Epilepsy is commonly found neurological disorder in developing countries where huge treatment gap exists. Amongst many etiologies, neuroinfection is found to be prevalent in developing countries. We designed a self-structured goal directed questionnaire and interviewed 20 consecutive patients with epilepsy. We also collected their clinical symptoms and neuroimaging reports. 70 % were males. Majority (30%) had neuroinfection (20% neurocysticercosis and 10% meningitis). Eighty percent of patients had a belief on traditional healer. Epilepsy in Nepal still remains a big challenge. Public awareness to reduce infections may help in reducing seizure incidence and prevalence in developing countries like ours.