FACTSvery common tumor amongst < 2 year oldHPIhydrocephalus evaluationPHYSICAL EXAMhydrocephalus examIMAGINGwell circumscribed, vascular, enhancingcauliflower papillary shapeLocations: LV (50%), 4th V (40%), 3rd V (10%)A/PCounsel: GTR usually has good outcome, but can malignantly transformPathologypathology does not correlate w/ path, benign-appearing tumors can be aggressive