The nervous system is a frequent target of industrial chemicals, pharmaceuticals, and environmental pollutants. To screen
large numbers of compounds for their neurotoxic potential, in vitro systems are required which combine organ-specific traits
with robustness and high reproducibility. These requirements are met by serum-free aggregating brain cell cultures derived
from mechanically dissociated embryonic rat brain. The initial cell suspension, composed of neural stem cells, neural progenitor
cells, immature postmitotic neurons, glioblasts, and microglial cells, is kept under continuous gyratory agitation. Spherical
aggregates form spontaneously and are maintained in suspension culture for several weeks. Within the aggregates, the cells
rearrange and mature, reproducing critical morphogenic events such as migration, proliferation, differentiation, synaptogenesis,
and myelination. In addition to the spontaneous reconstitution of histotypic brain architecture, the cultures acquire organ-specific
functionality as indicated by activity-dependent glucose consumption, spontaneous electrical activity, and brain-specific
inflammatory responses. These three-dimensional primary cell cultures offer therefore a unique model for neurotoxicity testing
both during development and at advanced cellular differentiation. The high number of aggregates available and the excellent
reproducibility of the cultures facilitate routine test procedures. This chapter presents a detailed description of the preparation
and maintenance of these cultures as well as their use for routine toxicity testing.