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Cluster headache is considered to be a primary headache. A lot of literature has been published for apparent cluster headache like conditions arising out of organic pathologies like tumours, dissection and infection in the craniofacial area although the causal relationship still needs to be proved convincingly. In certain cases, treatment of the primary pathology like sinusitis or otitis media leads to alleviation of the symptoms of headache. Neuroimaging has been recommended in cases of cluster headache with atypical symptoms and signs or those not responding to treatment. Neuroimaging in the present case of cluster headache was suggestive of ophthalmic cysticercosis. To the best of present authors’ knowledge, cluster headache in ophthalmic cysticercosis has never been described.