Carotid body tumor (CBT), the most common tumor of the carotid bifurcation, presents as a pulsatile mass. Cervical a sympathetic chain (CSC) schwannomas are slow growing lesions originating from myelin-producing Schwann cells. They may appear pulsatile due to the displacement of vascular mass. structures by the non-vascular mass and thus may mimic a CBT. A case of CSC schwannoma masquerading as CBT In a cells. 25-year-old woman is presented and discussed here.