Introduction: Hamartomas involving the floor of the fourth ventricle and cerebellum are rare. but can be associated with medically recalcitrant hemifacial spasm. These lesions present early in the neonatal or infantile period and respond well to surgical excision. Case Report: A 3-month-old white male presented with recurrent left hemifacial spasm. https://theplayfulcollectivees.shop/product-category/pretend-play/