Nasopharyngeal cancer is a common malignant tumor of head and neck. Nasopharyngeal cancer seldom occurs brain metastasis, but in the advanced stage of nasopharyngeal cancer, the lesions can reach the cranium and brain through hematogenous metastasis. At the early stage of brain metastasis, nasopharyngeal cancer mainly manifests neurological symptoms, among which headache is the most common symptom, which is mostly due to elevated intracranial pressure, nausea, vomiting, optic nerve papillae edema. Some patients may have emotional and mental abnormalities in the early stage, and some may have poor localization function, limb movement disorder, hemiplegia, aphasia, visual field defects, etc.