BACKGROUND: Single institutional study of intradural extramedullary (IDEM) based on clinical presentation, location, and histopathological diagnosis.AIM: The aim of this study is to evaluate a single institution-based epidemiology of IDEM spinal tumors in Rural Hospital of Central India.MATERIALS AND METHODS: This study is retrospective observational study from July 2013 to July 2019 in the Department of Neurosurgery, Mahatma Gandhi Institute of Medical Sciences, Sevagram. A total of 27 patients fulfilled the criteria and were included in the study. The case records of the patients were identified and studied for clinical manifestation, neurological examination, and radiological and histopathological diagnosis.RESULTS: Out of total 35 spinal tumors, 27 patients were IDEM tumors (77.14%) with male-to-female ratio of 1:1.07. While spinal nerve sheath tumors were slightly more common in males, meningioma had significant female preponderance. The most common location of spinal tumor was dorsal spine and the most common histopathological type was schwannoma.CONCLUSION: At present, no published study about epidemiology of IDEM tumors in central India is present. This study may provide the clinicopathological profile of various IDEM spinal tumors for our region.