Primary CNS tumors can be classified based on their cell of origin and include gliomas, neuronal and glioneuronal tumors, and meningiomas. Gliomas are the most common and include astrocytomas, oligodendrogliomas, and ependymomas. Astrocytomas are graded from I-IV based on malignancy. Childhood CNS tumors often occur in the posterior fossa while adult tumors are more commonly supratentorial. Metastatic tumors account for about a quarter of CNS tumors with the most common primary sites being the lung, breast, skin, and kidney.