HighlightsEarly evaluation of Tuberculosis spondylitis is necessary to decide for the appropriate management.Detailed medical history, meticulous examination, and prompt radiological investigation are important to reach for the right surgical decision.Early surgical decompression with correction of deformity prevents neurological deterioration and promotes adequate functional recovery.

Hereditary angioedema is an autosomal dominant disorder following a genetic defect of C1 inhibitor gene on chromosome 11. This rare condition presents itself as a recurrent attack of submucosal swelling mostly involving skin, gastrointestinal tract and upper respiratory airway and exacerbates with any physical and emotional stress. Prompt diagnosis and prevention of an acute attack with early recognition and effective treatment can protect the patient from potential laryngeal edema and fatality.

Compression of the neural structures in spine by an intradural arachnoid cyst is a rare entity. At times such a cyst is an incidental finding. Spinal epidural injection is one of the few rare etiological factors for its development. Symptomatic cysts can present with variable neurological manifestations depending on the spinal level involved. This includes back pain, lower limb weakness, and sphincteric dysfunction. If asymptomatic, they can be followed radiologically. Surgical decompression along with a histological diagnosis is reserved for cysts that are enlarging, symptomatic or the ones for whom the diagnosis is uncertain. Incomplete excision of cyst wall or simple fenestration and decompression mandates close follow-up, clinically and radiologically for further recurrences.

Lumboperitoneal (LP) shunt had been in use as an internal cerebrospinal fluid (CSF) diversion for a variety of different indications, namely benign intracranial hypertension, communicating hydrocephalus, slit ventricle syndrome and CSF fistulas.Generally, considered to be a simple surgical procedure, butcertain potential complications are associated with this technique, including chronic subdural hematoma, subarachnoid hemorrhage, acquired Chiari malformations and migration of the shunt tubing. 1,2 Proximal intrathecal migration of LP shunt catheter tip, high up in the cervical spine is a rare reported complication. [3][4][5][6][7][8] If doubtful on X-rays, Computed Topography (CT) scan confirms the diagnosis. Although, the multi factorial's proximal migration is usually because of a faulty technique when anchoring sutures are loosened or cut. The measures employed to avoid this potential complication include appropriate techniques for securing the LP shunt tube at the proximal lumbar and the distal peritoneal insertion sites with suture collars, thus enabling fixation of the tube. We report a case of an obese middle age female who developed proximal migration of the lumbar tube up to the cervical spine, after having undergone LP shunt for pseudotumor cerebri.