Conservative treatment Based on the natural course of the disease, cavernous hemangiomas that are asymptomatic or have only mild headaches can be treated conservatively with regular follow-up.
Surgical treatment Surgery is indicated for those with obvious symptoms such as neurologic deficits, overt hemorrhage (even if only once), refractory epilepsy, enlarged lesions, or high intracranial pressure.
Radiation therapy? The efficacy of conventional radiotherapy and stereotactic radiosurgery for cavernous hemangioma is not certain, and radiation has the potential to induce cavernous hemangioma. Therefore, radiotherapy should only be used as an adjuvant for lesions located in important functional areas or surgical remnants. There is no evidence that radiotherapy is effective in controlling epilepsy.