DOI: 10.36347/sjmcr.2018.v06i04.019

Pages: 283-288

Melanocytoma is a rare primary pigmented neoplasm of the central never system, which commonly is associated with the leptomeninge. Typically, it is considered benign, malignant transformation of these lesions is even rarer. Spinal lesions often present as intradural extramedullary masses that are compressing adjacent neural structures to produce various neurological signs. Complete resection is the treatment of choice for spinal melanocytomas. Even with complete resection, recurrences are common and close followup is needed for long term outcomes. Radiation therapy should be reserved for those cases in which complete resection is not possible or there is recurrence.