VAGAL SCHWANNOMA-A CASE REPORT

Vagal schwannoma are extremely rare neoplasm. Occur between 3rd and 6th decades of life. Both sex equally affected. Most often presents as painless, slow growing, lateral neck mass. Hoarseness, pain, or cough may be the presenting complaints. Paroxysmal cough may be produced on palpating the mass-clinical sign unique of vagal nerve schwannoma. It displace the carotid arteries anteriorly and medially, jugular vein laterally and posteriorly. These swellings are mobile transversely but not vertically. Imaging plays a central role in diagnosing vagal nerve neoplasm and in particular Magnetic Resonance imaging (MRI) has become the routine imaging study for these tumours. Treatment is complete excision with preservation of neural pathway. We are describing here such a rare case of cervical Vagal schwannoma in a 21 years old female, presented with a swelling in the right side of neck of 3 years duration, she had classical paroxysmal cough on palpation. MRI neck showed features of right Vagal schwannoma. FNAC reported as benign spindle cell neoplasm. Per-operatively, 5x7 cm tumor situated antero-laterally to right carotid sheath arising from vagus nerve,great vessels displaced medially. Enucleation of the tumor was done. post-operative period was uneventful with normal voice. Histo-pathology was suggestive of Schwannoma.