Vagal nerve schwannoma is extremely rare. The majority of
cases present with a slow growing neck swelling without
neurological deficit. Magnetic resonance imaging is the gold standard investigation to establish a pre-operative diagnosis.
We report a case of a 32-year-old man with an extensive
right vagal nerve schwannoma involving the right jugular
foramen and parapharyngeal space. The tumour was
resected via a transcervical approach. Complete excision of
the tumour is the key to prevent recurrence.