case_images: PMC10481832_01
case_images: Axial T2-weighted fluid attenuated inversion recovery magnetic resonance imaging showing a left frontal intra-axial lesion with surrounding vasogenic edema.
case_images: SNI-14-289-g001.jpg
case_images: PMC10481832_01_SNI-14-289-g001.jpg
case_images: F1
case_images: On computerized tomography (CT) and magnetic resonance imaging of the brain [Figure 1] a 3 cm well circumscribed space-occupying lesion with associated vasogenic edema were seen in the left frontal lobe.
case_images: Intraoperative scalp dissection showing distinct discoloration of the parietal bone.
case_images: SNI-14-289-g002.jpg
case_images: PMC10481832_01_SNI-14-289-g002.jpg
case_images: F2
case_images: Scalp dissection down to the bone revealed black discoloration of the parietal bone as depicted in Figure 2.
case_images: Bone flap showing discoloration of the outer table, parts of the diploe (a) as well as the inner table (b).
case_images: SNI-14-289-g003.jpg
case_images: PMC10481832_01_SNI-14-289-g003.jpg
case_images: F3
case_images: The craniotomy bone flap was removed and on inspection showed hyperpigmentation of both the outer and inner tables and part of the diploe [Figure 3] without involvement of the underlying dura.
case_images: Postoperative axial contrasted computerized tomography of the brain showing gross total resection of metastatic malignant melanoma of the frontal lobe.
case_images: SNI-14-289-g004.jpg
case_images: PMC10481832_01_SNI-14-289-g004.jpg
case_images: F4
case_images: Immediate postoperative CT scans of the brain showed complete resection of the lesion [Figure 4] with histology confirming the diagnosis of metastatic malignant melanoma.