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Primary intramedullary melanocytoma of the spinal cord: case report
Isaac O Karikari1, Ciaran J Powers, Carlos A Bagley
1Division of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
Objective:
The authors report 2 cases of primary intramedullary spinal melanocytomas in 2 patients who presented with lower extremity numbness and/or weakness.
Clinical Presentation:
Magnetic resonance imaging of the spine, thoracic laminectomy, and histological examination revealed the diagnosis.
Technique:
Microscopic and immunohistochemical analysis revealed the diagnosis of primary melanocytoma.
Conclusion:
Melanocytomas of the spine are rare lesions without distinctive imaging characteristics and pose a preoperative diagnostic challenge. A review of the relevant literature and clinical behavior of this uncommon tumor entity is provided.
