Pheochromocytoma, named as ”pharmacologic bomb”, is an unusual tumor in the pediatric age group. It is a potentially lethal cause of childhood hypertension and accounts for about 1% of pediatric hypertensive patients. We report a13-year-old boy with pheochromocytoma complicated with repeated stroke attacks during four years. The clinical presentation highlights the need for a thorough history and high index of suspicion for accurate diagnosis. Pheochromocytoma in children is more often bilateral, multicentric and extra-adrenal in comparision with those in adults. Only about 2% of pheochromocytomas in children are malignant but most of those are extra-adrenal.