Pilocytic astrocytomas represent the most common childhood brain tumors, frequently in the cerebellar region

The recent case shows a less common location in the optic pathway, which is seen in about 20% to 30% of cases

Surgical resection is the treatment of choice with radiation and chemotherapy for optic and hypothalamic region tumors

In this case, suprasellar germinoma and craniopharyngioma were in the differential diagnosis.