Intraceranial eavemous hemangiomas are spongy, abnormal vascular masses composed of numerous thin-walled blood vessels. However, with the introduction of MRI, more and more patients can be clearly diagnosed before surgery. The clinical manifestations of intracerebral cavernous hemangioma are more common with multiple small hematomas in the brain parenchyma and seizures. Headache and cranial nerve palsy symptoms such as hypotony, diplopia, facial numbness, ocular protrusion, and ocular motility disorders may also be associated with cavernous hemangioma. Surgical resection of the tumor is the treatment of choice for intracranial cavernous hemangioma. Radiosurgery or conventional radiotherapy is indicated for the adjuvant treatment of cavernous hemangioma in the cavernous sinus or for patients with residual tumor after surgery. The surgical approach should be chosen flexibly depending on the location of the lesion, with the aim of removing the largest possible lesion with the least possible damage. Intracerebral cavernous hemangioma is relatively easy to remove because of the lack of obvious blood supply arteries and the clear boundary between the lesion and the surrounding brain tissue, except for the lesions located in the brainstem. Even for lesions located in the brainstem, satisfactory results may be achieved.