This document provides a comparison of the MRI imaging characteristics, intraoperative features, and surgical management of various intramedullary spinal cord tumors, including astrocytoma, ependymoma, cavernoma, lipoma, and neurocysticercosis. Key differences in tumor morphology, enhancement patterns, consistency, vascularity, and resectability are described. Complete excision is typically possible for ependymomas, while internal decompression is often the extent of resection for astrocytomas and lipomas due to indistinct tumor margins. Radiotherapy may have a role in recurrent astrocytomas but is usually not needed for other tumor types.