A 50 years old housewife presented with complaints of headache and fever. The chest radiograph revealed fine granular shadews in both lung fields on admission. Further examinations were performed including CT and a diagnosis of miliary tuberculosis was made. A few days after admission, neck stiffness, headache, Kernig's sign and other neurological signs rapidly appeared. Tubercle bacillus was detected from the spinal fluid, and a diagsosis of tuberculous meningitis was made. Anti-tuberculous therapy was quickly started, and she had recovered completely 6 months after beginning therapy.