Atypical cause of stroke in a 27 year old male.

Background: Central nervous system (CNS) Tuberculosis (TB) meningitis is a progressive disease that can present in many forms. CNS TB is encountered frequently in areas of high prevalence of tuberculosis and dissemination is common, but TB meningitis is a disease that has a relatively low prevalence in North America.

Case Report: 27 year-old African American male presented with complaints of headache, altered mental status (AMS), and seizure activity.