Intrasellar cavernous hemangioma is an extremely rare lesion. It is usually confused with pituitary adenoma, both clinically and radiologically. It is important to differentiate intrasellar cavernous hemangioma from pituitary tumors because of the risk of severe hemorrhage during operation and the possible complications in the postoperative period. Magnetic resonance imaging characteristics of the lesion may be helpful in differential diagnosis. In this report, we present the magnetic resonance imaging findings of a cavernous hemangioma case, which is totally intrasellar located.