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An extradural, heterogeneous mass extending from C2 to C7 on the right compresses the cervical cord causing subtle T2 brighteneing indicative of oedema. Note mass is not T1 hyperintense (3T magnet) rather isointense to cord but is of low signal intensity on gradient echo indicating magnetic susceptibility. Patient taken to urgent surgery, decompressed and drained, but persistently quadriparetic. At autopsy a vascular malformation was identified in the dura at the site of haematoma. The cord was infarcted on the right.