 Children affected by pilocytic astrocytoma can present with different symptoms that might include failure to thrive (lack of appropriate weight gain/ weight loss), headache, nausea, vomiting, irritability, torticollis (tilt neck or wry neck), difficulty to coordinate movements, and visual complaints (including nystagmus).The complaints may vary depending on the location and size of the neoplasm.The most common symptoms are associated with increased intracranial pressure due to the size of the neoplasm.