Background: Since many clinical conditions affecting the brain stem are the results of vascular lesions, profound knowledge of vertebrobasilar circulation is of utmost clinical importance.Variations in the origin of superior cerebellar artery(SCA) are frequently observed and these may play an important role in neurovascular compression syndrome, as III,IV and V cranial nerves are closely related to SCA. Being one of the frequent locations for aneurysms of posterior circulation,variations of SCA should be considered prior to any diagnostic or therapeutic procedures in basilar tip region.