A histopathologically proven case of a right cerebellar hemisphere hemangioblastoma completely excised at laparoscopic surgical intervention. There are typical MRI features as described above. The broad differential diagnosis in children always includes a pilocytic astrocytoma, ependymoma and medulloblastoma. In adults, the differential diagnosis includes glioblastoma or metastases. Arteriovenous malformations and cavernomas also need to be excluded. In this instance, the lesion is sporadic in etiology and the patient does not have von Hippel Lindau (vHL) disease.