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Presence of adipose tissue in intradural locations is a pathological condition which can be seen associated with or without spinal dysraphism. Intradural lipomas comprise a small part of all spinal masses, account for less than 1%. They usually manifest with incidental findings on magnetic resonance imaging (MRI) or cord compression findings. Intradural lipomas are rarely seen in the high cervical region. We report one such case. (The Me­di­cal Bul­le­tin of Ha­se­ki 2014; 52: 216-8)