Very few cases have been reported of long segment tanycytic ependymoma with a cyst associated to them. Tanycytic ependymoma is a rare form of ependymoma that usually arises in the intramedullary spine. On histology it has ependymal pattern of cells with abundant fibrillary stroma within which are scattered oval to spindly cells, with round to ovoid and elongated band nuclei and close resemblance to schwannoma and astrocytoma. In our case tumor was associated with syrinx and was of tanycytic variety. A 38-year-old female presented with numbness and tingling of right hand and shoulder and right leg with diminished sensation and loss of joint position and vibration in left leg. Magnetic resonance imaging revealed a tumor from C7 to T5 level that compressed the spinal cord extensively and had a reactive cyst associated with it.