Abstract
Symptomatic, paradoxical intracranial tuberculomas is a rare occurrence. A case of tubercular meningitis, developing paradoxical tuberculomas alongside non-functional ventricular catheter is presented. Catheter removal facilitated removal of these paradoxical lesions, with the patient recovering to near-normal state after completing 12 months of anti-tubeculous therapy. Non-functional ventricular catheter may become the site of paradoxical tuberculomas and these lesions, if symptomatic, may require catheter removal.