An immunocompetent patient was found negative by the QuantiFERON-TB test. CSF study revealed a clear appearance, decreased sugar level, pleocytosis and increased protein and immunoglobulin G (IgG). Mycobacterium tuberculosis was isolated from the cerebrospinal fluid.

Imaging features are consistent with tuberculous meningitis and arteritis and with kidney tuberculoma. No evidence of lung involvement. This case also shows that there is an increased incidence of ischemic strokes in cases of basal tuberculous meningitis (due to arteritis).