Pilomyxoid astrocytomas (PMAs) are generally seen in young children and tend to occur in the hypothalamic-chiasmatic region. Their presence in other parts of the brain in the nonpediatric age group is uncommon. In addition, hemorrhage in such low-grade tumors is an occasional event. We describe a case of PMA that presented with spontaneous bleed in an atypical location (temporoparietal region) in an adult. A concise literature of the cases of PMA which were associated with bleed is also presented. Occasionally, low-grade tumors such as PMA may present with bleed. These benign looking neoplasms behave differently from the commonly occurring pilocytic astrocytomas (PAs) and should be considered as a differential. It is important to differentiate these from PA, as the management and prognosis differs.