Objective To observe the clinical features of MRI imaging examination in cavernous sinus cavernous hemangioma. Methods The clinical data of 7 cases of patients with cavernous sinus cavernous hemangioma was collected, and the size and shape of lesions in cavernous sinus area, the signal features of MR, T1WI, T2WI and DWI, misdiagnosis and diagnosis were analyzed retrospectively. Results 7 cases were cavernous sinus single lesion, 4 cases in left side, 3 cases in right side, maximum diameter was 2.5- 6.1cm, average was 3.9cm. There were 6 cases in 7 cases showed lateral growth, lesions were all in left and right direction, which were about to range across internal and external sella turcica with dumbbell-shaped and gourd-shaped high signal shadow.In MRI images, the T1WI sequence signal of 7 lesions was apparently smaller than that of alba, but slightly lower than that of ectocinerea. 4 cases of patients with T1WI scattered in the high signal shadow, the overall high signal of T2WI sequence was significantly higher than that of brain parenchyma signal, after enhanced scan, 7 lesions were evidently and evenly enhanced, including 2 cases of marginal dural tail sign, and 1 case showed high-low mixed signal in T1WI, T2WI and DWI, and marginal plate reinforcement was emerged after enhanced scan. In 7 cases of patients, 2 cases were misdiagnosed as meningioma while the postoperative pathological examination was CSHAs. The time of misdiagnosis was 3 weeks and 5 weeks respectively. Conclusion MRI scan and enhanced scan of cavernous sinus cavernous hemangioma have certain characteristics each, and the combination with imaging results is helpful for improvement of clinical outcomes accuracy.