Below is an instruction from Human. Write a response.
    ### Instruction:
    What is (are) alpha-methylacyl-CoA racemase deficiency ?
    ### Response:
    Alpha-methylacyl-CoA racemase (AMACR) deficiency is a disorder that causes a variety of neurological problems that begin in adulthood and slowly get worse. People with AMACR deficiency may have a gradual loss in intellectual functioning (cognitive decline), seizures, and migraines.
    