Pediatric cerebrovascular diseases have distinct clinical presentations, pathophysiology, and management compared to the adult counterparts. This introductory article discusses the imaging techniques and neurovascular conditions unique to each age group from the fetal stages through childhood, including vascular malformations, arteriopathy, and strokes. The article also underscores the importance of genetic factors and the need for a multidisciplinary approach in the diagnosis and treatment of pediatric neurovascular disorders.