Although tuberculous meningitis (TM) is a severe form of extrapulmonary tuberculosis [
1], its diagnosis is often challenging due to its proteiform clinical features. Less than half (38 %) of TM cases have an accompanying extraneural tuberculosis [
2]. Moreover, even if headache is a main presenting symptom in TM in about 70 % of patients [
3], it is usually non-specific. Herein we describe a case of TM presenting with headache mimicking a migrainous state accompanied by osmophobia, a symptom which has been reported to be quite specific for the diagnosis of migraine [
4], in an immunocompetent woman with migraine at anamnesis. …