Pure spinal epidural cavernomas are very rare pathologies. They constitute only 4% of all spinal epidural tumors. Their radiologic appearance may mimic many other spinal epidural pathologies such as schwannoma, meningioma, lymphoma, Ewing's sarcoma, chordoma, ependymoma, spinal angiolipoma, perineural cysts and disc herniation. Complete surgical resection is the preferred treatment. But unfortunately they usually bleed heavily during surgery that makes complete surgical resection difficult.