Intracranial vertebrobasilar artery dissection (VBAD) is not uncommon in clinical practice. Its onset form primarily manifested as subarachnoid hemorrhage or posterior circulation ischemia. It is very easy to be misdiagnosed because lack of the specific symptoms and signs. This article reviews the clinical manifestation, imaging characteristics and treatment of intracranial VBAD in order to improve the early diagnostic rate of the disease, reaching the purposes of early treatment, reducing complications and improving the prognosis.