Abstract

Cervical Vagal Schwannoma is a rare, slow-growing nerve-sheath tumour often associated with neurofibromatosis types I and II, both autosomal dominant disorders. Though these tumours are typically benign, but present with unique challenges in parturients, especially concerning airway management and selection of appropriate anaesthetic techniques. In this case, a 25-year-old pregnant female, presented at 37.6 weeks for an emergency lower segment caesarean section with a history of a Cervical Schwannoma & no other comorbidities, Airway examination MPC grade III. Due to the absence of intradural extension of the tumour, limited neck movement and reduced mouth opening, subarachnoid block was chosen over general anaesthesia. The surgery was uneventful, with slight autonomic dysreflexia managed intraoperatively. The patient delivered a healthy baby, and the postoperative course was stable with no neurological deficits. This case highlights importance of thorough pre-operative neuroimaging and careful anaesthetic planning in managing pregnant patients with Schwannomas to minimize complications. KEY MESSAGES: Cervical Vagal Schwannoma is a rare, slow-growing nerve-sheath tumour often associated with neurofibromatosis types I and II, both autosomal dominant disorders. Though these tumours are typically benign, but present with unique challenges in parturients, especially concerning airway management and selection of appropriate anaesthetic techniques.

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