1　病例报告患者男,44岁。以鼻咽部脊索瘤反复发作14年,伴声嘶、复视、呛咳、头痛为主诉于1999年5月5日入院。患者1985年3月因发热、头痛经检查首次发现鼻咽后壁灰白色光滑肿物1×1cm,刮除后头痛症状缓解,当时诊断为“囊肿”,未行病理检查。5年后头痛复发,伴有鼻塞、咽部异物感 A case report Male patient, 44 years old. To nasopharyngeal chordoma recurring 14 years, with hoarseness, diplopia, cough, headache chief complaint was admitted on May 5, 1999. Patients in March 1985 due to fever, headache after the test for the first time found in the pharyngeal wall of the nasopharynx gray smooth tumor 1 × 1cm, curettage headache relief, then diagnosed as “cyst”, not pathological examination. Headache recurrence after 5 years, accompanied by nasal congestion, pharyngeal foreign body sensation