The anatomy of the supratentoriel midline structures of the brain is complex: corpus callosum, third ventricle, trigone, choroid plexus, pineal gland, falx cerebri. Different types of tumors can arise from these structures including tumors of the trigone and septum, tumors of the falx, third ventricular tumors and pinal region tumors. These tumors share similar features: minimal clinical symptoms despite their occasional large size, mild non-specific intracranial hypertension syndrome, value of MRI for depiction of tumor location, stereotactic biopsy, relative difficulty of surgical management.