ABSTRACT

Although spinal cord tumors are less prevalent than intracranial tumors, the risk of neurological impairment resulting from the mass and the surgical procedure is considerable. The distribution of tumors varies according to age group. Approximately two-thirds of the masses are ependymomas and astrocytomas of neuroepithelial cell origin. Although ependymomas are frequently observed in adults, astrocytomas (particularly pilocytic astrocytomas) are more prevalent in the pediatric population. It is the responsibility of radiologists to evaluate a number of factors, including the age of the patient, the location of the lesion, and the radiological features, in order to make an appropriate differential diagnosis prior to treatment. Furthermore, they must assist neurosurgeons in the planning of surgical procedures. In this process, it is essential for radiologists to consider non-tumor spinal pathologies, including infectious processes, demyelinating diseases, neurometabolic conditions, and vascular pathologies. This article will discuss the characteristics of common spinal intramedullary tumors, as well as pathologies that should be kept in mind and important tips that can be used in differential diagnosis.