Neurocysticercosis (NCC) is the infectionof the central nervous system by cysts(larvae) of Taenia solium, a relevant pub-lic health issue in low-income countriesand nowadays found in most of theworld. NCC cysts most commonly locatein the gray-white matter border of thecerebral hemispheres, although they canbe found in ventricles, subarachnoidspaces, cerebellum or spine. The locationof the cysts defines the clinical presenta-tion, i.e. seizures in the case of parenchy-mal brain cysticercosis, intracranialhypertension in subarachnoid or ventricu-lar cysticercosis. A cyst in an unusuallocation, such as the brainstem, may pres-ent a diagnostic and therapeutic challenge. We report a patient with a cysticerco-sis cyst in the medulla oblongata, withgross displacement of its anatomicalstructures but minimal clinical expression.