This episode delves into the complexities of hydrocephalus management in children with infratentorial tumors, drawing insights from the PITCH registry study design. Published in Child's Nervous System in 2026, this observational, prospective, multicenter study aimed to quantify surgical interventions for hydrocephalus secondary to these tumors in pediatric and adolescent populations. Understanding the frequency and patterns of these surgeries is crucial for optimizing treatment pathways and patient outcomes. We will explore the study's methodology and discuss the potential clinical implications for neurosurgeons, oncologists, and pediatricians. This information is for educational purposes and not a substitute for professional medical advice.