Cerebellopontine angle metastatic melanoma mimicking schwannoma in a sexagenarian: Case report

Hui-Min Xie, Li Li, Seidu A. Richard, Zhigang Lan, Yuekang Zhang


Introduction: Metastasis of melanomas to the cerebellopontine angle (CPA) are very rare. Dissemination via blood, cerebrospinal fluid and/or leptomeninges may be the principal pathway for metastatic spread of malignant melanomas to the CPA. Case presentation: A 68-years old man presented with two years history of hearing lost in the right ear with associated dizziness and headaches. A skin lesion was seen on the patient’s right forearm. MRI revealed a nodular abnormal signal intensity at the right CPA which was resected and pathology revealed metastatic melanoma. Conclusion: Aggressive treatment regime comprising of a combination of surgery, chemotherapy and radiotherapy is very efficacious in prolonging the survival of patients with metastatic melanomas to the brain especially the metastasis to the CPA.


CPA, Melanoma, Metastasis, Schwannoma, Surgery, Skin

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DOI: https://doi.org/10.7575/aiac.abcmed.v.10n.1p.33


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