Seizures Beyond the Heart: Unveiling Neurocysticercosis After Cardiac Surgery

Postoperative seizures are uncommon but clinically significant complications after cardiac surgery, usually attributed to hypoxia, metabolic disturbances, embolic events, or stroke. In endemic regions, such as India, however, neurocysticercosis (NCC) remains a leading cause of seizures and may present incidentally in the perioperative period. We report the case of a 39-year-old woman who underwent elective mitral valve repair and developed new-onset generalized seizures in the immediate postoperative phase. Urgent neuroimaging revealed a calcified parietal lesion consistent with old NCC. Seizure control was achieved with antiepileptic therapy, and the patient recovered uneventfully. This case emphasizes the need to consider NCC in the differential diagnosis of postoperative seizures, particularly in endemic populations, and highlights the importance of timely imaging and supportive management in optimizing outcomes.