Hi...u can have a CSF obstruction with out a syrinx...I had obstruction and no syrinx, surgery b4 one develops is helpful...u do not want one to form.
SO if if u an obstruction the way to prevent a syrinx is to restore flow with surgery.
Syrinx's can be very slow to develop, once started tho, they can grow either rapidly or slowly...there is no way to know.
Hope this helps : )
"selma"
The flow of CSF can be effected by the Chiari itself. Also, there can be any degree of flow...not just blocked/not blocked. From what I've heard, straight up blockages are very very painful.