Tubercular meningitis is caused by spread of tuberculosis from another site in the body. The onset of symptoms is usually gradual. The incidence is 5 out of 1,000,000 people. Systemic steroids may also be used.
Tuberculous meningitis is fatal if untreated.
Long-term follow up is necessary to detect recurrences. Residual brain damage may cause motor paralysis , convulsions , mental impairment, and abnormal behavior.