Introduction: Neurocysticercosis is one of the most common parasitic diseases of the CNS in which the central nervous system is involved by taenia solium. However, it is uncommon that neurocysticercosis involves the spine. Result: Here, we reported a 35-year-old man with intramedullary cysticercosis in the thoracic spinal cord. MRI of the spine revealed a small (0.5x0.7cm) intramedullary lesion in the cord at the level of D8 vertebral body. Conclusion: Since the patient had progressive neurological deficits, surgery was recommended to decompress the spinal cord. Here, we also conversed the diagnosis and management of intramedullary cysticercosis in the combination of the literature review. Key Words: Intramedullary, Cysticercosis, Spinal cord