Cerebral hemangioma rupture and hemorrhage, craniotomy is better than minimally invasive surgery in case of large hemangioma and large hemorrhage, and minimally invasive surgery is better than craniotomy in case of small hemangioma and small hemorrhage. 1. Craniotomy: it is suitable for cases with large hemangiomas and difficulties in interventional embolization. For large aneurysms that have already ruptured, craniotomy is needed even though it is more traumatic. 2. Interventional embolization: there are many kinds of interventional methods, among which, spring coil embolization of intracranial aneurysm is the preferred method, in which the spring coil is sent to the designated aneurysm cavity via microcatheter, and the mechanical occlusion of the aneurysm cavity through the spring coil can isolate the aneurysm from the blood circulation, so as to achieve the therapeutic purpose. For small aneurysms with little bleeding, interventional therapy is less damaging and conducive to the patient’s recovery, which is superior to craniotomy at this time. Craniotomy and interventional embolization are both methods of treating cerebral hemangiomas, and the specific treatment should be evaluated by specialists and decided according to the actual condition of the patient.