This paper explores the topic of non-communicating hydrocephalus as a complication of Tuberculous meningitis (TBM). It covers various aspects related to TBM and its associated complications, including clinical presentation, diagnostic procedures, management strategies, and patient care. The importance of early diagnosis, initiation of antituberculous therapy, and surgical interventions such as endoscopic septum pellucidotomy and external ventricular drain placement are discussed in relation to managing hydrocephalus in TBM patients. The significance of close monitoring, supportive care, adherence to medication, and infection control measures is emphasized. Additionally, the paper highlights the need for patient education, family support, and addressing financial concerns in the holistic care of individuals with TBM. Overall, this paper provides valuable insights into the understanding and management of non-communicating hydrocephalus as a complication of Tuberculous meningitis.