This a 58-year-old man who presented with several months of progressive right occipital headaches. He was experiencing dizziness at times and felt his coordination was off. He felt his gait was also somewhat abnormal. MRI showed a 4 cm right cerebellar cyst with an associated enhancing nodule. He underwent a stereotactic guided right suboccipital craniectomy, performed by Dr. Michael Brisman. Pathology showed hemangioblastoma. Postoperative imaging showed the cystic mass was gone. Postoperatively, the patient felt beer with a complete resolution of his symptoms. Work-up for Von Hippel-Lindau disease (which is associated with hemangioblastomas) was negative.