Ependymomas are common intramedullary spinal tumors but there are very few reports of this tumour presenting with exophytic growth patterns mimicking as intradural extramedullary (IDEM) tumors 
. Intradural extramedullary tumors are more of an intra-operative finding rather than a clinical diagnosis. The tumor pathological features are usually benign and they most commonly arise from the central canal of the spinal cord, the conus medullaris or the filum terminale 
In contrast, intra and extramedullary ependymomas are reported very rarely and have wide variety of histological features . We present a case of recurrent spinal anaplastic ependymoma with an extramedullary exophytic lesions as well. Intra-operatively there was poor delineation between the lesion and the spinal cord.