Cavernous haemangiomas are commonly located within the central nervous system. There are only 11 cases of this malformation found in the pineal region reported in the literature, and only four of them have documenting photomicrographs. Very little has been written about diagnostic features of these tumours when they occur in this area. We describe our diagnosis of a cavernous haemangioma in the pineal region with special emphasis on its radiologic and histologic aspects.