鼻咽癌的临床表现相当复杂,常常由于头痛迫使病人就诊神经科,若对此病没有足够的认识,缺乏全面细致的检查,容易造成误诊误治。因此,掌握此病早期病变的规律,熟悉早期症状发生是神经科医生的责任。兹将以神经症状为主诉而就诊的患者25例报导如下。临床资料一、年龄、性别、发病就诊时间: 年龄:14～63岁,平均40.5岁,其中以2l ～50岁为最多,共20例,故中、壮年易患此病。性别:男20例,女5例,男:女=4:1。发病距就诊时间最短7天,最长2年,一般均为数月就诊。说明这病早期不重,常为病人所忽视。二、症状及体征: 主要是头面痛,颅神经损害,颈淋巴腺肿 The clinical manifestations of nasopharyngeal carcinoma are very complex, often because the headache compels the patient to attend the department of neurology. If there is not enough knowledge about this disease and lack of comprehensive and meticulous examination, it is easy to cause misdiagnosis and mistreatment. Therefore, it is the neurologist’s responsibility to master the laws of the early stages of the disease and to be familiar with the early symptoms. In this report, 25 patients who reported as chief complaints of neurological symptoms were reported below. Clinical data I. Age, sex, and onset visit time: Age: 14 to 63 years old, average 40.5 years old, of which 2l to 50 years old up to a total of 20 cases, so the middle and prime years are susceptible to the disease. Gender: 20 males, 5 females, male: female = 4:1. The shortest onset time is 7 days and the longest is 2 years. Usually it takes months to see a doctor. It shows that the disease is not heavy in the early stages and is often ignored by patients. Second, symptoms and signs: Mainly head pain, cranial nerve damage, neck lymph gland swelling