A 24-year-old girl presented with non-specific headache and diplopia. Nasal endoscopy showed a polypoidal mass in the nasopharynx. Computed tomography and magnetic resonance imaging revealed erosion of the clivus. Nasopharyngeal biopsy clinched the diagnosis of tuberculosis. She was put on antitubercular therapy, but developed seizures, bilateral ptosis and obstructive hydrocephalous, which were relieved by a ventriculo-peritoneal shunt. However, the patient developed infarction of the basal ganglia and thalamus and died due to cardiorespiratory arrest.Keywords: Clivus, nasopharynx, tuberculosis.