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This is to our knowledge the first case of metastatic spread of the cylindroma to the cervical spine resulting in local bone destruction and neural elements compromise. Physicians should be aware of this rare possibility. External ventricular drains (EVD) are used for emergent management of acute hydrocephalus and for monitoring of intracranial pressure.Common complications of EVDs include malposition, infection, and hemorrhage.Here, the authors present a novel case of EVD migration causing Parinaud's syndrome. A thirty-three-year-old fem