Abstract: Primary spinal cord germinoma are rare group of tumors. Most commonly seen in thoracic spine and thoracolumbar spine as intramedullary mass.On imaging primary spinal germ cell tumors showsunspecific imaging characteristics, and only few tumors secrete markers. Histopathologyexamination can give us the specific diagnosis.Here we present a case of a 2-year-old male with intramedullary spinal cord germinoma who presented to our department with history of fall followed by swelling over the back with bowel and bladder incontinence and loss of lower limb strength.