Sir, Neurocysticercosis (NCC) is the most common parasitic infection of the central nervous system [1]. Clinical features of NCC mainly depend on the number of lesions, location, stage, activity of cysticerci and host immune response [2, 3]. NCC is underreported and there are very few studies from many parts of India as reported by Prasad, et al. [3]. With this background, a prospective observational study to find clinical and radiological profile of neurocysticercosis in children was done from June 2004 through July 2007 at the Institute of Child Health and Research centre, a tertiary care hospital at Madurai. Children aged 1–12 years presenting with neurological manifestations for the period of 1 year were evaluated. CT scan brain, plain and with contrast were taken. NCC was diagnosed primarily by specific neuroradiologic findings— cystic lesions showing scolex, ring (or) disc enhancing lesions, less than 20 mm size with thin, regular margins and multiple punctate parenchymal brain calcifications without midline shift. Diagnosis was based on the findings of four phases (i) Viable or active cyst (Vesicular), Transitional form [(ii)Colloidal and (iii)Granular-nodular] and (iv) inactive calcified nodule. Simple febrile seizures, seizures due to developmental delay and cystic lesions suggestive of tuberculoma, abscess or malignancy were excluded. Repeat CT scans were done after 3 and 6 months of therapy initiation (T.Albendazole for active and multiple lesions only after ruling out intra ocular cysticercosis) and then till lesions resolved completely. Cases were followed-up every month prospectively for next 2 years. Informed consent from parents and institutional ethical clearance were obtained. Out of 58 cases having neurological manifestations with inflammatory granulomas, 52 cases were (89.66%) consistent with diagnosis of NCC. Regarding dietary habits, vegetarian, pork eaters, and uncooked vegetable consumers were 51.9%, 19.2% and 28.8%, respectively. NCC accounted for 18.75% of patients with all seizure cases. Clinical features, CT scan findings and some rare interesting presentations in the present study are shown in Table 1. Seizures were present in 45 of 52 cases (86.5%) of NCC. Simple partial seizures were the commonest type (60%). Both hemispheres were more or less equally affected. Most patients (82.7%) had a single lesion in CT at the graywhite matter junction. Lesions were located maximum in parietal region (51.9%). Colloidal stage of NCC was the commonest (67.3%) form, perilesional edema was seen in 53.8% of cases and scolex was seen in 38.5% of cases. Repeat CT scan was taken for 45 children between 3 and 6 months. Lesion disappeared in 38 cases (84.4%), calcification noted in 4 cases (8.9%) and lesion unaltered in three cases (calcified nodule) (6.7%). Though partial seizures with secondary generalization and complex partial seizures are mentioned as common presentations of NCC in children [1, 2, 4], simple partial seizures were the commonest presentation in the present study which is similar to other studies [5, 6]. Headache and raised intracranial tension were less common in the J. Balaji :M. D. Institute of Child Health and Research Centre, Department of Pediatrics, Government Rajaji Hospital and Madurai Medical College, Madurai, Tamil Nadu, India