%0 Case Reports %T Vasospasm and subsequent stroke from paraneoplastic syndrome in a pediatric patient with an intracranial mature teratoma: a case report. %A Jenson AV %A Rizvi AY %A Reynolds RA %A Hartnett-Wright S %A Gellar TJ %A Stapleton S %A Gonzalez-Gomez I %A Akbari SHA %A Smyth MD %J Childs Nerv Syst %V 40 %N 9 %D 2024 Sep 31 %M 38819669 %F 1.532 %R 10.1007/s00381-024-06471-z %X Teratomas account for 18-20% of all intracranial germ cell tumors and mostly occur in the pineal region with only a few cases of pediatric sellar and suprasellar teratomas described in the literature. Here, we present a case of a child with an intracranial mature teratoma with pancreatic features causing vasospasm and subsequent stroke, found to be positive for CDKN2A-an independent variant associated with malignancy and small vessel disease leading to stroke.