Headache as the Sole Symptom of Nasopharyngeal Carcinoma and Its Clinical Implications

Table 2

Features of the headaches.

Patient	Duration prior to NPC diagnosis (months)	Pain distribution	Pain quality	Associated or late-onset symptoms
1	3	Left temporal, radiating to parietal area	Pressure-like	Aural fullness/tinnitus
2	18	Bilateral temporal, occasionally left frontal	Dull	—
3	6	Diffuse	Nonspecific	Otalgia
4	5	Left parietal	Dull	Tinnitus/tearing
5	12	Bilateral temporal	Dull	Rhinorrhea
6	5	Right parietal, radiating to vertex	Pulsating	Phonophobia/sweating/diplopia
7	2	Frontal	Explosive	Nasal obstruction/diplopia
8	12	Diffuse, involving nuchal region	Pulsating	—
9	2	Diffuse	Pressing	Facial numbness/ptosis
10	18	Bilateral temporal	Tightening	Facial numbness
11	24	Right parietal	Pressing	Blurred vision
12	1	Left temporal, radiating to parietal area	Pulsating	Aural fullness/otalgia/tinnitus
13	2	Left temporal, radiating to parietal area	Debilitating	Facial numbness/diplopia
14	2	Diffuse	Explosive	Diplopia