Two cases are reported of Arnold-Chiari type I malformation associated
with syringomyelia, in which magnetic resonance (MR) imaging revealed
spontaneous decompression of the syrinx. In one case axial MR imaging
sections showed a communication between the syrinx and the spinal sub
arachnoid space, which supports the hypothesis that fissuring of the c
ord parenchyma is instrumental in the spontaneous resolution of syring
omyelia. The MR imaging changes were not accompanied by variations in
the patients' clinical course.