Cerebral venous malformation of the right cerebellar hemisphere often results from abnormal venous development. It is abnormally shaped but still provides functional venous drainage to the appropriate tissues. Venous malformations occurring in the right cerebellar hemisphere can present with dizziness and headaches, epilepsy, and cerebral hemorrhage. Patients presenting with epilepsy may be treated with antiepileptic therapy. Once bleeding occurs, craniotomy or intracerebroventricular hematoma removal and drainage is required, and the patient’s symptoms may improve significantly after surgery. Patients should be cautious about the management of right-sided cerebellar venous malformation. Because the probability of postoperative rebleeding is high, and the resection of the lesion can cause venous infarction of brain tissue, which can lead to swelling, bruising, and even necrosis of brain tissue, so generally only hematoma removal, cerebral venous malformation is not clamped or resected. Patients with cerebral venous malformation of the right cerebellar hemisphere should actively seek medical attention to control their condition. Interventional or direct surgical intervention is needed if necessary to avoid rupture and bleeding or injury.