Neurocysticercosis has become a very important cause of first time convulsions in pregnant patients. It should be considered in the differential diagnosis of seizure at the time of presentation. Patients may be initially controlled on anticonvulsive medications. If they are not controlled on antiepileptic drugs alone, praziquantel should be considered during pregnancy despite limited data because a clear decrease is seen in the number of neurocysticerci in the brain and improvement in seizure disorder has been demonstrated with anticysticidal treatment. If seizures are well controlled, antihelminthic treatment can be withheld until postpartum.