Migraine-like visual hallucinations as the presenting manifestations of focal seizures in neurocysticercosis.

We report three patients with visual hallucinations as the initial manifestations of neurocysticercosis (NCC) in whom migraine was the first diagnosis. The correct diagnosis was suspected when electroencephalograms were abnormal and was confirmed by characteristic brain imaging. The visual hallucinations ceased promptly after treatment with antiepileptic and anti-NCC medications. We caution that NCC may present with focal seizures manifesting as visual hallucinations with features of migraine.