Ependymomas can occur in any age group but are more common in younger patients. Those that occur in the posterior fossa are more common in children (mean age, 6 years), whereas the mean age for supratentorial lesions is 18–24 years (1). Ependymomas are the third most common brain neoplasm in children, behind medulloblastoma (primitive neuroectodermal tumor) and astrocytic tumors (7). Presenting symptoms depend on the location: Those that occur in the fourth ventricle typically manifest with symptoms of increased intracranial pressure due to obstruction, ataxia, or paresis, whereas supratentorial lesions manifest as headache, focal neurologic deficit, or seizure (5).