Granular cell tumors (GCTs) in the spine are uncommon. They are mostly located in the intradural extramedullary space and rarely, in an intramedullary (IM) location. Complete resection is the treatment of choice. Recurrences are rare in intradural-intramedullary (IDEM) GCTs. Recurrent and incompletely excised cases are subjected to adjuvant radiation therapy. We report such a recurrence in a 13-year-old girl who was re-operated and subjected to radiotherapy.

Pesudotumor cerebri is a syndrome which causes intracranial hypertension with no associated mass lesion. It is managed both medically as well as surgically. Cerebral spinal fluid diversion using theco-peritoneal shunt is commonly performed to decrease intracranial tension. We present a case of a middle age lady who had severe low pressure headaches following theco-peritoneal shunt for pesudotumor cerebri. She was managed by attaching pressure gradient chamber to the pre-existing theco-peritoneal shunt. Patient had marked improvement in headache, which gradually subsided. Attaching pressure gradient chamber to the pre-existing theco-peritoneal shunt helps to improve low pressures headaches in pseudotumor cerebri. It is an alternative procedure considering other extensive surgical options.

Background: Although rare, mobile schwannomas have been observed at various vertebral levels. Most of them have been reported within the lumbar spine or thoracic spine. We report a rare case of mobile schwannoma of high cervical spine and only two cases of such in cervical spine have been reported in literature. Case description: We report case of young lady with high cervical spine schwannoma (C3-C4) on preoperative MRI imaging. Intra-operatively to our surprise we could not find the tumor at C3-4 and had migrated cranially upto C2-3. Partial C2 laminectomy was done to excise the tumour completely. She recovered with no deficit. Conclusion: Mobile cervical tumors are a rare entity. There are many predisposing factors for tumours to migrate. In our case we presume that prone positing along with slight flexion may have caused the tumour to migrate cranially. One should always be prepared for negative exploration.