Figure 5: A 5‑year‑old male child presented with hydrocephalus and gait disturbances for 1 year. Endoscopy was performed to obtain the biopsy specimen. Diagnosis of ependymoma was confirmed by a rapid pathological examination. Enlarged microsurgical craniotomy was then performed and the lesion was totally resected. The preoperative symptoms were completely relieved and the lesion did not recur in the follow‑up CT scan for 3 years. (a) T1‑weighted MRI showed that the lateral ventricle was enlarged irregularly and the mid‑line shifted to the left side. (b) The enlarged lateral ventricle decreased in size, the shifted mid‑line retreated to the normal site, and the homolateral subdural hematoma was observed in the CT scan during the hospital stay. (c) Subdural hematoma disappeared and the lesion was not recurred in the follow‑up CT scan for 3 years. (d) Pathological result of ependymoma