Intramedullary melanotic schwannoma: a rare presentation of a rare tumor. Illustrative case.

Background: Intramedullary melanotic schwannomas (IMSs) are rare spinal cord tumors, and a hemorrhagic IMS is an even rarer presentation of this uncommon lesion. The authors describe the second known case of a hemorrhagic IMS and briefly review the characteristics of IMSs.

Observations: The patient's initial presentation and imaging indicated an intramedullary thoracic spinal cord tumor impairing lower extremity function.