We report a unique case of superficial siderosis (SS) from radiationinduced cavernous angioma of brain. Cavernous malformations of brain and SS were identified 9 years after the patient underwent resection of fourth ventricle medulloblastoma along with craniospinal radiation and chemotherapy. His most recent clinical assessment at the age of 23 years, revealed bilateral high-frequency sensory neural hearing loss at audiology along with gaze-evoked nystagmus and slight impairment of tandem walking.