Management of syringomyelia with Chiari malformation type 1: case series

Introduction. Syringomyelia is a chronic, progressive, degenerative spinal cord condition that manifests as a gap or cavity in the center of the cervical spinal cord. It is frequently associated with congenital anomalies such as Chiari malformation. This report discusses three cases of syringomyelia and a literature review on the topic. Case presentation. Three female patients presented with a chief complaint of sensory dissociation in the shoulder and hand. MRI imaging showed syringomyelia and Chiari malformation type 1. The management of the disease included pharmacologic treatment, physiotherapy, and decompression surgery. Conclusion. Syringomyelia and Chiari malformation are complex neurological disorders, and symptoms may worsen over time. Good outcomes are possible if treatment is not delayed. These conditions can be managed successfully with conservative treatment, but if there is progression of neurological deficits, surgical decompression becomes mandatory.