Syringomyelia is a severe neurologic problem. There probably will be congenital malformations in the cervical spine or the base of the skull. Normally there is a cavity within the brain stem or upper cervical spine that produces this disorder. Many times a person with this disorder will have severe impairments in the use of their arms or legs, making it difficult for them to stand or to use their hands. Along with this goes a certain amount of severe pain. Symptoms may include vertigo, sensory impairment affecting the face, tongue atrophy and weakness, trouble speaking, trouble swallowing, and hoarseness. Lots of times a person with this disorder will not develop symptoms until they reach their 30s. Generally, there is no effective treatment for this disorder and a firm diagnosis will probably be received sympathetically by the Social Security Administration.