The authors present the surgical intervention performed for anteriorly located cervical intramedullary tumor in a 34 year old male who had been operated several months previously for posterior fossa hemangioblastoma. Anterior cervical approach comprised C7 median corpectomy and partial corpectomy of the adjacent vertebras. Radical tumor removal was performed without development of a new neurological deficit, and clinical improvement was observed at follow-up visits. Eight years after surgery, recurrent tumor was not detected radiologically, and he is in good clinical condition with minor deficit. In selected cases, especially in benign lesions, anterior cervical approach is recommended because of low morbidity rate and good postoperative outcomes.

Keywords: Hemangioblastoma, intramedullary spinal tumor, microsurgery, Von Hippel-Lindau disease