“…Neurological complications from extramedullary haematopoiesis in the cranial or spinal dura are rare and there are very few reports of this occurring in association with myelofibrosis (Appleby et al, 1964;Bree, Neiman and Hodak, 1974;Close, Taira and Cleveland, 1958;Lowman, Bloor and Newcomb, 1963;Oustwani et al, 1980). The origin of the extramedullary haematopoietic tissue within the spinal canal is unknown, but various possibilities have been suggested (Appleby et al, 1964;Heffner and Koehl, 1970;Oustwani et al, 1980). It may reach the epidural space by embolization from the marrow.…”