Background & objectives:
Neurocysticercosis (NCC) is recognized as a significant contributor to the occurrence of seizures in many places worldwide, notably in India. The purpose of this study is to assess the cognitive function of individuals diagnosed with multiple neurocysticercosis (NCC).

Methods:
This study examined a sample of 50 patients diagnosed with multiple neurocysticercosis (NCC). Diagnosis was based on the clinical presentation of symptoms and imaging characteristics. The participants were seeking treatment at the Department of Neurology in a tertiary care hospital between January 2021 and January 2022.

Results:
Patients with more than 10 lesions displayed a higher prevalence of cognitive impairment (52%). Overall Mini-Mental State Examination (MMSE) score in patients with 5-10 lesions was 24.96 ± 2.19. The presence of elevated NPI scores was observed in conjunction with an increased incidence of brain lesions. Total Narcissistic Personality Inventory (NPI) score in patients with more than 10 lesions was 18.27 ± 9.12, compared to individuals with 5-10 lesions (11.11 ± 5.31).

Conclusions:
Cognitive Impairment and Dementia, being the first and only presenting symptom is an unusual presentation in Neurocysticercosis. The cognitive areas most commonly impacted by the condition were complex attention, executive processes, memory, and language and visuospatial skills.