24 cases of AVMs posterior cranial fossa are reported. All these cases were confirmed by pathological examination or vertebral angiogram. There are 17 cases located in cerebellar hemisphere, 4 in vermis, 2 spread to brain stem, and 1 in fourth ventricle. Most of these patients are young adults, the mean age below 40 years. The most clinical manifestations were acute subarachnoid hemorrhage, increased intracranial pressure, ataxia, and cranial nerves palsy. 22 cases underwent surgical intervention, with 17 total, 3 subtotal, 2 partial resection of AVMs. After operation, 16 cases were good recovery, 3 free of symptom, and 3 death. In this article, the evaluation of some special clinical examinations and the operative approach for AVMs were discussed.