Cavernous haemangiomas are vascular malformations that may affect any part of the central nervous system. Epidural haemangiomas are rare and constitute ~4% of all epidural tumours and 12% of all intraspinal haemangiomas. These tumours enlarge slowly and produce symptoms of progressive myelopathy or radiculopathy or both. History, clinical examination, routine radiographs, MRI and histopathological studies are the aids for a definitive diagnosis. Surgery can give a very beneficial result with good functional and neurological improvement. Chance of recurrence is less after a good surgical removal. Here we present a case of spinal extradural cavernous haemangioma in a 65- year-old man who had a good functional and neurological recovery after surgery. At 9 months postoperative follow-up, he did well without any new problems with regard to recurrence. We report this case for its rarity.

Ewing's sarcoma, a highly malignant bone tumour, typically affects the pelvis and the long bones of the lower extremities in children and young adults and primary involvement of the skull is rare. Here, we present a case of primary Ewing's sarcoma of the skull with localised swelling in a young adult that involved the frontoparietal region of the skull and was very aggressive in nature. Even with aggressive surgery, the patient had multiple recurrences within 1 month of surgery and ultimately the patient died.

A new case of spinal cord compression by an isolated osteochondroma (OC) of the spinal canal arising from the posterior arch of the atlas is added to the 15 previously reported cases in the English-language medical literature. CASE PRESENTATIONA 16-year-old male, with no signifi cant family history, presented with a history of suboccipital headache and progressively increasing quadriparaesis for duration of over 6 months with no bladder or bowel dysfunction. Physical examination revealed spastic quadriparaesis grade 4. INVESTIGATIONSCervical CT scan with 3D reconstruction ( fi gure 1 ), following a questionable plain radiograph, showed an intraspinal OC arising from the posterior arch of the atlas in the midline protruding into the spinal canal. MRI ( fi gure 2 ) showed signifi cant compression of the spinal cord with high signal intensity of the cord at C1 level.

Von Hippel-Lindau (VHL) disease is an inherited, autosomal-dominant syndrome caused by heterozygous germline mutations in the VHL gene, and predisposing to the development of benign and malignant tumours and cysts in multiple organ systems involving eyes, kidneys, pancreas, liver and central nervous system. The responsible tumour suppressor gene for VHL disease is in chromosome 3p25. We are presenting a case of a patient with both cerebellar as well as spinal haemangioblastoma in addition to polycystic pancreas. We operated on both the spinal and the cerebellar haemangioblastomas and the patient had made a very good recovery. We present this case for its rarity along with the literature review.