Abstract
BACKGROUND: Chiari I malformation (CM1) and syringomyelia can present a wide spectrum of symptoms and signs in children, often varying with age. However, the association of CM1 with dermatographia and alopecia is exceedingly rare and, to our knowledge, has not been previously reported in the pediatric population. CASE DESCRIPTION: We present the case of a 7-year-old boy who exhibited an unusual constellation of findings, including Horner's syndrome, dermatographia, and patchy alopecia. Magnetic resonance imaging revealed CM1 with holocord syringomyelia. CONCLUSION: This case highlights the importance of considering CM1 in the differential diagnosis of pediatric patients with unexplained dermatological and neurological findings. Early diagnosis and a multidisciplinary approach are crucial to achieving favorable outcomes.