Cerebrospinal fluid(CSF) rhinorrhea is a symptom caused by the leakage of CSF into the nasal septum, resulting from a defect in the skull base. Bacterial meningitis following CSF rhinorrhea is seen even in immunocompetent individuals. Meningeal infection with Mycobacterium tuberculosis is an example of a form of meningitis where difficulties in diagnosis and management regularly occur. However tubercular meningitis(TBM)is very rare and there is still no diagnostic method, which is both sufficiently rapid and sensitive.