gov/pubmed?term=Heart+Development ''Heart Development''] | [http://www.ncbi.nlm.nih.gov/pubmed?term=Cardiac+Development ''Cardiac Development'']&lt;br /&gt;
&lt;br /&gt;
BMC Dev Biol Search: [http://www.biomedcentral.com/bmcdevbiol/search/results?terms=Heart+Development ''Heart Development'']&lt;br /&gt;
&lt;br /&gt;
Recent papers&lt;br /&gt;
&lt;br /&gt;
&amp;lt;pubmed limit=5&amp;gt;Heart+Development&amp;lt;/pubmed&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Group Topic Intro==&lt;br /&gt;
&lt;br /&gt;
=Peer Review=&lt;br /&gt;
&lt;br /&gt;
'''Peer review group 3'''&lt;br /&gt;
&lt;br /&gt;
* The project contained both developmental origin, timeline, signalling processes, current research and findings, animals model and abnormal development sections. The project therefore has all the sections which were a requirement for the project. &lt;br /&gt;
* Overall, I think the project was good. It was well written, easy to understand as a student, the sections correlated well and the context was good. I especially liked the signalling section, even though some context is missing.   I think the idea of of addition a treatment part to project is a good but I could not find it in the project. As mentioned some context is missing in the notch pathway, sonic hedgehog and retinoic acid sections. &lt;br /&gt;
* The project has a good introduction. You have a clear idea of what you are about the read, which is nice. &lt;br /&gt;
* The layout could be a lot better, I think the picture location could be adjusted. In the developmental origin part, the pictures make the section look very confusing. Some of the subheadings, like the abnormal development is pushed to side by the pictures, so when you scroll down the project you miss it. &lt;br /&gt;
* In general, the pictures miss their caption, sources and number.  Therefore, you do not know which picture there is referred to when you are reading the project. I miss some more pictures in the developmental sections. &lt;br /&gt;
* In the developmental origin section I think the last sentence is very long. You get so much information in one sentence that you sometimes forget what you just read. &lt;br /&gt;
* The timeline is easy to read and understand. Could contain some key discoveries.   &lt;br /&gt;
* Thought the glossary of terms is a nice addition to the project. &lt;br /&gt;
* Overall the referencing is good, but in some sections like primary heart field and heart tube formation, the referencing is missing. In some parts the articles/or links is at the bottom of the section, which makes it a little confusing. &lt;br /&gt;
* I don’t feel like the primary heart field and heart tube formation correlates very well with the secondary heart field and cardiac looping section. When I start reading the latter I feel like om starting on something completely new instead of continuing reading on the heart developing. I get the feeling I am reading two different persons work, and some work should be put into these sections to make it feel more fluent.&lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
Don’t forget to remove the hyperlinks that are under ‘Heart’ at the beginning of the page. Remove student numbers from the page. Add a brief description under images so that readers will understand what the image is showing. Remember to move references that are written in some sections to the ‘References’ subheading. The Notch Pathway is incomplete. &lt;br /&gt;
&lt;br /&gt;
Subheadings and content that have been used show a good understanding of the topic area. The use of a table for the ‘Development Timeline’ shows the teams innovativeness. The use of simple sentences in the table allows readers to understand content simply. References have been done well, they are cited properly. The team have used their own images to show their understanding of the heart. The images that they have used have been properly cited: there are references, copyright statements and the Student Image template. Thorough description of abnormal development, animal models and current research which shows the comprehensive research that was done for the heart. The use of Glossary of Terms is helpful to readers who may not understand what some terms are. &lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
Use of headings and subheadings break this complex developmental process in to understandable, clear sections. &lt;br /&gt;
The images chosen to reinforce the material are appropriate and I particularly like that time has been taken to draw a number of these.    &lt;br /&gt;
There does seem to be an awful lot of information, and I wonder if this can be cut down at all. For example there is the section on signaling during development, which is a more complex section to understand. This is greatly helped by the diagrams but I can see that there are additional headings that are yet to have information added. It might be an idea to pick a few signaling pathways that occur and really perfect those. I think it has the potential to become very confusing to the reader otherwise. &lt;br /&gt;
It is very useful to the reader that you have included a glossary of terms, however I wonder if it may be more effective if this table is placed at the beginning of the page, or as a link at the top that can be opened up, so as the reader can familirise themselves with the terms prior to reading the page. &lt;br /&gt;
The page appears to be referenced extensively throughout and appropriately. Good job &lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
This page has good structure and enjoyable to read. The hand drawn images were helpful in understanding the content. The page has quite a lot of information already, however some of the subheadings are still left blank which needs to be filled in. A vast amount of references have been used, and texts have been cited properly. the &amp;quot;Development Timeline&amp;quot; table was quite clever, and shows understanding of the topic and also gives a good overview of the development of the Heart. Some information was quite hard to understand, and it might be better if it was simplified a little bit so that it would be easier to understand. Overall, well done.&lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
Overall, this page had a finished feel because the page is so heavily packed with information, there are some sections that were not completed. There is however, a lot of information that may leave the reader feeling a bit overwhelmed. Some sections are also hard to understand and comprehend especially due to the heavy use of biotechnological jargon (ie. SMAD-dependent, SMAD-independent pathways, β-catenin). A terminology/glossary section would be extremely helpful for this issue. I'd advise using more images in &amp;quot;Abnormal Development&amp;quot; (ie. x-rays or physical observations of sufferers) to help the reader visualise such abnormalities. Referencing under images should be moved to the references section and should be referenced using the '''''&amp;lt; ref &amp;gt;'''  '''&amp;lt; / ref &amp;gt;''''' if in text. Overall, there is a lot of information, some of which is not necessarily important. I'd advise to cut down, make paragraphs more simple and straight to the point, and use images to help the reader visually understand and comprehend.&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_3&amp;diff=310638</id>
		<title>Talk:2017 Group Project 3</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_3&amp;diff=310638"/>
		<updated>2017-10-09T06:25:33Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017discussion}}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project discussion page --&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Suggested Starting Places==&lt;br /&gt;
[[User:Z8600021|Mark Hill]] ([[User talk:Z8600021|talk]]) 10:15, 14 August 2017 (AEST) OK Group 3 below are some starting places.&lt;br /&gt;
&lt;br /&gt;
{{Heart Links}}&lt;br /&gt;
&lt;br /&gt;
PubMed Searches: [http://www.ncbi.nlm.nih.gov/pubmed?term=Heart+Development ''Heart Development''] | [http://www.ncbi.nlm.nih.gov/pubmed?term=Cardiac+Development ''Cardiac Development'']&lt;br /&gt;
&lt;br /&gt;
BMC Dev Biol Search: [http://www.biomedcentral.com/bmcdevbiol/search/results?terms=Heart+Development ''Heart Development'']&lt;br /&gt;
&lt;br /&gt;
Recent papers&lt;br /&gt;
&lt;br /&gt;
&amp;lt;pubmed limit=5&amp;gt;Heart+Development&amp;lt;/pubmed&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Group Topic Intro==&lt;br /&gt;
&lt;br /&gt;
=Peer Review=&lt;br /&gt;
&lt;br /&gt;
'''Peer review group 3'''&lt;br /&gt;
&lt;br /&gt;
* The project contained both developmental origin, timeline, signalling processes, current research and findings, animals model and abnormal development sections. The project therefore has all the sections which were a requirement for the project. &lt;br /&gt;
* Overall, I think the project was good. It was well written, easy to understand as a student, the sections correlated well and the context was good. I especially liked the signalling section, even though some context is missing.   I think the idea of of addition a treatment part to project is a good but I could not find it in the project. As mentioned some context is missing in the notch pathway, sonic hedgehog and retinoic acid sections. &lt;br /&gt;
* The project has a good introduction. You have a clear idea of what you are about the read, which is nice. &lt;br /&gt;
* The layout could be a lot better, I think the picture location could be adjusted. In the developmental origin part, the pictures make the section look very confusing. Some of the subheadings, like the abnormal development is pushed to side by the pictures, so when you scroll down the project you miss it. &lt;br /&gt;
* In general, the pictures miss their caption, sources and number.  Therefore, you do not know which picture there is referred to when you are reading the project. I miss some more pictures in the developmental sections. &lt;br /&gt;
* In the developmental origin section I think the last sentence is very long. You get so much information in one sentence that you sometimes forget what you just read. &lt;br /&gt;
* The timeline is easy to read and understand. Could contain some key discoveries.   &lt;br /&gt;
* Thought the glossary of terms is a nice addition to the project. &lt;br /&gt;
* Overall the referencing is good, but in some sections like primary heart field and heart tube formation, the referencing is missing. In some parts the articles/or links is at the bottom of the section, which makes it a little confusing. &lt;br /&gt;
* I don’t feel like the primary heart field and heart tube formation correlates very well with the secondary heart field and cardiac looping section. When I start reading the latter I feel like om starting on something completely new instead of continuing reading on the heart developing. I get the feeling I am reading two different persons work, and some work should be put into these sections to make it feel more fluent.&lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
Don’t forget to remove the hyperlinks that are under ‘Heart’ at the beginning of the page. Remove student numbers from the page. Add a brief description under images so that readers will understand what the image is showing. Remember to move references that are written in some sections to the ‘References’ subheading. The Notch Pathway is incomplete. &lt;br /&gt;
&lt;br /&gt;
Subheadings and content that have been used show a good understanding of the topic area. The use of a table for the ‘Development Timeline’ shows the teams innovativeness. The use of simple sentences in the table allows readers to understand content simply. References have been done well, they are cited properly. The team have used their own images to show their understanding of the heart. The images that they have used have been properly cited: there are references, copyright statements and the Student Image template. Thorough description of abnormal development, animal models and current research which shows the comprehensive research that was done for the heart. The use of Glossary of Terms is helpful to readers who may not understand what some terms are. &lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
Use of headings and subheadings break this complex developmental process in to understandable, clear sections. &lt;br /&gt;
The images chosen to reinforce the material are appropriate and I particularly like that time has been taken to draw a number of these.    &lt;br /&gt;
There does seem to be an awful lot of information, and I wonder if this can be cut down at all. For example there is the section on signaling during development, which is a more complex section to understand. This is greatly helped by the diagrams but I can see that there are additional headings that are yet to have information added. It might be an idea to pick a few signaling pathways that occur and really perfect those. I think it has the potential to become very confusing to the reader otherwise. &lt;br /&gt;
It is very useful to the reader that you have included a glossary of terms, however I wonder if it may be more effective if this table is placed at the beginning of the page, or as a link at the top that can be opened up, so as the reader can familirise themselves with the terms prior to reading the page. &lt;br /&gt;
The page appears to be referenced extensively throughout and appropriately. Good job &lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
This page has good structure and enjoyable to read. The hand drawn images were helpful in understanding the content. The page has quite a lot of information already, however some of the subheadings are still left blank which needs to be filled in. A vast amount of references have been used, and texts have been cited properly. the &amp;quot;Development Timeline&amp;quot; table was quite clever, and shows understanding of the topic and also gives a good overview of the development of the Heart. Some information was quite hard to understand, and it might be better if it was simplified a little bit so that it would be easier to understand. Overall, well done.&lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
Overall, this page had a finished feel because the page is so heavily packed with information, there are some sections that were not completed. There is however, a lot of information that may leave the reader feeling a bit overwhelmed. Some sections are also hard to understand and comprehend especially due to the heavy use of biotechnological jargon (ie. SMAD-dependent, SMAD-independent pathways, β-catenin). A terminology/glossary section would be extremely helpful for this issue. I'd advise using more images in &amp;quot;Abnormal Development&amp;quot; (ie. x-rays or physical observations of sufferers) to help the reader visualise such abnormalities. Referencing under images should be moved to the references section and should be referenced using the &amp;lt;ref&amp;gt;   &amp;lt;/ref&amp;gt; if in text. Overall, there is a lot of information, some of which is not necessarily important. I'd advise to cut down, make paragraphs more simple and straight to the point, and use images to help the reader visually understand and comprehend.&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_3&amp;diff=310636</id>
		<title>Talk:2017 Group Project 3</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_3&amp;diff=310636"/>
		<updated>2017-10-09T06:25:17Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017discussion}}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project discussion page --&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Suggested Starting Places==&lt;br /&gt;
[[User:Z8600021|Mark Hill]] ([[User talk:Z8600021|talk]]) 10:15, 14 August 2017 (AEST) OK Group 3 below are some starting places.&lt;br /&gt;
&lt;br /&gt;
{{Heart Links}}&lt;br /&gt;
&lt;br /&gt;
PubMed Searches: [http://www.ncbi.nlm.nih.gov/pubmed?term=Heart+Development ''Heart Development''] | [http://www.ncbi.nlm.nih.gov/pubmed?term=Cardiac+Development ''Cardiac Development'']&lt;br /&gt;
&lt;br /&gt;
BMC Dev Biol Search: [http://www.biomedcentral.com/bmcdevbiol/search/results?terms=Heart+Development ''Heart Development'']&lt;br /&gt;
&lt;br /&gt;
Recent papers&lt;br /&gt;
&lt;br /&gt;
&amp;lt;pubmed limit=5&amp;gt;Heart+Development&amp;lt;/pubmed&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Group Topic Intro==&lt;br /&gt;
&lt;br /&gt;
=Peer Review=&lt;br /&gt;
&lt;br /&gt;
'''Peer review group 3'''&lt;br /&gt;
&lt;br /&gt;
* The project contained both developmental origin, timeline, signalling processes, current research and findings, animals model and abnormal development sections. The project therefore has all the sections which were a requirement for the project. &lt;br /&gt;
* Overall, I think the project was good. It was well written, easy to understand as a student, the sections correlated well and the context was good. I especially liked the signalling section, even though some context is missing.   I think the idea of of addition a treatment part to project is a good but I could not find it in the project. As mentioned some context is missing in the notch pathway, sonic hedgehog and retinoic acid sections. &lt;br /&gt;
* The project has a good introduction. You have a clear idea of what you are about the read, which is nice. &lt;br /&gt;
* The layout could be a lot better, I think the picture location could be adjusted. In the developmental origin part, the pictures make the section look very confusing. Some of the subheadings, like the abnormal development is pushed to side by the pictures, so when you scroll down the project you miss it. &lt;br /&gt;
* In general, the pictures miss their caption, sources and number.  Therefore, you do not know which picture there is referred to when you are reading the project. I miss some more pictures in the developmental sections. &lt;br /&gt;
* In the developmental origin section I think the last sentence is very long. You get so much information in one sentence that you sometimes forget what you just read. &lt;br /&gt;
* The timeline is easy to read and understand. Could contain some key discoveries.   &lt;br /&gt;
* Thought the glossary of terms is a nice addition to the project. &lt;br /&gt;
* Overall the referencing is good, but in some sections like primary heart field and heart tube formation, the referencing is missing. In some parts the articles/or links is at the bottom of the section, which makes it a little confusing. &lt;br /&gt;
* I don’t feel like the primary heart field and heart tube formation correlates very well with the secondary heart field and cardiac looping section. When I start reading the latter I feel like om starting on something completely new instead of continuing reading on the heart developing. I get the feeling I am reading two different persons work, and some work should be put into these sections to make it feel more fluent.&lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
Don’t forget to remove the hyperlinks that are under ‘Heart’ at the beginning of the page. Remove student numbers from the page. Add a brief description under images so that readers will understand what the image is showing. Remember to move references that are written in some sections to the ‘References’ subheading. The Notch Pathway is incomplete. &lt;br /&gt;
&lt;br /&gt;
Subheadings and content that have been used show a good understanding of the topic area. The use of a table for the ‘Development Timeline’ shows the teams innovativeness. The use of simple sentences in the table allows readers to understand content simply. References have been done well, they are cited properly. The team have used their own images to show their understanding of the heart. The images that they have used have been properly cited: there are references, copyright statements and the Student Image template. Thorough description of abnormal development, animal models and current research which shows the comprehensive research that was done for the heart. The use of Glossary of Terms is helpful to readers who may not understand what some terms are. &lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
Use of headings and subheadings break this complex developmental process in to understandable, clear sections. &lt;br /&gt;
The images chosen to reinforce the material are appropriate and I particularly like that time has been taken to draw a number of these.    &lt;br /&gt;
There does seem to be an awful lot of information, and I wonder if this can be cut down at all. For example there is the section on signaling during development, which is a more complex section to understand. This is greatly helped by the diagrams but I can see that there are additional headings that are yet to have information added. It might be an idea to pick a few signaling pathways that occur and really perfect those. I think it has the potential to become very confusing to the reader otherwise. &lt;br /&gt;
It is very useful to the reader that you have included a glossary of terms, however I wonder if it may be more effective if this table is placed at the beginning of the page, or as a link at the top that can be opened up, so as the reader can familirise themselves with the terms prior to reading the page. &lt;br /&gt;
The page appears to be referenced extensively throughout and appropriately. Good job &lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
This page has good structure and enjoyable to read. The hand drawn images were helpful in understanding the content. The page has quite a lot of information already, however some of the subheadings are still left blank which needs to be filled in. A vast amount of references have been used, and texts have been cited properly. the &amp;quot;Development Timeline&amp;quot; table was quite clever, and shows understanding of the topic and also gives a good overview of the development of the Heart. Some information was quite hard to understand, and it might be better if it was simplified a little bit so that it would be easier to understand. Overall, well done.&lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
Overall, this page had a finished feel because the page is so heavily packed with information, there are some sections that were not completed. There is however, a lot of information that may leave the reader feeling a bit overwhelmed. Some sections are also hard to understand and comprehend especially due to the heavy use of biotechnological jargon (ie. SMAD-dependent, SMAD-independent pathways, β-catenin). A terminology/glossary section would be extremely helpful for this issue. I'd advise using more images in &amp;quot;Abnormal Development&amp;quot; (ie. x-rays or physical observations of sufferers) to help the reader visualise such abnormalities. Referencing under images should be moved to the references section and should be referenced using the &amp;lt;ref&amp;gt;&amp;lt;/ref&amp;gt; if in text. Overall, there is a lot of information, some of which is not necessarily important. I'd advise to cut down, make paragraphs more simple and straight to the point, and use images to help the reader visually understand and comprehend.&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_4&amp;diff=310630</id>
		<title>Talk:2017 Group Project 4</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_4&amp;diff=310630"/>
		<updated>2017-10-09T06:13:25Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017discussion}}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project discussion page --&amp;gt;&lt;br /&gt;
&lt;br /&gt;
== Group talk ==&lt;br /&gt;
&lt;br /&gt;
=== Work sites ===&lt;br /&gt;
&lt;br /&gt;
z5177670: Lens, Ciliary Body, Iris, Cornea (http://www.sciencedirect.com/science/article/pii/S1877117315000642, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1298807/pdf/taos00013-0203.pdf)&lt;br /&gt;
&lt;br /&gt;
z5075778: Extraocular muscles and Retina&lt;br /&gt;
&lt;br /&gt;
z5117343: Congenital Anomalies, Treatment, Diagnosis&lt;br /&gt;
&lt;br /&gt;
z5075309: Cornea, Aqueous Chambers, Choroid and Sclera, Lacrimal Glands (&amp;lt;ref&amp;gt;&amp;lt;pubmed&amp;gt;23528534&amp;lt;/pubmed&amp;gt;&amp;lt;/ref &amp;gt;)&lt;br /&gt;
&lt;br /&gt;
=== Timeline ===&lt;br /&gt;
&lt;br /&gt;
I tried making a timeline of how I understand the events in eye development. Please add components or change in the timeline if you disagree - it's just a draft :-) &lt;br /&gt;
&lt;br /&gt;
=== Eyes development===&lt;br /&gt;
&lt;br /&gt;
'''Articles for general eye development''' &lt;br /&gt;
&lt;br /&gt;
I found a few articles about the general eye development and thought I wanted to share them with you all. If we find some good references, please share it here on the page, so we can help each other :-) &lt;br /&gt;
&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/books/NBK10024/ - Development of the Vertebrate Eye&lt;br /&gt;
&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3504437/ - Eye Development and Retinogenesis&lt;br /&gt;
&lt;br /&gt;
http://www.sciencedirect.com/science/article/pii/0014483575900755?via%3Dihub - The prenatal development of the human eye&lt;br /&gt;
&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pubmed/10627820 - Lens development.&lt;br /&gt;
&lt;br /&gt;
http://www.sciencedirect.com/science/article/pii/S0012160606014898?via%3Dihub - FGF-mediated induction of ciliary body tissue in the chick eye&lt;br /&gt;
&lt;br /&gt;
http://dev.biologists.org/content/141/23/4432.long - The cellular and molecular mechanisms of vertebrate lens development&lt;br /&gt;
&lt;br /&gt;
http://www.sciencedirect.com/science/article/pii/S0014483510000448 - On the growth and internal structure of the human lens&lt;br /&gt;
&lt;br /&gt;
http://www.sciencedirect.com/science/article/pii/S1877117315000642 - Chapter Four - Corneal Development: Different Cells from a Common Progenitor&lt;br /&gt;
&lt;br /&gt;
http://www.annualreviews.org/doi/full/10.1146/annurev.cellbio.17.1.255?url_ver=Z39.88-2003&amp;amp;rfr_id=ori%3Arid%3Acrossref.org&amp;amp;rfr_dat=cr_pub%3Dpubmed (Need permission for this article)&lt;br /&gt;
&lt;br /&gt;
http://onlinelibrary.wiley.com.wwwproxy1.library.unsw.edu.au/doi/10.1002/ajmg.a.35713/full&lt;br /&gt;
&lt;br /&gt;
https://www.aao.org/eye-health/diseases/what-is-coloboma&lt;br /&gt;
&lt;br /&gt;
http://jmg.bmj.com/content/jmedgenet/41/12/881.full.pdf&lt;br /&gt;
&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3126628/&lt;br /&gt;
&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5581554/&lt;br /&gt;
&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pubmed/11826019/&lt;br /&gt;
&lt;br /&gt;
==Suggested Starting Places==&lt;br /&gt;
[[User:Z8600021|Mark Hill]] ([[User talk:Z8600021|talk]]) 10:15, 14 August 2017 (AEST) OK Group 4 below are some starting places.&lt;br /&gt;
&lt;br /&gt;
{{Vision Links}}&lt;br /&gt;
&lt;br /&gt;
PubMed Searches: [http://www.ncbi.nlm.nih.gov/pubmed?term=Eye+Development ''Eye Development''] | [http://www.ncbi.nlm.nih.gov/pubmed?term=Vision+Development ''Vision Development'']&lt;br /&gt;
&lt;br /&gt;
BMC Dev Biol Search: [http://www.biomedcentral.com/bmcdevbiol/search/results?terms=Eye+Development ''Eye Development'']&lt;br /&gt;
&lt;br /&gt;
Recent papers&lt;br /&gt;
&lt;br /&gt;
&amp;lt;pubmed limit=5&amp;gt;Eye+Development&amp;lt;/pubmed&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;br /&gt;
=Peer Review=&lt;br /&gt;
&lt;br /&gt;
This is a well structured page, that approaches the eye from the basics. I like that the anatomy and underlying physiology of the eye is established before the developmental processes. Overview is brief and to the point, and the Embryonic Contributions table is an important aspect. Iris development could be expanded on, and more journal article images could be included. The &amp;quot;Opac figure&amp;quot; file does not have the correct Copyright notice. On the whole this is a very good page.&lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
The team should provide a brief description of what the images are on their page so readers will understand immediately what it is. The team could use some images to show Caregie Stages, but the section is yet to be completed. An explanation of the ‘Timeline of embryonic development’ table would be beneficial to help readers understand what the table is explaining. More resources could be used for the Anatomy of the Adult Eye so that the team has shown to have used a variety of sources and have done plenty of research. There are incomplete sections. The team could include current research and animal models as extra subheadings. &lt;br /&gt;
&lt;br /&gt;
Subheadings and content that have been used show a good understanding of the topic area. The team has used their own images to display their learning. The references have been correctly cited. The use of tables helps readers understand what the content is about, and is easy to follow for readers. Some of the images have been cited correctly; they have references, copyright statements and the Student Image template. However, some of the images don’t have the Student Image template. The abnormalities subheading was done well with the use of images and references.&lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
'''Peer review project 4:''' &lt;br /&gt;
* The project does not feel like it is finished. A lot of work still needs to be done, and some of the subheadings like retina, cornea, eyelids, lacrimal glands etc is still empty. &lt;br /&gt;
* I did not find any sections describing signalling, research or future questions and animal models. I miss some more research content and a research angle to the project. &lt;br /&gt;
* The few parts of the development of the eye components which has been written was good. It was easy to understand and had good referencing. &lt;br /&gt;
* In general, the project could use more pictures to support the text. &lt;br /&gt;
* The anatomy part of the project was good. The drawing made it easier to understand, even though the picture captions and numbers are missing. I did not have any difficulties understanding it and they wrote it in a very clear way. &lt;br /&gt;
* I liked the overview of the eye development, it made it clear what is happening when, which cells comes from which germ layer and the Carnegie stage is a nice adding, even though it is not finished. &lt;br /&gt;
* The abnormal development section is far from finished. I think it is an important part of the project and it would improve the project if the anomalies where describe more in depth and not in a table. &lt;br /&gt;
* The glossary section was empty as well.&lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
Overall the project page looks good. I like that you have used a mix of student drawn diagrams and also paper derived ones. However, I do think that the ‘anterior eye’ drawing could be a little clearer, as it is a hard to tell what label corresponds to what. Also, the referencing for these I presume the original diagrams are from an anatomy book or something, this should be cited as a ‘based on…’&lt;br /&gt;
Stage 21 and 22 are missing and should be filled in with the accompanying information. &lt;br /&gt;
Having a number of tables really helps convey some of the information in a succinct manner, I particularly like this approach in the congenital abnormalities section. &lt;br /&gt;
In the ‘development of the eye components’ section some visual aids would be helpful otherwise there is just going to be a lot of text, and in order to keep the reader engaged, pictures or even animations would really help.&lt;br /&gt;
Could have a wider list of references, but I imagine as information is added so will these be. &lt;br /&gt;
Well done! &lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
Has good structure, and overall a good feel in the developmental process of the eye. However the page seems to be unfinished, since there are a lot of blank areas under the subheadings and tables. Use of tables (i.e Carnegie stages) were very helpful and makes the content easier to understand. Hand drawn images were also very well done and aids in understanding the content, however they need to be labelled with &amp;quot;taken from ...&amp;quot;. Abnormal development section is quite important and seems to be unfinished, so using more images as well as proper sentences instead of dot points in this section will improve the project by a lot. Overall, well done so far!&lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
The page has an unfinished feel to it due to the lack of introduction, empty subheadings towards the end of the page and &amp;quot;this section is not done yet&amp;quot; written. Abnormalities is spelt incorrectly. Clever use of self drawn diagrams to avoid copyright issues, however I think it's better to use actual images from journals because some images are hard to understand, hard to read and don't look accurate- i was unaware the sclera, choroid and retina took up so much space in the vitreous humour. Id also advise to add images to show the developments of the embryonic eye, making it more appealing for the reader. Also adding images to the &amp;quot;Development of the eye components&amp;quot; section.&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_5&amp;diff=310628</id>
		<title>Talk:2017 Group Project 5</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_5&amp;diff=310628"/>
		<updated>2017-10-09T05:59:46Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017discussion}}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project discussion page --&amp;gt;&lt;br /&gt;
==Suggested Starting Places==&lt;br /&gt;
[[User:Z8600021|Mark Hill]] ([[User talk:Z8600021|talk]]) 10:15, 14 August 2017 (AEST) OK Group 5 below are some starting places.&lt;br /&gt;
&lt;br /&gt;
{{Respiratory Links}}&lt;br /&gt;
&lt;br /&gt;
PubMed Searches: [http://www.ncbi.nlm.nih.gov/pubmed?term=Lung+Development ''Lung Development''] | [http://www.ncbi.nlm.nih.gov/pubmed?term=Respiratory+Development ''Respiratory Development'']&lt;br /&gt;
&lt;br /&gt;
BMC Dev Biol Search: [http://www.biomedcentral.com/bmcdevbiol/search/results?terms=Lung+Development ''Lung Development'']&lt;br /&gt;
&lt;br /&gt;
Recent papers&lt;br /&gt;
&lt;br /&gt;
&amp;lt;pubmed limit=5&amp;gt;Lung+Development&amp;lt;/pubmed&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Peer Review=&lt;br /&gt;
This paper is divided into logical categories however lacks an introduction to lead into the discussion of lung development. The student drawings are all good, and the developmental timeline is very informative. The images are well referenced and have the appropriate Copyright. The &amp;quot;Structure of Respiratory Network&amp;quot;, &amp;quot;Developmental signalling processes&amp;quot;, &amp;quot;Research&amp;quot; and &amp;quot;Animal models&amp;quot; sections of the page lack in-text citations and thus lack credibility. The references need to be fine tuned, and the formatting of images is required. Otherwise this is a very informative page.&lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
Future questions and current research subheadings are incomplete. Don’t forget to add references, copyright statements and the student image template to each of the images that have been used on the wikipage. References should be used on Lung Histology to show the research that has been done. The animal models section is comprehensive but there are barely any references to show where the information was found. &lt;br /&gt;
&lt;br /&gt;
Subheadings and content that have been used show a good understanding of the topic area. The team have used their own images to show their understanding. The team has used images in the ‘Developmental timeline’ table which shows comprehensive research. The images have brief descriptions below them, hence readers will be able to understand what the image is displaying. Important words in relation to the lung have been bolded. The abnormal development section is done comprehensively with references and images. References were cited properly, however there is an error on reference 20. &lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
The project page is looking good. I particularly found the developmental timeline to be very informative and easy to follow. I like the fact that you have used a table here to display it along with diagrams that fit each stage, with each diagram being cited and referenced correctly. &lt;br /&gt;
I think the diagram that is related to the histology section could be a little clearer to read as it is a little jumbled and slightly hard to distinguish everything.  &lt;br /&gt;
The section on developmental signaling processes is good, and gives the detail without making the section too long and complicated. &lt;br /&gt;
‘current understandings and areas of research’ has no information as of yet, it would be good to add some recent research papers with a short summary.&lt;br /&gt;
The use of movies is helpful, but maybe consider moving them further up the page, to a more relevant section, the beginning of ‘developmental origin’ would be better. &lt;br /&gt;
A glossary of terms would be helpful, as some of the jargon is complicated. &lt;br /&gt;
There seems to be a citing error in the reference list that should be dealt with. &lt;br /&gt;
Overall it is a very interesting topic and I think you have executed it well so far&lt;br /&gt;
&lt;br /&gt;
---&lt;br /&gt;
&lt;br /&gt;
The page is quite informative, however there are incomplete sections including the introduction and the last few topics towards the end. There is a clever use of self drawn images to avoid any copyright issues, but the lung histology image can be a bit hard to read due to the lack of contrast (the grey outline and font being a bit light to read) and the image itself is bit unclear (Is it a lateral view? cross sectional? towards the apex of the lung?). The bolding of main terms at the start of the page is a nice touch, it would work better if there was a glossary at the end of the page stating the bolded terms and their meaning. It would also be better if the rest of the page had their main terms bolded as well and added to the glossary. The movies section seemed a bit out of place and did not flow from the previous and next topics, it would be better to move them into the &amp;quot;developmental&amp;quot; topics. In the abnormal development and animal models sections, more images that correlate to each subheading would be advised to help the reader visualise the abnormalities or results instead of reading chunks of words. Such images could include x-rays, images of physical observations of sufferers, graphs and figures. Development of the lungs topics were easy to: follow, read and understand, which is extremely important. Ref 22 isn't stated properly.&lt;br /&gt;
&lt;br /&gt;
---&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=User_talk:Z5114433&amp;diff=310000</id>
		<title>User talk:Z5114433</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=User_talk:Z5114433&amp;diff=310000"/>
		<updated>2017-10-05T05:41:46Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: /* Peer Assessment Page */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;=Peer Assessment Page=&lt;br /&gt;
&lt;br /&gt;
-compliment&lt;br /&gt;
-feedback on what they can improve on content&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
	</entry>
	<entry>
		<id>https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_6&amp;diff=309988</id>
		<title>Talk:2017 Group Project 6</title>
		<link rel="alternate" type="text/html" href="https://embryology.med.unsw.edu.au/embryology/index.php?title=Talk:2017_Group_Project_6&amp;diff=309988"/>
		<updated>2017-10-05T05:38:52Z</updated>

		<summary type="html">&lt;p&gt;Z5114433: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{ANAT2341Project2017discussion}}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;!-- Do not remove template above from the project discussion page --&amp;gt;&lt;br /&gt;
&lt;br /&gt;
=Peer Assessment=&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
=Project Starting Places=&lt;br /&gt;
[[User:Z8600021|Mark Hill]] ([[User talk:Z8600021|talk]]) 10:15, 14 August 2017 (AEST) OK Group 6 below are some starting places.&lt;br /&gt;
&lt;br /&gt;
{{Neural Links 2}}&lt;br /&gt;
&lt;br /&gt;
PubMed Searches: [http://www.ncbi.nlm.nih.gov/pubmed?term=Cerebellum+Development ''Cerebellum Development'']&lt;br /&gt;
&lt;br /&gt;
BMC Dev Biol Search: [http://www.biomedcentral.com/bmcdevbiol/search/results?terms=Cerebellum+Development ''Cerebellum Development'']&lt;br /&gt;
&lt;br /&gt;
Cerebellum: links between development, developmental disorders and motor learning; [http://journal.frontiersin.org/article/10.3389/fnana.2012.00001/full]&lt;br /&gt;
&lt;br /&gt;
Cellular commitment in the developing cerebellum [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4290586/] &lt;br /&gt;
&lt;br /&gt;
Recent papers&lt;br /&gt;
&lt;br /&gt;
&amp;lt;pubmed limit=5&amp;gt;Cerebellum+Development&amp;lt;/pubmed&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
==Neural Development== &lt;br /&gt;
(z5114433)&lt;br /&gt;
will fix referencing stuff later #ceebsrn&lt;br /&gt;
&lt;br /&gt;
Neural development is one of the earliest systems to begin and the last to be completed after birth due to its highly complex structure. The first step in neural development occurs at the end of week 3 and involves the folding of the neural tubes to form the cranial and caudal region of the embryo (''https://discovery.lifemapsc.com/library/review-of-medical-embryology/chapter-26-embryonic-folding-and-flexion-of-the-embryo'') . There is a high chance of neural dysfunction and defects during the fetal neural development particularly due to the long development time frame and the need of certain nutrients such as folic acid to successfully close the tubes. Neural tube defects (NTDs) such as [[spina bifida]] and [[anencephaly]] can arise if the tubes do not close effectively.&lt;br /&gt;
&lt;br /&gt;
=z5114433=&lt;br /&gt;
structure&lt;br /&gt;
time course&lt;br /&gt;
functional developing&lt;br /&gt;
what cells appear when&lt;br /&gt;
&lt;br /&gt;
glial cells development&lt;br /&gt;
&lt;br /&gt;
4th ventricle &lt;br /&gt;
&lt;br /&gt;
Genes in abnormalities&lt;br /&gt;
&lt;br /&gt;
pathway of development of cere cells&lt;br /&gt;
start of as neuroblast&lt;br /&gt;
&lt;br /&gt;
=z5018156=&lt;br /&gt;
Things to remember:&lt;br /&gt;
&lt;br /&gt;
Coordinates muscular activities - walking, crawling, writing &lt;br /&gt;
&lt;br /&gt;
Embryo doesnt need the musuclar activities &lt;br /&gt;
&lt;br /&gt;
Prenatal - neurons develop to carry out those activities later on &lt;br /&gt;
&lt;br /&gt;
Postnatal - wiring up &lt;br /&gt;
&lt;br /&gt;
Neural tube  &lt;br /&gt;
&lt;br /&gt;
Comes from pontine flexure - 4th ventricle -- the cerebellum develops into this space &lt;br /&gt;
&lt;br /&gt;
Lamination of the cerebellum&lt;br /&gt;
&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pubmed/19732611 &lt;br /&gt;
&lt;br /&gt;
https://www.ncbi.nlm.nih.gov/pubmed/21380713&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Development: z5018156 - https://www.ncbi.nlm.nih.gov/pubmed/21295689&lt;br /&gt;
&lt;br /&gt;
=Z5076158=&lt;br /&gt;
==Week 7 Work== &lt;br /&gt;
What I could add: Paramotal cells, molecular layer, what cerebellum connects to, how they are remodeled postnatally Kahals research&lt;br /&gt;
https://discovery.lifemapsc.com/library/review-of-medical-embryology/chapter-150-the-brainstem-metencephalon-fourth-vesicle-the-cerebellum  - good reference &lt;br /&gt;
LARSONS HUMAN EMBRYOLOGY TEXTBOOK&lt;br /&gt;
The metencephalon gives rise to the pons and the cerebellum, the adjacent rhombic lips also contribute to the development of cerebellum. The pons functions to relay signals that link both the spinal cord and cerebral cortex with the cerebellum and the cerebellum is a centre for postural and balance control. Pontine nuclei relay information from cerebrum to the cerebellum. &lt;br /&gt;
The cerebellum is first recognized as a pair of thickened cerebellar plates or cerebellar primordia. &lt;br /&gt;
Adjacent rhombic lips gives rise to Cerebellar granule cells&lt;br /&gt;
Major portion of the cerebellum consists of a narrow median swelling called the vermis and this grows faster than the flocculonodular which were the primitive part of the cerebellum and therefore becomes the dominant portion of the mature cerebellum. &lt;br /&gt;
Folding: &lt;br /&gt;
Primary fissure deepens by end of third month and divides vermis and hemispheres into a cranial anterior lobe and caudal middle lobe. Lobes divide further into lobules due to development of transverse fissures. This fissure formation and foliation continues throughout embryonic, fetal and postnatal life and this is done to increase the surface area of the cerebellar cortex. &lt;br /&gt;
2 types of grey matter present: &lt;br /&gt;
- Internal deep cerebellar nucler &lt;br /&gt;
- External cerebellar cortex &lt;br /&gt;
4 deep nuclei and all output of the cerebellar cortex is relayed through these nuclei. &lt;br /&gt;
These nuclei and cortex are produced by a process called neurogenesis and neuronal migration&lt;br /&gt;
1.	Dentate&lt;br /&gt;
2.	Globose&lt;br /&gt;
3.	Emboliform&lt;br /&gt;
4.	Fastigular &lt;br /&gt;
&lt;br /&gt;
4th month – germinal layers undergo cell division and this produces populations of cerebellar neurons. &lt;br /&gt;
•	Ventricular layer – purkinje cells, golgi cells, basket cells, stellate cells&lt;br /&gt;
•	Granule cells remaining from the cerebellar cortex (these arise from external germinal layer) &lt;br /&gt;
•	External germinal layer – primitive nuclear neurons  these migrate to form deep cerebellar nuclei&lt;br /&gt;
==Week 8 Work== &lt;br /&gt;
PAPER 1995&lt;br /&gt;
Cerebellum – about: &lt;br /&gt;
It consists of 3 layers with 2 principal classes of neurons&lt;br /&gt;
Granule cells  studies of naturally occurring mutations and targeted gene disruption that block discrete steps in development of this region&lt;br /&gt;
Development of anterior portion of neural tube involves the formation of 3 brain vesicles:&lt;br /&gt;
1.	Prosencephalon &lt;br /&gt;
2.	Mesencephalon &lt;br /&gt;
3.	Rhombencephalon&lt;br /&gt;
Division of rhombencephalon into metencephalic vesicles and myelincephalic vesicles (this forms in day 9)&lt;br /&gt;
Failure of neural tube closure creates gap along the dorsal aspect of the neural tube, which bows into a mouth-like structure as the tube bends to establish the pontine flexure. &lt;br /&gt;
Further deepening this newly formed pontine flexure, bringing the mesencephalon (midbrain) closer to the primordium of the cerebellum (metencephalon); anterior aspects of the myelincephalon (brainstem) fold underneath developing the cerebellum plate. &lt;br /&gt;
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Cells fated for cerebellum are derived from both the mesencephalon and metencephalic vesicles (rhombencephalon). Neuroepithelium of the mesencephalon generated majority of the cells in the cerebellar cortex: V-like area of mediodorsal aspect of the anlarge arose from a caudal movement of cells from the mesencephalon. &lt;br /&gt;
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PAPER 2014&lt;br /&gt;
Cerebellum has a very basic structure: &lt;br /&gt;
•	Monolayer of inhibitory purkinje cells sandwiched between a dense layer of excitatory granule cells&lt;br /&gt;
•	Subpiled molecular layer of granular cell axons and purkinje cell dendritic fibres&lt;br /&gt;
Granule cells receives inputs from outside the cerebellum and project to the purkinje cells, the majority of which then project to a variety of cerebellar nuclei in the white matter. &lt;br /&gt;
The area designated for the cerebellum to reside (anlage) during development was located between hindbrain and midbrain. Regulation of patterning in this early stage (E9) of development shows to be particularly important for development of the uniquely mammalian midline expanded region of the cerebellum, “vermis”. &lt;br /&gt;
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Specific cell types are allocated along the dorsoventral axis. For glutamatergic cells of cerebellum, remarkably prolonged establishment and an important dynamic process that takes place at most dorsal interface between neural and non-neural roof plate tissue, the rhombic lip. This phase generates the basic dichotomy between GABAergic and glutamatergic cell types that underlies the conserved Purkinje-Granule cell circuit. &lt;br /&gt;
Cell type allocation proceeds a third, distinct temporal phase of development that extends into early prenatal (up to 2 years). In this phase, the principal derivative of the rhombic lip, the granule cell precursor, accumulates over the surface of the cerebellum and undergoes further rounds of symmetric division in a process of transit amplification that exponentially expands its numbers. &lt;br /&gt;
The anlage of the cerebellum is a product of mechanisms of segmentation that establish iterated rhombomeric subdivision within the hindbrain just after neural tube closure. &lt;br /&gt;
All cells of the cerebellum arise from dorsal rhomomere, a region definitively classified by absence of the expression of Otx and Hox genes. Majority of cerebellum arises from metencephalic (rostral) hindbrain.&lt;br /&gt;
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=z5113034=&lt;br /&gt;
Vasculature of cerebellum originates from vertebral arteries and the arteries that arise from it. &lt;br /&gt;
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Metencephalon; temporary structure that differentiates into pons and cerebellum ventrally and dorsally respectively.&lt;br /&gt;
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Current Research&lt;br /&gt;
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Key discoveries during research of cerebellar development&lt;br /&gt;
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=Topic Selection=&lt;br /&gt;
Hi group! I am personally interested in the development of the heart! Also, are you guys happy to exchange details after the lab tomorrow? - z5018156&lt;br /&gt;
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Hi! Im happy to share details! And yeah heart would be interesting, but I was also thinking maybe the ear? that could be cool&lt;br /&gt;
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Hey, yeah I was thinking the heart- I did a course on it last semester, but i also feel its quite generic and the other groups would do something similar. Shall we wait until the end of prac and find each other? Call out number 6 LMAO (z5114433)&lt;br /&gt;
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Hey all! I'm pretty open about topics but I was leaning towards the eye? Unless that's too close to optom, (and it might be a popular subject too?) I'm fine with anything. Let's find each other after prac! -z5113034&lt;br /&gt;
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The ear sounds good as well as the eye, theres also the lungs as well! We can just make a list and then decide as a group! - z5018156&lt;/div&gt;</summary>
		<author><name>Z5114433</name></author>
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