Spongiform hemangioma is usually diagnosed in the following cases: seizures; sudden headaches, or with limited neurological deficits, and intracerebral hemorrhage is shown by CT and MRI. With the use of CT and MRI head scans in medical examinations, more and more patients without any symptoms are being diagnosed with cavernous hemangioma. When first hearing the diagnosis of “cavernous hemangioma”, many people think it is a tumor and grows on a blood vessel because of the word “tumor” in it, so patients often have trouble sleeping and eating and are anxious, thinking they have a very fatal disease. In fact, the correct name for cavernous hemangioma is cavernous vascular malformation. It is a vascular malformation formed during the embryonic formation of the capillary network and is not a tumor in the true sense. In terms of risk of bleeding, the bleeding in cavernous hemangioma is often oozing and is usually not serious, except for those located in the brainstem or deep brain structures. Spongiform hemangiomas also grow in the spinal cord, cavernous sinus, orbit, etc., which is less common. Let’s talk about the treatment. The indications for treatment of spongiform hemangioma are very important and complex. For patients with no symptoms, small lesions, calcifications, and incidental findings, there is no need to rush, and they can be observed and followed regularly. In symptomatic patients, the decision to operate and the mode of surgery is based on the location of the lesion, its depth, the degree of blood supply, whether it is located in a functional area, and other factors. This requires careful evaluation by the surgeon. The grasp of surgical indications for gamma knife treatment of cavernous hemangioma is also an important issue. From the patient’s consultation, it can be seen that some patients’ symptoms worsen and lesions increase after gamma knife. However, it does not mean that all cavernous hemangioma is not suitable for doing, it is necessary to consider the specific site and use the appropriate radiation dose to do so. In particular, it should be noted that cavernous hemangioma of the cavernous sinus can be treated by radiofrequency knife to obtain good results. In conclusion, patients who consult cavernous hemangioma, as you can see from the above, some patients may not need to be treated at all, some patients must be treated, but there are various ways to treat them again. Please put down your mental baggage, bring all the films, including CT and MRI ones, to the outpatient clinic, see an experienced doctor, and make a decision after careful evaluation.