Benign hemangiomas are often innocuous, intra-osseous and are incidentally found. Rarely, they become aggressive with extra-osseous expansion causing compressing on the spinal cord. However, early surgical intervention has proven benefits with neurological improvement and less reoccurrence. This is a case report of a 65-yearold gentleman who presented with acute on chronic progressive myelopathy after a recent infective episode. He underwent a decompression surgery, initially that was thought to be a spinal abscess but turned out to be a hemangioma. After surgery, the patient had good neurological and functional recovery. We present this case for its rare clinical presentation.