Neuroblastoma is the third most common malignancy in childhood and it is the most common intraabdominal tumour of the children. There are varied clinical presentations of this tumour depending upon the location of the tumour. Primary mediastinal neuroblastoma accounts for nearly 14% and they often present with respiratory symptoms. In this case report, we describe a case of neuroblastoma in a 11 months old Infant, located in the Posterior mediastinum presenting with Paraparesis. We present this case for its unique presentation for the age and location of the primary tumour.