Aims: 1. =o present a case report of a case of Neurocysticercosis presented with severe episodes of headache and bilateral papilloedema as a relatively silent manifestation of Neurocysticercosis. 2. =o evaluate the bilateral papilloedema as to whether it is true papilloedema or a pseudo papilloedema as an ocular manifestation of ocular cysticercosis involving optic discs of both eyes or due to combination of both. &ntrodution: Neurocysticercosisis (N88), a parasitic infestation caused by the =apeworm,=aenia solium. It is the leading cause of epilepsy in developing countries including India, Africa, Latin America and 8hina. Alternately patients may present with generali>ed headache secondary to raised intra cranial pressure and meningitis. In addition, in many cases of N88, the number, si>e, location and intensity of cysts lead to varied symptomatic presentations. =hese clinical manifestations vary from completely asymptomatic infestation to severe disease and death. Casereort: In this paper we discuss a case of 17 year old female who presented with severe episodes of headache in March 2021. She was found to have disseminated N88 on MRI and 8= and bilateral papilloedema as an ocular manifestation of ocular cysticercosis involving optic discs of both eyes. We also discuss about the cause of papilloedema and how this patient was non surgically managed. 'isussion: =he present case is a rare case of disseminated N88 presenting only as severe episodes of headache with out any evidence of focal or generali>ed neurological signs or symptoms (ie)relatively a silent case. =here was evidence of bilateral papilloedema which can be due to infectious generali>ed subtle brain parenchymal edema or due to meningitis. =he presence of calcified foci on both optic discs give an appearance simulating pseudopapilloedema, as seen in 7rusen of the optic disc. Goth factors might have played a role in producing the bilateral papilloedema. MRI and 8= scan of brain and high resolution ultrasound of orbits confirmed disseminated N88 and ocular cysticercosis and symptoms improved after medical management with anti epileptics, cysticidal antihelmenthic drugs and steroids. Conlusions 1. =his case highlights how N88 may present as a case of severe episodes of headache without focal or generali>ed neurological signs as a relatively silent case. 2. Gilateral papilloedema seen needed to be evaluated whether it was true edema or pseudo papilloedema as an ocular manifestation of ocular cysticercosis involving both optic discs. A. =he nonsurgical medical management in the form of antihelmenthic cysticidal drugs though contraversial, along with steroids will try to delay or prevent the occurrence of focal or generali>ed neurological signs and symptoms.

Key words: Neuro cysticercosis; <pilepsy; Sei>ures and pseudopapilloedema.