• Weina Hou, Jianmin Yu, Sumei Gao, and Yujing Chu.
• Department of Radiology, Weifang People's Hospital, Weifang, Shandong, China.
• Medicine (Baltimore). 2023 Apr 7; 102 (14): e33435e33435.

RationaleMeningeal melanocytoma is a rare benign pigmented tumor originat from leptomeningeal melanocytes. Here, we report the case of a female who presented with numbness and weakness of the limbs for approximately 6 months.Patient ConcernsWe report the case of a 60-year-old Chinese female who presented with numbness and weakness of the limbs for approximately 6 months. computed tomography (CT) and magnetic resonance imaging (MRI) revealed a dumbbell-shaped tumor inside and outside the cervical (C) spinal canal.DiagnosesThe patient was using CT and MRI. Subsequently, the patient underwent surgery, and low-grade melanocytoma was diagnosed pathologically.InterventionsSubsequently, the patient underwent a surgery, and the tumor was completely removed.OutcomesThe tumor did not recur after 6 months.ConclusionThis case suggested 2 "take-away" lessons: first, spinal meningeal melanocytomas may be dumbbell-shaped; and second, melanocytoma could appear as hyperintense, isointense, or hypointense on T2-weighted MRI.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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