{Reference Type}: Case Reports {Title}: Vasospasm and subsequent stroke from paraneoplastic syndrome in a pediatric patient with an intracranial mature teratoma: a case report. {Author}: Jenson AV;Rizvi AY;Reynolds RA;Hartnett-Wright S;Gellar TJ;Stapleton S;Gonzalez-Gomez I;Akbari SHA;Smyth MD; {Journal}: Childs Nerv Syst {Volume}: 40 {Issue}: 9 {Year}: 2024 Sep 31 {Factor}: 1.532 {DOI}: 10.1007/s00381-024-06471-z {Abstract}: 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.