随着 MRI 的广泛应用,近年来发现脑海绵状血管瘤(CA)的发病率有升高趋势。其最常见发生部位是大脑半球。临床表现以癫痫、头痛、局灶神经损害症状及颅内出血为特征。高场强 MRI是目前诊断和随访评估 CA 的最佳检查方法。CA 外科治疗的适应症及手术时机应依病灶部位、发病情况及严重程度等加以考虑。 With the widespread use of MRI, the incidence of cavernous hemangioma (CA) has been increasing in recent years. Its most common site is the cerebral hemisphere. Clinical manifestations are characterized by epilepsy, headache, focal neurological deficits, and intracranial hemorrhage. High field strength MRI is currently the best method of diagnosis and follow-up assessment CA. The indications and timing of surgical treatment for CA should be considered according to the location of the lesion, the incidence and severity of the disease.