Objective: To summarize the experience on clinical diagnosis and treatment for cervical neurilemmoma.Methods: The clinical data of 25 cases of cervical neurilemmoma were retrospectively analyzed,including clinical characteristics,imageological examination and operation. Results: MRI,CT could show the relationships between the tumor and it'ssurrounding tissues.CTA was an effective method for the diagnosis of neurilemmoma in carotid sheath. MRI could clearly show the connection between the tumor and the relevant nerves and it was very helpful in determining the source of tumor.All the patients underwent surgical resection,the postoperative diagnosis was benign neurilemmoma by pathological examinations. During 8 months to 15 years follow-up,there were no recurrences.The postoperative complications included hoarseness (1 case),Horner syndrome (3 cases) and upper limb dysfunction (1 case). Conclusion: CT、CTA、MRI are useful for the diagnosis of cervical neurilemmoma and they can offer valuable information about the origination.Surgical resection is the most effective treatment available for neurilmmoma.For the patients who suffered from compromised neural integrity during the surgery,they are suggested to have the reinnervation simultaneously or the two-stage operation.