Pediatric neurovascular diseases are a complex group of disorders associated with significant morbidity and mortality. Given their heterogeneous clinical manifestations, ranging from emergent presentations (eg, acute neurologic deficits) to chronic neurocognitive or developmental issues, cross-sectional imaging modalities play a key role in accurate diagnosis and direct further management. However, imaging pediatric patients is associated with logistical and technical issues. This article provides an overview of the cross-sectional findings of common pediatric neurovascular diseases and discusses the imaging techniques used for their diagnosis.