History

The clinical history associated with ependymomas varies depending upon

the age of the patient and the location of the lesion. The duration of
symptoms prior to diagnosis usually varies from 1-36 months; most patients
have symptoms from 3-6 months. 
Children with masses in the fourth ventricle may have a history of
progressive lethargy, headache, nausea, and vomiting secondary to
increased intracranial pressure from obstructive hydrocephalus. As the
tumor extends along the floor of the fourth ventricle, it may cause multiple
cranial-nerve palsies (primarily VI-X), as well as cerebellar dysfunction.