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Research Article Open access CC BY 4.0

Primary Malignant Melanoma of Brainstem Medulla Mimicking as Cavernoma – Case Report

Adnan Naeem, Fatima Mubarak

International Neuropsychiatric Disease Journal · pp. 1–5 · Published 18 Feb 2019

10.9734/indj/2018/v12i230092

Abstract

Aim of this case report is to present a rare case of primary malignant melanoma of brain stem at the region of medulla oblongata mimicking as cavernoma. 40-year-old male presented with vertigo, headache, dizziness for 1 month. MRI showed pear shaped T1 hyperintense lesion at medulla oblongata and predominantly hypointense on T2 with focal area of hemorrhage. Lesion showed diffuse enhancement on postcontrast images. On plain CT lesion was Hyperdense. It was initially reported as Cavernoma. Surgical excision of lesion was done with per-op findings of solid, dark maroon colored lesion with hemorrhage. Histopathology showed neoplastic lesion with abundant melanin pigment deposition. The lesion was finally diagnosed as Malignant neoplasm with features favoring Malignant Melanoma.

Malignant melanoma Cavernoma neoplastic lesion melanin.

References (5)

  1. 1 Primary Melanocytic Neoplasms of the Central Nervous System [DOI]
  2. 2 Primitive cerebral melanoma: case report and review of the literature [DOI]
  3. 3 MR findings of a primary intramedullary malignant melanoma: case report and literature review.
  4. 4 A T1 Hyperintense Perilesional Signal Aids in the Differentiation of a Cavernous Angioma from Other Hemorrhagic Masses [DOI]
  5. 5 Primary solitary intracranial melanoma: Case report and review of the literature [DOI]

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