This poster presentation is to show the rare case of Fallopian tube carcinoma presenting as cerebral metastasis. She was a 57 year old post menopausal woman who had right sided headache and nuchal pain since 3 months in Jan 2008.. She presented to the neurologist who had disgnosed it as an Isolated 12th nerve palsy. In May 2008, she developed difficulty in talking. MR1 done revealed ?metastatic deposits at the skull base or ?TB. Biopsy was taken which was inconclusive. She had similar complaint in June, blind biopsy was taken from nasopharynx which was inconclusive. She was further evaluated. Ultrasound abdomen revealed a right tubo ovarian mass. She was taken up for diagnostic laparascopy.