Objective To investigate the clinical and neuroimaging features and microsurgical approaches of intracranial cavernous angiomas (CA). Methods The clinical and neuroimaging features and mierosurgical approaches were analyzed retrospectively in 189 cases of intracranial CA. Results Of the 189 cases, 183 presented with CA in the cerebral parenchyma and clinical manifestations including predominantly headache, epilepsy, and hemorrhage, and were managed by radical resection of the CA. The other 6 cases showed intracranial CA in the middle cranial fossa, for which radical CA resection was performed in 5 cases and biopsy in 1 case. Conclusion Microsurgeries are safe and effective for treatment of intracranial CA and may achieve good clinical outcomes.
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