Tuberculosis is one of the human beings' oldest and most common infectious diseases. Tuberculosis has resurfaced in endemic societies in recent years, and there is a reported increase in global prevalence. The central nervous system (CNS) is affected in approximately 1% of tuberculosis cases. Adult tuberculosis has high morbidity and mortality due to meningitis, rapid progression, and neurological sequelae. It is an important health problem, because of the difficulties in diagnosis and treatment, and also because of its serious complications. Delay in diagnosis increases the risk of mortality and further complications. This article draws attention to the differential diagnosis of tuberculous meningitis in patients who suffer from ptosis complaints in daily neurology practice by presenting notable clinical features and the presence of tuberculous meningitis.