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İstanbul Medeniyet Üniversitesi, Göztepe Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, İstanbul, Türkiye The chiari malformation is a congenital anomaly of the craniovertebral junction and hindbrain. It is characterised by the herniation of posterior fossa structures through the foramen magnum into the cervical spinal canal. Syringomyelia is also alone, is not a disease, a chronic neurological disorder in which a longitudinal cystic cavities forms within the spinal cord. Therefore, neurological findings emerged from the compression of the spinal cord. Syringomyelia and Chiari malformations closely associated conditions and There are a lot of theories about the development syringomyelia associated with Chiari malformation. Current treatment options based on these theories. Therefore two pathology often is described together. In this review, approaches of these two pathology will be discussed in the practice of pediatric neurosurgery Anahtar Kelimeler : Chiari malformations, Pediatri, Syringomyelia