An Arnold-Chiari malformation is a congenital disorder of the brain that affects the cerebellum, the part of the brain responsible for controlling balance, coordination, and voluntary movements. In an Arnold-Chiari malformation, part of the cerebellum is displaced downward into the spinal canal, which can cause a variety of symptoms including headache, neck pain, dizziness, vertigo, difficulty swallowing, double vision, and problems with balance and coordination. In more severe cases, it can cause impaired breathing, difficulty speaking, and even paralysis.
The displacement of the cerebellum into the spinal canal places pressure on the brainstem, which can interfere with the flow of cerebrospinal fluid. This can cause a build-up of fluid in the brain, resulting in hydrocephalus, or an abnormal accumulation of cerebrospinal fluid in the ventricles of the brain. This condition can cause a wide range of additional symptoms such as mental impairment, seizures, and vision problems.
In some cases, the pressure from the displacement of the cerebellum can cause the cranial nerves to become compressed. This can result in a variety of symptoms such as facial weakness, difficulty swallowing, loss of hearing, and loss of sensation in the face.
Overall, an Arnold-Chiari malformation can have a wide range of effects on the brain. It can cause pressure on the brainstem, which can interfere with the flow of cerebrospinal fluid and cause hydrocephalus. It can also cause the cranial nerves to become compressed, resulting in facial weakness, difficulty swallowing, and loss of sensation in the face. Other symptoms include headache, neck pain, dizziness, vertigo, difficulty swallowing, double vision, and problems with balance and coordination.