Objective To explore the clinical,radiological characteristics and treatment methods for primary intracranial malignant melanoma,with the aim of enhancing understanding of this tumor.Methods The clinical data of a child with primary intracranial malignant melanoma confirmed by pathology in the Department of Neurosurgery,China Medical University Affiliated Shengjing Hospital were analyzed retrospectively.Results Complete resection of the lesion was achieved in this child,and postoperative pathology confirmed it to be a small round cell malignant melanoma.Combining physical examination and diagnostic imaging,a postoperative diagnosis of primary intracranial malignant melanoma was established.Conclusions Primary intracranial malignant melanoma is an exceptionally rare malignancy with diverse clinical presentations.Radiological examinations have diagnostic value.Current recommendations include complete surgical resection followed by adjuvant radiotherapy and chemotherapy.The tumor has a high extent of malignancy and poor prognosis.