A 35-year-old man with 18-year history of epilepsy on Carbamazepine, was diagnosed with hydrocephalus complicated by secondary severe optic atrophy and underwent Ventriculo-Peritoneal shunt. Imaging revealed Falx Cerebri, Supratentorial calcification, biochemical tests showed hypocalcemia, hyperphosphatemia and elevated parathyroid hormone. Patient was given Vitamin D and Calcium and his seizures resolved.