A case of intramedullary cervical cavernous angioma is presented.

The patient was a 68-year-old man with sensory disturbance as initial symptom, followed by a progressive neurological deficit. Magnetic resonance imaging demonstrated the characteristic pattern of a cavernous angioma. C3–C6 laminectomy, mielotomy, and total removal of the lesion were performed. Transient post operative deterioration was followed by a good functional recovery. Total excision of these lesions should be considered early, before lesions enlargement and recurrent hemorrhage may occur.