A case of spinal cord tumour in a 41-year-old man is presented. The in
itial diagnosis was of metastatic small cell tumour. One year postoper
atively he presented with a left cerebellopontine angle tumour which r
esolved with radiotherapy. Three years after initial presentation he r
emains well with no evidence of a primary tumour. Histological review
shows the tumour to be a peripheral neuroepithelioma, which has not pr
eviously been reported to affect the spinal cord. The differential dia
gnosis of small cell spine tumours is discussed.