The rate of TB history in the family or close contact with persons with active pulmonary TB is generally high in adult TBM patients in developing countries. In this case, family history was positive. Living in poor socioeconomic conditions and crowded areas results in a high rate of positive family histories. Positive family history, miliary TB, presence of hydrocephalus and multiple tuberculoma and younger age were predictive values for TBM. In addition to altered sensorium, these factors might be considered as poor prognostic factors in this case, which has clinical deterioration and neurological sequel.