Short answer · Medically reviewed summary · Last updated: 2026-04-06

The symptoms of Syringomyelia are primarily neurological and arise from the development of a fluid-filled cyst, or syrinx, within the spinal cord, which disrupts normal sensory and motor nerve pathways. Common and Early Warning Signs Because the syrinx often expands in the cervical region, the most characteristic early indicator of Syringomyelia is a "cape-like" distribution of sensory loss, where patients lose the ability to feel pain and temperature in their shoulders, arms, and upper back. Patients may notice they can burn their hands on a stove or cut themselves without feeling the injury.

14 people with Syringomyelia have shared their first-person experience on this question at DiseaseMaps.

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Which are the symptoms of Syringomyelia?

Symptoms of Syringomyelia reported by real patients, from the most common to the most limiting, plus a medically reviewed summary with sources.

Syringomyelia symptoms

The symptoms of Syringomyelia are primarily neurological and arise from the development of a fluid-filled cyst, or syrinx, within the spinal cord, which disrupts normal sensory and motor nerve pathways.



Common and Early Warning Signs


Because the syrinx often expands in the cervical region, the most characteristic early indicator of Syringomyelia is a "cape-like" distribution of sensory loss, where patients lose the ability to feel pain and temperature in their shoulders, arms, and upper back. Patients may notice they can burn their hands on a stove or cut themselves without feeling the injury. Early warnings also include muscle weakness, stiffness in the legs, and localized pain, often described as a burning or aching sensation that radiates from the spine.



Variability and Quality of Life


Symptoms of Syringomyelia vary drastically between individuals based on the size and exact spinal level of the cyst. While some may remain asymptomatic for years, others experience rapid progression. Daily quality of life is most significantly impacted by chronic neuropathic pain, which is notoriously difficult to manage, and progressive muscle atrophy, which can lead to loss of fine motor skills or difficulty walking. In severe cases, Syringomyelia can affect the autonomic nervous system, leading to issues with bladder, bowel, and sexual function.



Progression and Emergency Care


Symptoms often progress slowly over years, but they can worsen if the syrinx expands significantly. You should seek immediate medical attention if you experience sudden, severe weakness in the limbs, loss of bowel or bladder control, or significant difficulty breathing, as these may indicate acute pressure on the spinal cord or brainstem. Because Syringomyelia is a complex condition, ongoing monitoring by a neurosurgeon is essential to track changes in the syrinx size via MRI.



Medical Disclaimer: This information is for educational purposes only and does not constitute professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.



References



  • NIH Genetic and Rare Diseases Information Center (GARD): Syringomyelia

  • Orphanet: Syringomyelia

  • American Syringomyelia & Chiari Alliance Project (ASAP)

Author: DiseaseMaps Editorial Team
Reviewed against authoritative medical sources (NIH GARD, Orphanet, OMIM)
Last updated: 2026-04-06
Sources cited: NIH Genetic and Rare Diseases Information Center (GARD): Syringomyelia · Orphanet: Syringomyelia · American Syringomyelia & Chiari Alliance Project (ASAP)
Medical disclaimer: This information does not substitute professional medical advice. Always consult your doctor before making health decisions.
Source: DiseaseMaps.org
15 answers
For me, it was severe pain in my back. It progressed to muscle weakness, loss of temperature sensation and numbness throughout my body.

Posted May 22, 2017 by Christina Douthit 1001
Balance and cape pain

Posted May 30, 2017 by Linda 900
Each person diagnosed with Syringomyelia has different symptoms . From myself the severe pain in my neck where the syrinx is located at times causes the nerves to not respond correctly and my legs failed to work

Posted Sep 9, 2017 by K smith 500
1. Speaking- at times my words are slurred, I freeze in mid sentence and can’t finish my thought.
2. Balance- the best way to describe this is to compare to a person who is drunk.
3. Muscle spasms- causes severe burning sensation. The spasms causes a variety of symptoms. At times, I will lose feeling in my leg and fall, on my worst days my whole body will freeze up. My jaw locks, fingers & toes curl up, major headache, neck will stiffen.
2. Constant pain & the burning sensation when nerves are aggravated.
3. Depressing

Posted Oct 1, 2017 by Jana 100
Pain
Pain can be capelike,
Pain also extends into arms and legs and is sometimes one sided.
My cause neuropathy
Fatigue
Intercostal Neurolgia
Neck pain
Back pain

Posted Oct 21, 2017 by Lisa Charkatz 500
Pain, muscle spacity and weakness. Also you can get bladder issues, including spasms and numbness in my bladder.

Posted Dec 1, 2017 by Rebecca 270
Back and neck pain, loss of sensation, paralysis, loss of feeling to extreme hot and cold temperatures

Posted Mar 22, 2018 by Tammie 4000
My issues are a result of a tumor in my spinal cord :

Inability to feel hot and cold in fingers, hands
Feeling numbness, tingling in hands and feet
pain in neck, hands, "zings" in body
headaches
muscle weakness in hands, arms

Posted May 21, 2018 by Sue 1400
For me the most limiting the symptoms that I have would be fatigue, pain, and muscle weakness. Out of those I would want to get rid of the fatigue first, because if I had more energy to do things, it'd be easier. Some other symptoms that I have that aren't as limiting, but are frustrating would be the fact that I cannot feel when something is hot or cold. This causes underreacting and overreacting to temperature.

Posted Jun 19, 2018 by Austyn 3500
Bol kregoslupa,oslabienie siły mięśniowej,problemy z chodzeniem

Posted Jan 27, 2019 by Agnieszka 150
Most painful death known to man , there is a name for the pain.
The Kape.
Therefore when we speak of symptoms ,
1. pain, typically from the neck through the thoracic area, the shoulders, under the latinum dorsal area, the rhomboid area, underneath the shoulder blades, typically paralysis begins at the extremities, a feeling as if spiders or worms are crawling up your legs, difficult time controlling temperature, internally and externally, and unfortunately we must take into consideration the emotional side of this. A great deal of depression, isolation, anger, bargaining with God, these are very similar to the seven steps we go through when we find out that we are going to die. Is any of you out there are terminal I would suggest going to the nearest community college and taking the courts called on death and dying and you will learn the 7 steps the last being acceptance. The sooner you do this the sooner you will accept your fate and feel a lot better

Posted Jun 24, 2019 by Jack 2200
The pain is the worst but also sometimes my body has these seizure like movements I call the Funky Chicken which I have no control over. Lose of feeling also intermittently all over my body.

Posted Jan 17, 2020 by Shona 500
Translated from spanish Improve translation
No you are neither standing nor sitting, your body and burns, you feel a current constant, to lose movements, don't cause or get up out of bed , suffers from parestecias numbness of the legs or hands current constants that are never removed and they get worse with the cold

Posted May 16, 2017 by María Angélica González gallon 1800
Translated from spanish Improve translation
Hi I have syringomyelia, and there are days that I can not walk for the pain give me cramps have a half-numb leg on the left side is horrific pains

Posted Nov 17, 2017 by Raul 500

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