Intradural arachnoid cysts are rare lesions that frequently arise posterior to the spinal cord in the thoracic spine region. Those located at the cervical spine level, anterior to the spinal cord are even rarer. The usual treatment of symptomatic intradural spinal cysts involves surgical removal through a posterior approach using a laminectomy or laminectomy. However, ventrally located intradural cysts are frequently riot amenable to complete resection Without undue manipulation of the cord and aggressive removal through a posterior approach may result hi spinal cord injury. The authors present a 29-year-old male harbouring an intradural ventral cervical arachnoid cyst which was successfully resected via an anterior approach with corpectomy and reconstruction.