Aim: To report a case of bilateral accessory foramen transversarium in lower cervical vertebrae. Case Report: In the present case we observed two abnormal foramina in transverse process of C7 and probably C6 cervical vertebrae. Rest of cervical vertebrae were normal. Discussion: The reasons for the presence of accessory foramen transversarium can be developmental or vascular. The presence of accessory foramen can alter the course of vertebral artery and even lead to compression of vertebral artery. This can lead to symptoms like headache, migraine and fainting attacks. Conclusion: The study of these variations is important to radiologists in interpreting CT and MRI scans.