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ARTICLE

Intracranial and Intraspinal Meningeal Melanocytosis

Timothy J. Paintera, Gregory Chaljub,a, Rajesh Sethia, Harbans Singha and Benjamin Gelmana

a From the Departments of Radiology (T.J.P., G.C., R.S., H.S.S.) and Pathology (B.G.), The University of Texas Medical Branch, Galveston.

Summary: We describe a 35-year-old man with a history of remote closed head injury who presented with new neurologic deficits. A noncontrast head CT scan showed hyperattenuation involving both temporal lobes, frontal lobes, basal meninges, and cerebellum. A subsequent contrast-enhanced MR examination of the brain showed enhancement in the basal cisterns extending into the upper cervical spine and throughout the spinal canal. Gross, histologic, and immunohistochemical analysis revealed meningeal melanocytoma.




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