The diagnosis of pediatric syringomyelia: a smooth and tough ovoid, strip-shaped or round mass can be palpated in the scrotum or inguinal area. Types of syringomyelia 1. Syringomyelia: the fluid is confined to the spermatic cord, often in the upper part of the scrotum, i.e. above the testes, or in the inguinal canal, and can be oblong or prismatic, not connected to the testicular sheath and abdominal cavity. 2. Traffic syringomyelia: It is due to the fact that the sphincter of the spermatic cord is still not closed after birth, causing the fluid in the abdominal cavity to communicate with the fluid in the sphincter sac, and the syringomyelia is sometimes large and sometimes small. If the hole where the sphincter communicates with the peritoneal cavity is large and the intestinal tube and omentum herniate out, congenital inguinal hernia can be formed. 3. Testicular syringomyelia: the most common, the sheath often has no obvious lesions, but the sac is filled with fluid and the scrotum is spherical or pear-shaped. Most of them gradually subside with the growth of the child. C. Treatment of syringomyelia Conservative treatment within 1 year of age, surgical treatment after 1 year of age. We have found clinically that most of those with syringomyelia have hernia at the same time, only some of them are not obvious, which can be seen clearly under laparoscopy. Therefore, minimally invasive laparoscopic surgery is still recommended for children with syringomyelia, and they are treated together. there is no major difference between the 2 diseases themselves.