Primary intraosseous cavernous hemangioma (PICH) of the skull is rare. We present a case of 11-year-old boy with PICH of the sphenoid bone. The Computed Tomogram showed a classical sunburst appearance. Safe excision as much as possible was attempted after embolization. The child however, succumbed to postoperative infection. The preferred treatment is complete tumor removal with normal bony margins. However, this may not be possible in extensive skull base involvement. Preoperative embolisation can reduce intraoperative blood loss. Radiotherapy may be added where complete excision is not possible.