Aim:The aim of this study was to define the role of phase-contrast cine magnetic resonance imaging in deciding the therapeutic strategy and underlying pathophysiology resulting in syrinx formation in patients with Chiari type 0 malformation.Material and Methods:Seven patients admitted to our clinic with diagnosis of Chiari 0 malformations during the period January 2005 to July 2016 were enrolled in the study. All patients underwent a detailed preoperative neurological examination. The entire neuroaxis magnetic resonance imaging and phase-contrast cine magnetic resonance imaging was obtained preoperatively and postoperatively.Results:Seven patients (5 female and 2 male) cover the inclusion criteria of the Chiari type 0. All of the patients with Chiari type 0 malformation had absent cine flow at the craniovertebral junction except two patients. All these five patients underwent surgical interventions; suboccipital decompression and duraplasty. All of them showed both clinical and imaging improvements postoperatively.Conclusion:Cine flow magnetic resonance imaging appears to be a useful tool in the management of patients with Chiari 0 malformations. There was a good correlation between the clinical presentation and cine flow preoperatively, and between clinical improvement and cine flow postoperatively.