Intramedullary spinal cord tumors are rare, representing 4 to 10% of all central nervous system tumors. They account for 20% of all intraspinal tumors in adults and 35% of all intraspinal tumors in children.

Observational study.

Understanding the natural progression of an intramedullary spinal cord tumor.

To report a case of silent intradural intramedullary spinal cord tumor in a 38-year-old patient, on regular follow-up in the outpatient department since 6 years.

Magnetic resonance imaging thoracic spine revealing intramedullary tumor which is localized, central, uniformly enhancing on contrast and is associated with syrinx formation from D1 to D7.

Conservative.

The rare incidence of intradural tumors commonly results in misdiagnosis and improper diagnostic workup, resulting in delayed diagnosis and treatment. Dilemma exists in the management of clinically silent intramedullary tumors as no specific guidelines have been formulated.

Prasad A, Pawar SG, Dhar A, Ramani PS. Silent Spinal Cord Tumor. J Spinal Surg 2017;4(1):22-25.