A rare case of vertebral eosinophilic granuloma (C4) causing spinal co
rd compression is reported. The clinical, histological and radiologica
l features of this pathological entity are discussed. After surgery a
complete neurological recovery was observed. The value, in selected ca
ses, of surgical treatment with total removal of the tumour and recons
truction of the spine to ensure spinal stability and to prevent irreve
rsible neurological deficit is emphasized.