The objective of this paper is to show the clinical presentation, neuroradiological evaluation, surgical therapy and postoperative evolution of an anaplastic ependymal brain tumor in a pediatric patient. Clinical presentation, Female patient, 8 months old, natural and from cusco, with antecedent: Craniotomy due to spontaneous intracerebral hemorrhage 4 months before admission. It enters with history of irritability, vomits, and increase of cranial volume in operative zone. Intervention and follow-up, Craniotomy was performed right temporal temporalis + Total resection of intracerebral tumor parietal temporal fronto + resection and plastid of dura mater. Neuroradiological and clinical postoperative control showed favorable evolution. Conclusion, ependymomas in the pediatric population should be considered high risk if the patient is younger than 3 years of age at the time of diagnosis, if he has preoperative metastases, features of anaplasia, or residual tumor, surgery as a therapeutic modality is the one that Provides greater disease-free survival, adjuvant therapy does not determine predictive value.