We present a rare case of the primary intracranial melanoma in the right parafalcine
frontal region in a 65-year-old male. Computed tomography and magnetic resonance imaging
showed a Space occupying lesion in the right parafalcine frontal region with necrosis,
vasogenic edema and mass effect. A rather well-defined, dark brown-black tumor was
totally removed and histologically diagnosed as malignant melanoma. The patient improved
after surgery. In our case, no systemic melanomas were found in close clinical examinations,
there was a single nodular tumor attached to the leptomeninges and a favorable outcome
was obtained by surgical treatment alone. Primary central nervous system melanomas
have rarely been reported, and this case is reported for its rarity.
Key-words:
Frontal - magnetic resonance imaging - melanoma - primary brain tumor
