This chapter provides detail description of Intramedullary tumours. Chapter has 6 well illustrated diagrams and pictures. Intramedullary tumors, histological subtypes of intramedullary tumors, aetiopathogenesis, clinical features of intramedullary tumors, clinical examination of intramedullary tumors, investigations of intramedullary tumors, management of intramedullary tumors, special instruments and technology: evoked potential recordings, laser, tissue vaporizer, ultrasonic aspirator, intraoperative ultrasound, surgical steps for intramedullary tumors: positioning, bone removal, durotomy, myelotomy and closure, post-operative management and complications, adjunctive treatment of intramedullary tumors, prognosis of intramedullary tumors and AIIMS experience of intramedullary tumors are described in detail. 38 references are included at the end of the chapter to facilitate further reading