Pineal hemangioma is a vascular malformation of the pineal gland caused by various reasons, which can be treated by follow-up observation, symptomatic treatment with drugs and surgery. 1. Follow-up observation: Pineal gland is a brain gland located at the top of the third ventricle, which can secrete melatonin. The pineal gland is rich in blood vessels and arteries and veins pass under its pericardium. When pineal hemangioma occurs, if the tumor is small, it may be asymptomatic, and then regular follow-up can be done to decide the next treatment measures. 2. Symptomatic treatment with medication: when the tumor is large and the pineal gland is severely compressed, it may be manifested as headache, dizziness, nausea and vomiting, and sleep disorders, etc. In this case, medication can be prescribed to relieve the symptoms. At this time, medication can be prescribed to relieve the symptoms, such as nutritive nerve drugs, drugs to improve sleep cycle. Adverse drug reactions should be promptly discontinued and seek medical attention. 3. Surgery: When the tumor is large or the risk of rupture is high, surgery can be chosen after examination and evaluation by doctors, such as interventional embolization, craniotomy, and so on. When pineal hemangioma occurs, it should be consulted in time, and targeted treatment should be carried out after doctor’s examination and evaluation to avoid delaying the condition.