This study evaluated the use of the Anatomage Table, a 3D virtual reality tool, to teach cerebrovascular anatomy to neurology residents. Five residents completed pre- and post-tests on cerebrovascular structure identification before and after traditional textbook-based teaching and hands-on use of the Anatomage Table. Test scores improved significantly from a average of 32% to 88% after using the virtual reality tool. A post-survey found that residents strongly agreed that the Anatomage Table enhanced their ability to identify cerebrovascular structures in 3D. The results suggest that interactive 3D virtual reality tools can effectively complement traditional teaching methods for neuroanatomy.