Teniasis and cysticercosis represent a considerable public health issue and have been estimated to affect more than 50 million people worldwide per year. Neurocysticercosis is the most common parasitic infection of the central nervous system and acquired epilepsy is a frequent manifestation of the disease in developing countries. The growth of cysticercus more than 50 mm in diameter is called giant cysts, and they are considered an expansive lesion. Some of them can induce mass effect and development of hydrocephalus and intracranial hypertension. We report a case of neurocysticercosis, characterized by extensive and multiple giant cysts, which coped with balanced intracra- nial hypertension.