Cervical Plexus Schwannoma: A Rare Case Report

Background : Schwannomas are benign tumors originating from Schwann cells and commonly occur in the head and neck region. However, schwannomas arising from the upper cervical nerve roots are exceedingly rare [1,2]. Case Presentation : We report a 65-year-old man presenting with a slowly progressive right lateral cervical mass associated with moderate shoulder-radiating pain. Contrast-enhanced computed tomography revealed a well-circumscribed dumbbell-shaped mass in the right posterior cervical space with foraminal extension at the C2–C3 level. Complete surgical excision via a posterior approach was performed with preservation of the C2 nerve root. Histopathological and immunohistochemical analyses confirmed the diagnosis of schwannoma. Postoperative recovery was uneventful, and no recurrence was observed after 16 months of follow-up. Conclusion : Upper cervical nerve root schwannomas are rare entities. Accurate preoperative imaging and meticulous surgical resection allow complete tumor removal with excellent functional outcomes [3,4].