Schwannoma of the Cervical Vagus Nerve in a Child: A Case Report

Abstract

Schwannoma are relatively rare tumor and even rarer in children. Nerve sheath tumors arising from the cervical nerve are extremely rare. We report a 13-year old boy presented with a history of an asymptomatic right cervical swelling since one year. An ultrasound and FNAC revealed schwannoma. He was meticulously evaluated with MRI. Surgical excision of the lesion was carried out and histopathological examination confirmed the diagnosis. Patient recovered completely without any morbidity. We are presenting this case since it is a rare case and patient recovered without morbidity. It is possible to do the complete surgical excision of schwannoma with complete cure and without complication.

Multimodal Imaging Characteristics and Diagnostic Approach to Ancient Schwannoma in a Pediatric Patient

“…Neurogenic tumors make up only 2% of benign, pediatric neoplasms but they are commonly associated with underlying conditions such as neurofibromatosis types one and two (NF-1, NF-2) [ 3 , 6 ]. Schwannomas in particular are characteristic of NF-2, and while bilateral vestibular schwannomas are the hallmark of the disease, schwannomas of other peripheral nerves may arise and warrant further testing.…”

“…These rare lesions can arise from peripheral nerves surrounded by Schwann cells in any area of the body. They are most often found in the head, neck, and extremities [1][2][3]. The vast majority of schwannomas occur in adults, with fewer than 10% diagnosed in patients younger than 21 years [1][2][3].…”

“…They are most often found in the head, neck, and extremities [1][2][3]. The vast majority of schwannomas occur in adults, with fewer than 10% diagnosed in patients younger than 21 years [1][2][3]. It is relatively common for schwannomas to involve cranial nerves, but schwannomas of the vagus nerve are rare, especially in children, with only 15 cases of pediatric vagal schwannoma reported in literature [1,2].…”

Esophageal schwannomas: A rarity beneath benign esophageal tumors a case report

“…Their origin site is usually the mediastinum [6]. Typically they are slow growing, homogeneous and mostly benign tumors, which rarely occur in the gastrointestinal (GI) tract, representing about 2–6% of all mesenchymal tumors [7]. The most common site of all GI cases is the stomach, followed by the colon and rectum.…”

Primary Brain Tumors in Childhood

“…Some of these tumors are present as a part of the NF2 type genetic syndrome, especially at bilateral occurrence. From cranial nerves, this tumor mostly affects VIII cranial nerve and is called vestibular schwannoma or acoustic neurinoma [86]. Vestibular schwannomas can cause loss of hearing and tinnitus.…”