Unusual Surgical Resection of Asymptomatic Schwannoma of the Cervical Vagus Nerve With Risk of Stroke: Case Report

Schwannomas are the most common tumors of the peripheral nerves, originating from their support cells, the Schwann cells. The location of the tumor in the vagus nerve is rare. Vagus schwannomas usually present as a solitary, slow-growing, asymptomatic mass that rarely causes neurological alterations...

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Main Authors: Roberto Sérgio Martins, Adilson J. M. de Oliveira, Evander Lucas, Mario Gilberto Siqueira
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/cris/9443139
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author Roberto Sérgio Martins
Adilson J. M. de Oliveira
Evander Lucas
Mario Gilberto Siqueira
author_facet Roberto Sérgio Martins
Adilson J. M. de Oliveira
Evander Lucas
Mario Gilberto Siqueira
author_sort Roberto Sérgio Martins
collection DOAJ
description Schwannomas are the most common tumors of the peripheral nerves, originating from their support cells, the Schwann cells. The location of the tumor in the vagus nerve is rare. Vagus schwannomas usually present as a solitary, slow-growing, asymptomatic mass that rarely causes neurological alterations. The differential diagnosis of vagus nerve schwannomas includes other tumors of the parapharyngeal space or neoplasms of the jugular foramen. We report the case of a patient with an asymptomatic schwannoma of the vagus nerve involving important neck structures, with radiological compression of the carotid artery with a high risk of stroke; because of this, we underwent surgery using a transcervical approach with intracapsular excision of the tumor. The patient has a good outcome. In asymptomatic patients’ surgical indication is not an easy decision; in this case, the main reason for surgical indication was the risk of stroke with potential neurological sequels.
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spelling doaj-art-9349d1a3d963436f8f2b475b34e5cdb12025-01-31T00:00:02ZengWileyCase Reports in Surgery2090-69192025-01-01202510.1155/cris/9443139Unusual Surgical Resection of Asymptomatic Schwannoma of the Cervical Vagus Nerve With Risk of Stroke: Case ReportRoberto Sérgio Martins0Adilson J. M. de Oliveira1Evander Lucas2Mario Gilberto Siqueira3Peripheral Nerve Surgery UnitPeripheral Nerve Surgery UnitCentro de Estudos Avançados em Formação e Educação Médica—CEDUMEDPeripheral Nerve Surgery UnitSchwannomas are the most common tumors of the peripheral nerves, originating from their support cells, the Schwann cells. The location of the tumor in the vagus nerve is rare. Vagus schwannomas usually present as a solitary, slow-growing, asymptomatic mass that rarely causes neurological alterations. The differential diagnosis of vagus nerve schwannomas includes other tumors of the parapharyngeal space or neoplasms of the jugular foramen. We report the case of a patient with an asymptomatic schwannoma of the vagus nerve involving important neck structures, with radiological compression of the carotid artery with a high risk of stroke; because of this, we underwent surgery using a transcervical approach with intracapsular excision of the tumor. The patient has a good outcome. In asymptomatic patients’ surgical indication is not an easy decision; in this case, the main reason for surgical indication was the risk of stroke with potential neurological sequels.http://dx.doi.org/10.1155/cris/9443139
spellingShingle Roberto Sérgio Martins
Adilson J. M. de Oliveira
Evander Lucas
Mario Gilberto Siqueira
Unusual Surgical Resection of Asymptomatic Schwannoma of the Cervical Vagus Nerve With Risk of Stroke: Case Report
Case Reports in Surgery
title Unusual Surgical Resection of Asymptomatic Schwannoma of the Cervical Vagus Nerve With Risk of Stroke: Case Report
title_full Unusual Surgical Resection of Asymptomatic Schwannoma of the Cervical Vagus Nerve With Risk of Stroke: Case Report
title_fullStr Unusual Surgical Resection of Asymptomatic Schwannoma of the Cervical Vagus Nerve With Risk of Stroke: Case Report
title_full_unstemmed Unusual Surgical Resection of Asymptomatic Schwannoma of the Cervical Vagus Nerve With Risk of Stroke: Case Report
title_short Unusual Surgical Resection of Asymptomatic Schwannoma of the Cervical Vagus Nerve With Risk of Stroke: Case Report
title_sort unusual surgical resection of asymptomatic schwannoma of the cervical vagus nerve with risk of stroke case report
url http://dx.doi.org/10.1155/cris/9443139
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