We report a case of primary melanoma of the thoracic spinal cord revea
led by progressive bilateral lower extremity weakness associated with
sensory loss and urinary dysfunction. The preoperative MRI: revealed a
n intramedullary tumour from T7 to T9. Treatment was by complete surgi
cal excision without radiotherapy. Histopathology and immuno-histochem
ical studies confirmed the diagnosis. The postoperative course was sat
isfactory with no sign of recurrence after 28 months of postsurgical f
ollow-up. Primary spinal melanomas are rare intramedullary rumours tha
t can be cured by appropriate surgical treatment.