Patient presented withdysphagia, regurgitation,vertigo, repeated spitting, one sided weakness with numbness and mild pain and hearing loss. MRI showed a syrinx extending from cervico-medullary junction to D12 and CSF flow study showed Backward flow with low mean velocity. She diagnosed case of Arnold Chairi malformation syringohydromyelia Type 1. Patient was diagnosed as kaphaavritapranavayu along with shiromarmaabhighata and treated with panchkarma therapies and shamans medicationsprimality

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... 5 months then follow up for every 3 month. Significant improvement was found in both classical symptoms as well as in MRI, CSF flow study and x-rays reports. Agarwal et al.