Ocular cat scratch disease (CSD) is a condition attributed to infection by Bartonella sp. This
condition commonly presents as neuroretinitis. Increased intracranial pressure and aseptic
meningitis are rare presentation of CSD. We highlight a case of a 17-year-old female who
presented with aseptic meningitis with neuroretinitis and raised intracranial pressure. The
patient showed dramatic improvement with antibiotics and her neurological deficits recovered
completely within 6 weeks of treatment.