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Journal of Korean Neurosurgical Society 2010;48(2): 157-161.
doi: https://doi.org/10.3340/jkns.2010.48.2.157
Primary Spinal Cord Melanoma.
Min Soo Kim, Do Heum Yoon, Dong Ah Shin
1Department of Neurosurgery, CHA University, Pocheon, Korea. cistern@cha.ac.kr
2Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.
ABSTRACT
Primary central nervous system (CNS) melanoma is a rare condition that accounts for only 1% of all melanomas. A 34-year-old Korean female presented with a two-month history of progressive weakness in both legs. Spinal magnetic resonance image (MRI) revealed a spinal cord tumor at the level of T4, which was hyperintense on T1-weighted imaging and hypointense on T2-weighted imaging. The intradural and extramedullary tumor was completely resected and diagnosed as melanoma. There were no metastatic lesions. At three years after surgery, the patient is still alive, with no evidence of tumor recurrence. We present the details of this case along with a comprehensive review of spinal cord melanoma.
Key Words: Melanoma; Spinal neoplasm; Surgical treatment; Prognosis
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