We present an extremely unusual acute presentation of a paediatric vertebral haemangioma. This study highlights the need for early diagnosis, MRI for investigation and urgent surgical management.

Cranial vault remodelling together with insertion of programmable shunt valve is indicated in CT confirmed cases of secondary craniosynostosis.

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Review question/objective The objective of this review is to identify the factors associated with an increased risk for developing recurrent raised intracranial pressure in nonsyndromic children who have had previous cranial vault remodelling surgery.