This case report illustrates a patient with a unilateral localized epi
dural schwannoma at C1-2 level, showing contralateral spinal cord symp
toms and signs. The clinical presentation was compared with the neuror
adiological examinations showing an epidural cord turner at the right
C1 - C2 level. However, the neurological examination revealed contrala
teral hemiparesis and ipsilateral hemihypoalgesia, indicating a contra
lateral Brown-Sequard syndrome. We presumed with this slow growing tum
or, contralateral cord involvement may result from counter pressure on
the spinal cord, which may be generated by cord deviation and by freq
uent neck rotation.