Brown tumors are benign osteolytic bone lesions, they are rare, caused by the disorder of the phosphocalcic metabolism that typically complicate primary hyperparathyroidism (PPHT) in 4.5% and secondary hyperparathyroidism (HPTS) in 1.5 to 1.7%. Brown tumors are located mainly in the ribs, the pelvis, femurs and mandibles. Spinal locations are very rare, they especially affect the thoracic region. Very few cases of cervical brown tumors have been reported in the literature. To date, there have been only 12 cases, the last in 2018 by M. Sánchez-Calderón et al. Reporting the case of a 65-year-old woman treated in our department for cervical C4-C5-C6 brown tumor responsible for spinal compression, revealing primary hyperparathyroidism. We note the interest of the suspicion of a brown tumor in front of any osteolytic vertebral lesion, especially in patients suffred from end stage renal disease, and hypercalcemia. Early diagnosis and setting up a multidisciplinary management prevent complications and functional aftereffect, despite the benign histological characterof her injuries.