<prompt> Which of the following is not seen in Nasopharyngeal Carcinoma?HeadacheDiplopiaLymph Node involvementSneezing episodes  <response>: Commonest presentation of Nasopharyngeal carcinomaNPC is Neck nodes involvement 50 casesOther symptoms:Nasal - Nasal obstruction, EpistaxisEar- Unilateral deafness, Tinnitus, Aural fullnessNeurological- Headache, Cranial nerve palsy Commonest - 5th and 6th nerveOphthalmic- Diplopia 6th CN involvement, EpiphoraTrotters triad- Triad of Trigeminal neuralgia, Ipsilateral palatal immobility 9th nerve and ipsilateral Conductive hearing loss Serous otitis media seen in NPC.Ref: Hazarika; 3rd ed; Pg: 525 