Astrocytic tumors are the most common neuroepithelial tumors, more common in males than females, and can occur at any age, while the peak incidence is between 31-40 years of age. In adults, they are most commonly found in the cerebral hemispheres and the thalamus and basal ganglia regions, and in children, they are most often found in the subiculum. Most astrocytomas in the cerebral hemispheres have a slow onset and long course. Most first present with signs and symptoms of localization due to direct tumor destruction, followed by headache, vomiting, optic nerve papillary edema, visual acuity, visual field changes, seizures, diplopia, and other symptoms of cranial hypertension. Cerebellar tumors mostly appear first with symptoms of increased intracranial pressure due to the earlier impact on cerebrospinal fluid circulation pathways. Astrocytic tumors of brainstem progress faster and have a shorter course, with cranial nerve damage and cone bundle signs appearing early, while symptoms of increased intracranial pressure are commonly seen in late stages. Treatment of astrocytoma is based on surgical resection.