Safe Resection of Upper Cervical Schwannoma Through a Minimally Invasive Tubular Approach with Neuromonitoring: Case Report and Operative Video 2D.

High cervical schwannomas are rare benign tumors that present significant surgical challenges due to their proximity to critical neural structures. To report a case of a C1-C2 schwannoma successfully treated with a minimally invasive tubular approach, emphasizing the benefits of the technique and the role of intraoperative neuromonitoring. A 47-year-old male underwent complete tumor resection using a minimally invasive tubular approach. The procedure was performed under intraoperative neurophysiological monitoring, allowing for safe and precise dissection. The technique minimized blood loss, muscle trauma, and neurological risks. The surgery was documented with a 2D operative video illustrating each step in detail. Postoperative follow-up showed complete resolution of symptoms with no complications. This case highlights the feasibility, safety, and effectiveness of minimally invasive spine surgery for lesions in the upper cervical spine, even in anatomically complex regions.