Primary intracranial meningeal melanocytoma

Primary intracranial meningeal melanocytoma (PIMM) is an uncommon, neoplasm of the central nervous system. It is a relatively benign entity and needs to be considered in the differential diagnosis of pigmented, melanin containing intracranial lesions. A case of a 25 year old right handed male, who presented with right side facial numbness, tingling and headaches, is presented. MRI findings suggested a diagnosis of primary meningeal melanocytoma, which was surgically and pathologically confirmed.