Primary leptomeningeal melanocytosis: A case report with an autopsy diagnosis

Introduction. Primary melanocytosis of the leptomeninges is a rare tumor, most likely originating from the melanocytes in the leptomeninges. The average survival is only about 5 months. Case report. A 61- years-old woman presented with headache, amaurosis and hallucinations lasted for two months,...

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Main Authors: Živković Nikola, Mihailović Dragan, Mijović Žaklina, Jovičić-Milentijević Maja
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2012-01-01
Series:Vojnosanitetski Pregled
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Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501207631Z.pdf
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author Živković Nikola
Mihailović Dragan
Mijović Žaklina
Jovičić-Milentijević Maja
author_facet Živković Nikola
Mihailović Dragan
Mijović Žaklina
Jovičić-Milentijević Maja
author_sort Živković Nikola
collection DOAJ
description Introduction. Primary melanocytosis of the leptomeninges is a rare tumor, most likely originating from the melanocytes in the leptomeninges. The average survival is only about 5 months. Case report. A 61- years-old woman presented with headache, amaurosis and hallucinations lasted for two months, and she had been treated at the Clinic for Psychiatry and Clinic for Infectious Diseases. The cerebrospinal fluid analysis showed a lower level of glucose and a higher level of proteins. Small shaded areas of basal leptomeninges and hydrocephalus were found by computed tomography and magnetic resonance imaging. The autopsy showed a dark brown mass on basal leptomeninges with blurred boundaries. No pigmented skin lesions were found. Histopathological analysis revealed a primary leptomeningeal melanocytosis. Conclusion. Primary leptomeningeal melanocytosis is a rare tumor, difficult to diagnose. This case is being presented for its specificity, since this diagnosis is not frequently seen in practice.
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publishDate 2012-01-01
publisher Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
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series Vojnosanitetski Pregled
spelling doaj-art-c62fbd1ca8e341f7933c167e540974862025-08-20T03:22:43ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502012-01-0169763163410.2298/VSP1207631ZPrimary leptomeningeal melanocytosis: A case report with an autopsy diagnosisŽivković NikolaMihailović DraganMijović ŽaklinaJovičić-Milentijević MajaIntroduction. Primary melanocytosis of the leptomeninges is a rare tumor, most likely originating from the melanocytes in the leptomeninges. The average survival is only about 5 months. Case report. A 61- years-old woman presented with headache, amaurosis and hallucinations lasted for two months, and she had been treated at the Clinic for Psychiatry and Clinic for Infectious Diseases. The cerebrospinal fluid analysis showed a lower level of glucose and a higher level of proteins. Small shaded areas of basal leptomeninges and hydrocephalus were found by computed tomography and magnetic resonance imaging. The autopsy showed a dark brown mass on basal leptomeninges with blurred boundaries. No pigmented skin lesions were found. Histopathological analysis revealed a primary leptomeningeal melanocytosis. Conclusion. Primary leptomeningeal melanocytosis is a rare tumor, difficult to diagnose. This case is being presented for its specificity, since this diagnosis is not frequently seen in practice.http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501207631Z.pdfmeningeal neoplasmsdiagnosistomography, x-raycomputedmagnetic resonance imagingautopsy6enzyme-linked immunosorbent assay
spellingShingle Živković Nikola
Mihailović Dragan
Mijović Žaklina
Jovičić-Milentijević Maja
Primary leptomeningeal melanocytosis: A case report with an autopsy diagnosis
Vojnosanitetski Pregled
meningeal neoplasms
diagnosis
tomography, x-raycomputed
magnetic resonance imaging
autopsy
6enzyme-linked immunosorbent assay
title Primary leptomeningeal melanocytosis: A case report with an autopsy diagnosis
title_full Primary leptomeningeal melanocytosis: A case report with an autopsy diagnosis
title_fullStr Primary leptomeningeal melanocytosis: A case report with an autopsy diagnosis
title_full_unstemmed Primary leptomeningeal melanocytosis: A case report with an autopsy diagnosis
title_short Primary leptomeningeal melanocytosis: A case report with an autopsy diagnosis
title_sort primary leptomeningeal melanocytosis a case report with an autopsy diagnosis
topic meningeal neoplasms
diagnosis
tomography, x-raycomputed
magnetic resonance imaging
autopsy
6enzyme-linked immunosorbent assay
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501207631Z.pdf
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AT mijoviczaklina primaryleptomeningealmelanocytosisacasereportwithanautopsydiagnosis
AT jovicicmilentijevicmaja primaryleptomeningealmelanocytosisacasereportwithanautopsydiagnosis