Synthetic pyrethroids are a family of chiral pesticides with a large number of stereoisomers. Cypermethrin (CYP) is used in a variety of agricultural crops, but also has public health and veterinary uses. In this work, the freshwater mussel (Unio gibbus) was chosen to evaluate the stereoselectivity of CYP through the use of gas chromatography with mass-spectrometry. The effects of CYP on mussels were examined by measuring neurotoxicity and oxidative stress biomarkers during its uptake. The investigation was performed under laboratory conditions using nominal CYP concentrations C1 =100μg/L and C2 =150μg/L over 96h. Preferential bioaccumulation of cis-CYP isomers was observed. Furthermore, enantiomeric characterization revealed enantioselective accumulation, most probably related to mussel metabolism. Antioxidant enzyme activities (superoxide dismutase (SOD), and catalase (CAT)), and levels of reduced glutathione (GSH) and malondialdehyde (MDA) were determined in digestive gland after 4days of exposure. CYP significantly inhibited acetylcholine esterase activity, by 51% and 57%, respectively, in mussels treated with 100 and 150μg/L doses. The highest and lowest CYP concentrations elicited an increase of 67 and 63%, respectively, in SOD activity compared to the controls, while CAT activity was increased by 65 and 73%. A statistically significant decrease in GSH levels (40%) was observed only with the highest CYP concentration tested (150μg/L). In addition, lipid peroxidation was significantly higher (67%) than in controls. These results provided information on CYP-enantioselective uptake and potential biomarkers that could be effectively applied for the biomonitoring of freshwater ecosystem.