Increased frequency of headache and change in visual aura due to occipital cysticercus granuloma.

Migraine is a common clinical disorder, quite disabling and affecting the quality of life in majority of patients. The visual aura is the commonest among all types of aura. Various types of migraine aura described in the literature are photopsia, fortification spectra, scotoma, visual distortion, haemianopia and metamorphsia. The epileptic visual aura differs from aura associated with migraine in certain features: short lasting for 2-3 minutes, occurring in clusters, multicoloured and circular in shape. The ictal manifestations of occipital lobe lesions can mimic episodes of migraine with visual aura according to some reports. In this case report, we intended to highlight aggravation and increased frequency of headache attacks and changed pattern of aura induced by occipital lobe cysticercus granuloma in a patient diagnosed of migraine with aura. The importance of neuroimaging of brain in state of unexpected increased frequency of headache episodes has been emphasised.