The thalamopeduncular syndrome is a common clinical presentation exhibited by children harboring a lesion at the interface between the thalamus and cerebral peduncle. This subclassification was introduced by Puget et al ¹⁾ in an effort to better describe thalamic tumors of childhood. However, these lesions have also been designated as “basal ganglia,” “brainstem tumor,” or “thalamic tumor” tumors by other authors, specifically focal midbrain gliomas arising from the tegmentum.