“…[1] The varied presentation in the patients, from localized superficial skin lesions to extensive systemic involvement, makes the anesthetic management challenging. [2] Anesthesiologists should plan in advance to avoid trauma to the hemangioma, increase in intraocular and intracranial pressure. [3] The key to safe anesthetic management in such patients is by controlling the convulsive disorder perioperatively, attenuation of hemodynamic responses during airway manipulation and surgery, careful intubation/extubation, avoiding trauma to the angiomatous lesions, and adequate pain relief.…”