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Chiari Malformation and Attention Deficit Hyperactivity Disorder
Anaïs DuBow1, Aurélie Mourot2, Smadar Valérie Tourjman3
1Department of Psychiatry, University of Montreal, Montreal, QC, Canada.
Insights
Attention deficit hyperactivity disorder (ADHD), a neurodevelopmental condition, may be linked to Chiari malformations (CM). This case report suggests cerebellar abnormalities like CM could influence neurological circuits, potentially contributing to ADHD development.
Area of Science:
- Neuroscience
- Neurology
- Developmental Pediatrics
Background:
- Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder.
- Chiari malformations (CM) are structural defects in the base of the skull and cerebellum.
Observation:
- A 28-year-old woman presented with both ADHD and Chiari malformation type I (CM-I).
- The CM-I was diagnosed via CT scan.
Findings:
- Evidence suggests the cerebellum plays a role in ADHD pathophysiology.
- Cerebellar malformations, such as CM, may affect neurological circuitry relevant to ADHD.
Implications:
- This case underscores the potential link between cerebellar development and ADHD.
- Further research is needed to explore the cerebellum's role in ADHD.
- Clinicians should consider CM in ADHD evaluations.
Abstract:
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental condition characterized by inattention, hyperactivity, and impulsivity. Chiari malformations (CM), first described approximately a hundred years ago, refer to a spectrum of hindbrain malformations characterized by cerebellar herniation through the foramen magnum. We present the case of a 28-year-old woman with ADHD and concurrent Chiari malformation type I (CM-I) that was diagnosed by CT scan. There is growing evidence supporting the role of the cerebellum and its associated structures in the pathophysiology of ADHD. Thus, a cerebellar malformation such as CM may impact neurological circuitry in a manner favoring the development of a neuropsychiatric disorder such as ADHD. Our case highlights the need for further studies pertaining to the role of the cerebellum in the pathophysiology of ADHD and the importance of considering the presence of CM when evaluating a patient with ADHD.
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