Try the following:

  1. Close Syntorial
  2. Disconnect any MIDI keyboards that are attached to your computer
  3. Restart your computer
  4. Without opening any other applications, open Syntorial
  5. If you're using a MIDI keyboard, reconnect it to your computer. Then go into the Options menu -> MIDI and Audio Settings, and re-enable the MIDI keyboard.
If the issue persists, reach out to customer support via the Submit A Request link at the top of this page.