Surgical neurology international · 2026
Severe cord compression due to unique extradural meningeal melanocytoma of intermediate grade.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Olson Jack T, Pedersen Erik A, Groh Darren M, Jarrell Clay E, Akbik Omar S
Аннотация
BACKGROUND: Meningeal melanocytomas are rare primary melanocytic tumors of the leptomeninges estimated to occur in 1 out of 10 million patients. They typically arise intracranially or within the intradural extramedullary spinal canal, while extradural presentations are uncommon. Here, we present a 36-year-old male whose intermediate-grade lesion (i.e., containing features of both benign melanocytoma and malignant melanoma) caused extradural C6-T2 cord compression relieved with laminectomy/fusion.
CASE DESCRIPTION: A 36-year-old male presented with progressive right-hand paresthesias, weakness, intrinsic muscle atrophy, and forearm pain consistent with cervical radiculomyelopathy. The magnetic resonance imaging revealed a large right-sided extradural mass extending from C6 to T2 with marked cord compression. He underwent a C6-T2 laminectomy with instrumented fusion; gross total resection of the pigmented mass was achieved. The histopathology confirmed an intermediate grade meningeal melanocytoma. Postoperatively, serial surveillance imaging demonstrated no recurrence, and the patient regained full right-hand strength without adjuvant therapy.
CONCLUSION: This case highlights the successful diagnosis and surgical management (i.e., with gross total removal) of an extradural intermediate-grade meningeal melanocytoma causing cervical radiculomyelopathy.
CASE DESCRIPTION: A 36-year-old male presented with progressive right-hand paresthesias, weakness, intrinsic muscle atrophy, and forearm pain consistent with cervical radiculomyelopathy. The magnetic resonance imaging revealed a large right-sided extradural mass extending from C6 to T2 with marked cord compression. He underwent a C6-T2 laminectomy with instrumented fusion; gross total resection of the pigmented mass was achieved. The histopathology confirmed an intermediate grade meningeal melanocytoma. Postoperatively, serial surveillance imaging demonstrated no recurrence, and the patient regained full right-hand strength without adjuvant therapy.
CONCLUSION: This case highlights the successful diagnosis and surgical management (i.e., with gross total removal) of an extradural intermediate-grade meningeal melanocytoma causing cervical radiculomyelopathy.