鼻咽癌起病隐袭 ,早期不易发现 ,常引起颅神经损害 ,易误诊为神经系统疾病。现将 4例误诊患者报道如下。1　病例资料　　例 1 ,男 ,37岁。头痛半年 ,门诊拟诊为“血管性头痛”,服“西比灵”、“消炎痛”等 ,初尚有效 ,后期无效。夜间常痛醒 ,无恶心、呕吐。体检 :无阳性发现。 The onset of nasopharyngeal carcinoma is insidious and difficult to detect in the early stages. It often causes cranial nerve damage and is often misdiagnosed as a neurological disease. The 4 misdiagnosed patients are reported below. 1 Case information Example 1, male, 37 years old. For a half-year headache, the out-patient clinic was diagnosed with a “vascular headache”, taking Xipiling and “indomethacin”, and it was effective at the beginning and invalid at a later stage. Woke up at night, often without nausea and vomiting. Physical examination: No positive findings.