INTRODUCTION:Tubercular meningitis is a severe form of meningitis caused by tuberculosis bacteria. 1It is a rare condition, but in India, it is a significant public health concern, as the country has a high incidence of tuberculosis. 2 This disease affects the protective layers surrounding the brain and spinal cord, leading to inflammation and the formation of blood clots in the veins of the brain. These clots can lead to a condition called cortical venous thrombosis, which can be life-threatening. In this case, an 18-year-old man in India has been experiencing symptoms of tubercular meningitis complicated by cortical venous thrombosis. He has been suffering from a severe headache, fever, and neck stiffness, which are typical symptoms of meningitis, and are signs of confusion and disorientation.We immediately started treatment for this patient’s condition, which included a combination of antibiotics to fight the tuberculosis bacteria and anticoagulant medication to prevent further blood clots from forming. We also monitored his intracranial pressure to prevent any further complications. These symptoms are concerning as they indicate a worsening of his condition, and we closely monitored him to prevent any further complications.In India, tuberculosis is a significant public health concern, and the country has implemented several programs to control the spread of the disease like the National Tuberculosis elimination program.3 These include early detection, treatment, and prevention strategies such as vaccination and contact tracing.