Cervical Vagal Schwannoma in an Adult Female: A Case Report

Abstract

Schwannomas are well-encapsulated, mostly benign neurogenic tumours that can arise from cranial, peripheral, or autonomic nerves. Cervical vagal schwannomas, which originate from the cervical vagus nerve, are extremely rare neoplasms. Clinicians should consider schwannomas when a patient presents with a painless, slowly growing lateral cervical mass. These tumours typically occur between the third and fifth decades of life and both sexes are equally affected. Imaging techniques are useful in diagnosing these tumours and the preferred treatment is always surgical, involving the complete excision of the tumour. A 47-year-old female presented with complaints of painful swallowing, chronic paroxysmal cough, loss of appetite, voice changes and weight loss. A Contrast-Enhanced Computed Tomography (CECT) scan of the neck was performed, which suggested the possibility of a nerve sheath tumour and surgical excision of the tumour was subsequently carried out. Timely diagnosis and appropriate investigations are crucial for the early detection of this tumour. Delayed diagnosis can lead to progressive symptoms and surgical challenges, reinforcing the need for a high index of suspicion in cases of lateral neck masses.

Keywords

• lateral neck mass
• nerve sheath tumour
• painless
• surgical excision