{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T10:34:20Z","timestamp":1773398060293,"version":"3.50.1"},"reference-count":18,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Meningeal melanocytomas are rare primary melanocytic tumors of the leptomeninges estimated to occur in 1 out of 10 million patients. They typically arise intracranially or within the intradural extramedullary spinal canal, while extradural presentations are uncommon. Here, we present a 36-year-old male whose intermediate-grade lesion (i.e., containing features of both benign melanocytoma and malignant melanoma) caused extradural C6\u2013T2 cord compression relieved with laminectomy\/fusion.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n A 36-year-old male presented with progressive right-hand paresthesias, weakness, intrinsic muscle atrophy, and forearm pain consistent with cervical radiculomyelopathy. The magnetic resonance imaging revealed a large right-sided extradural mass extending from C6 to T2 with marked cord compression. He underwent a C6\u2013T2 laminectomy with instrumented fusion; gross total resection of the pigmented mass was achieved. The histopathology confirmed an intermediate grade meningeal melanocytoma. Postoperatively, serial surveillance imaging demonstrated no recurrence, and the patient regained full right-hand strength without adjuvant therapy.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This case highlights the successful diagnosis and surgical management (i.e., with gross total removal) of an extradural intermediate-grade meningeal melanocytoma causing cervical radiculomyelopathy.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_38_2026","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T09:02:42Z","timestamp":1773392562000},"page":"140","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Severe cord compression due to unique extradural meningeal melanocytoma of intermediate grade"],"prefix":"10.25259","volume":"17","author":[{"given":"Jack T.","family":"Olson","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Creighton University School of Medicine, Omaha, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik A.","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Department of Radiology, Creighton University School of Medicine, Omaha, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darren M.","family":"Groh","sequence":"additional","affiliation":[{"name":"Department of Pathology, Creighton University School of Medicine, Omaha, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clay E.","family":"Jarrell","sequence":"additional","affiliation":[{"name":"Department of Pathology, Creighton University School of Medicine, Omaha, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar S.","family":"Akbik","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Creighton University School of Medicine, Omaha, United 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