Nasopharyngeal Carcinoma with Dural Metastasis Masquerading as Meningioma

Nasopharyngeal carcinoma (NPC) is one of the commonest head and neck malignancies in South East Asia. The tumor arises from epithelial layer nasopharynx, found most frequently at Fossa Rosenmuller (FOR). NPC can spread to its adjacent structures cause distant metastasis. However, occurrence dura metastasis uncommon despite being closely located. Consequently, a lesion may be misdiagnosed as meningioma, especially when it presents with dural tail sign Magnetic Resonance Image (MRI). We reported case 48-year-old lady progressive right eye diplopia blurry vision which later on MRI noted an extensive base skull mass petroclival, suprasellar orbital apex adural Meningioma was primary diagnosis until tissue biopsy nasopharynx posterior part inferior turbinate revealed nasopharyngeal carcinoma, non-keratinizing type.