Introduction Syringomyelia is a pathological involvement of the spinal cord, which consists of a central cavitation, which mainly affects the cervical area. In 90% of cases, it may be closely related to Chiari disease, however, there are other alterations such as intra or extramedullary tumor, trauma, hydrocephalus, among others that can cause syringomyelia as well. The diagnosis is completed with imaging studies (MRI). The treatment is usually surgical in most cases, as long as the patient is a candidate for it. However, there are other alternatives with promising results. Clinical Case: A 47-year-old female patient, who goes to the outpatient clinic, referring pain in the upper extremities, mainly in the right, irradiated to the dorsal region, in addition to presenting other signs and symptoms such as tachycardia, medium intensity precordial pain, headache, nausea and dizziness As a pathological personal history, the patient reports having suffered seizures during childhood, in addition to being hit by a truck with an evolution time of 15 years. Conclusions: with the studies obtained and the evaluation of the patient, the diagnosis of syringomyelia associated with Chiari is reached. The patient is followed up and scheduled for neurosurgical treatment due to the presence of symptoms.