Case ReportsAn Atypical Neurocysticercosis Case Requiring Surgical InterventionBrunton, Nichole E. DO∗; Scinico, Maria MD∗; Stratidis, John MD†Author Information From the ∗Department of Internal Medicine †Department of Infectious Disease, Danbury Hospital, Danbury, CT. Correspondence to: Nichole E. Brunton, DO, 24 Hospital Ave, Danbury, CT 06810. E-mail: [email protected]. The authors have no funding or conflicts of interest to disclose. β Infectious Diseases in Clinical Practice: July 2021 - Volume 29 - Issue 4 - p e246-e249 doi: 10.1097/IPC.0000000000000957 Buy Metrics Abstract Cysticercosis, caused by tissue invasion of Taenia solium, is estimated to impact nearly 50 million people worldwide, particularly in areas with substandard sanitation and food handling measures. Neurologic dissemination of the larvae represents one of the most undertreated diseases worldwide despite being the leading cause of acquired epilepsy, prompting its addition to the list of major Neglected Tropical Diseases in 2010. Presenting symptoms are pleomorphic, ranging from asymptomatic to headaches and seizure activity. Therefore, high index for clinical suspicion is of utmost importance when obtaining history, particularly in those from endemic regions. Here, we report a case of neurocysticercosis presenting as peripheral vision loss because of involvement of the optic chiasm. Because of the potential inflammation and edema of the lesion after initiation of antiparasitic therapy with risk for further vision loss, a neurosurgical approach was taken with left frontotemporal craniotomy with resection. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.