Cysticercosis is a parasitic tissue infection caused by larval cysts of the tapeworm Taenia solium. These larval cysts infect brain, muscle, or other tissue, and are a major cause of adult onset seizures in most low-income countries. The article ‘cerebral cysticercosis’ published in September 2018 issue of your journal nicely described multiple small ring enhancing lesions in the brain and subsequently diagnosis of neurocysticercosis was made on brain biopsy;1 however, we suggest that biopsy with neuroendoscopy could have been avoided. There were multiple small (<2 cm) ring enhancing lesions (some of them located subpially) in a patient from cysticercosis endemic region with a background of positive cysticercosis serum antibody test, hence the diagnosis of NCC was definitive. Brain biopsy is an invasive and high-risk procedure and could have easily been avoided. ... The reported prevalence of cysticercal immunoglobulin antibodies among school children...