Substitute El Shaarawy found the bottom corner from Tammy Abraham's flick to secure a share of the spoils at the Stadio Diego Armando Maradona, cancelling out Lorenzo Pellegrini's early penalty.
The Giallorossi had chances to win the game - and even to equalise much earlier - but they ultimately only silenced the Naples crowd late on, in a game that saw the hosts become increasingly nervy.
The result means Jose Mourinho's side remain fifth in the standings ahead of the weekend trip to face Inter Milan.
NAPOLI 1-1 ROMA
GOALSCORERS: Insigne (11' p.); El Shaarawy (90')
NAPOLI (4-2-3-1): Meret; Zanoli, Rrahmani, Koulibaly, Mario Rui; Anguissa, Lobotka (Zielinski); Lozano (Elmas), Ruiz (Demme), Insigne (Jesus); Osimhen (Mertens)
ROMA (3-4-1-2): Rui Patricio; Mancini (Perez), Smalling, Ibanez; Karsdorp, Cristante (Mkhitaryan), Sergio Oliveira (Veretout), Zalewski (El Shaarawy); Pellegrini; Zaniolo (Afena-Gyan), Abraham
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