Conclusion
Our case is the first ever described case of spinal EHE in Africa. Our patient shows the previously described features in EHE of the spine. The clinical presentation, radiological features, microscopic and immunohistochemical features are congruent with those of the other cases of spinal EHE described from elsewhere. EHE remains a rare entity and EHE of the spine ultra-rare. The treatment modalities though not standardised, show that multimodality treatment with surgery and adjuvant radiotherapy remain the most plausible.