Objective : to study the basic characteristics of changes revealed by MRI in patients with syringomyelia associated with Chiari malformations type I before and after surgery. Materials and methods. MRI was performed in 70 patients with syringomyelia before and after surgery in period from 2015 to 2016. Results. There was almost complete regression of syringomyelia cavity in 11 (16%) patients. The reduction in size of syringomyelia cavity was in 50 (71%) patients. Size of syringomyelia cavity has not changed in 9 (13%) patients. Conclusions. The use of modern MRI Protocol allows to evaluate the long-term consequences of surgical treatment in patients with Chiari malformation associated with syringomyelia and to evaluate further the prognosis of this disease.