Cervical Schwannoma: Diagnosis and Treatment in a Second-Level Hospital in Mexico

Cervical schwannoma is a rare, benign neurogenic tumor originating from Schwann cells, commonly located in the parapharyngeal space and associated with the vagus nerve. Its diagnosis often requires clinical examination, imaging, and histopathological confirmation. We report the case of a 22-year-old female presenting with a progressively enlarging, painless cervical mass. Imaging revealed a parapharyngeal lesion suggestive of a benign tumor. Surgical excision via cervicotomy was performed. Postoperatively, the patient developed transient dysphonia and intermittent dysphagia, managed with multidisciplinary support including speech therapy. Histopathology confirmed the diagnosis of schwannoma. Complete surgical resection is the treatment of choice for cervical schwannomas. However, their anatomical location poses a risk for nerve injury and postoperative complications. Early recognition, meticulous surgical technique, and comprehensive postoperative care are essential to minimize morbidity and ensure favorable outcomes.This case highlights the importance of including schwannoma in the differential diagnosis of cervical masses and underscores the value of coordinated surgical and rehabilitative management in achieving good functional recovery and prognosis.