A 10-years-old boy was diagnosed with tuberculous meningitis (TBM) and started on ATT consisting of HRZS along with prednisolone (2 mg/kg/day) in September 2012. CT brain showed calcific densities in the parietal lobe of the cerebrum. Cerebrospinal fluid (CSF) examination showed proteins of 248 mg/dL, sugar of 36.8 mg/dL, 100 white blood cells (WBCs) with 91% lymphocytes and 10 red blood cells (RBCs) per high-power field (hpf). In October 2012, he still had persistent fever. CT brain in October 2012 showed multiple tuberculomas with persistent meningeal enhancement, following which Eth and Ofx were included in the ATT, and steroids were gradually tapered. Streptomycin was discontinued after completion of 2 months of ATT. Serial MRI brain showed regression in size of granulomas. In January 2014, the patient was asymptomatic, and his MRI brain showed decrease in size and number of granulomas. His Eth and Ofx were discontinued. His ATT was stopped in March 2015. MRI still showed presence of granulomas though with reduction in size. He is subsequently lost to follow-up.