Pediatric neurovascular lesions encompass a spectrum of abnormal growths affecting the blood vessels within the nervous system of children. These lesions may include arteriovenous malformations (AVMs), cavernous malformations, and developmental venous anomalies (DVAs). Their clinical presentation varies widely, from incidental findings on imaging to neurological deficits and seizures. Diagnosis relies on neuroimaging techniques like MRI and angiography, often necessitating a multidisciplinary approach involving neurologists, neurosurgeons, and interventional radiologists. Treatment strategies range from observation for asymptomatic lesions to surgical resection, embolization, or radiosurgery for symptomatic or high-risk lesions. Understanding these lesions is crucial for effective management and improved outcomes in pediatric patients.