Arnold-Chiari malformation (ACM) is a structural defect in the cerebellum, the part of the brain that controls balance and coordination. It is caused by a misalignment of the cerebellum and the brain stem. ACM is most commonly inherited genetically and is caused by a genetic mutation in the genes that control brain development.
ACM is usually inherited in an autosomal dominant pattern, meaning that a child needs only one copy of the mutated gene to develop the disorder. In some cases, it may be inherited in an autosomal recessive pattern, meaning that both parents must be carriers of the mutated gene for the child to develop the disorder.
Research has identified a number of different genes associated with ACM, including Dandy-Walker malformation, Joubert syndrome, and spinocerebellar ataxia type 6 (SCA6). Mutations in these genes can cause the cerebellum to be displaced and the brain stem to be narrower than normal. This leads to a variety of symptoms, including balance and coordination problems, difficulty swallowing, muscle weakness, and problems with vision and hearing.
ACM is a serious condition and can be life-threatening if not diagnosed and treated promptly. Treatment typically includes medications to reduce symptoms and surgery to reposition the cerebellum and brain stem. Some cases may require a shunt to drain excess cerebrospinal fluid from the brain.
In conclusion, ACM is a genetic disorder that is usually inherited in an autosomal dominant or recessive pattern. It is caused by mutations in a number of different genes and can lead to a variety of symptoms. Treatment typically includes medications and surgery to reposition the cerebellum and brain stem.