Introduction: Tubercular meningitis (TBM) is an important health issue, particularly in developing countries. There are several factors which are responsible for complications. Determination and modification of such risk factors are important to manage the cases. Aim of the study: Determination of risk factor for complication in adult tubercular meningitis. Study design: It is a retrospective, observational, analytical study. Methods: Adults(__ampersandsigngt;18 years age) TBM cases were studied within 6 months follow up during august 2017 to December of 2017. Details history, clinical examination, investigation were done. Severity was assessed by MRC(Medical Research Council) staging and outcome was determined by Glasgow outcome scale(gos). Results: Among 50 cases 90% were in low socioeconomic group and females(60%) were affected more. Major neurological complications were hydrocephalous(18%), cognitive impairement (18%), cranial nerve palsy(16%), hemi paresis(14%), seizure(12%). Important risk factors were low socioeconomic status, smoking, alcoholism, poor nutrition, diabetes, immunosuppression, high CSF protein, ADA. Conclusion: TBM with important risk factors patient to be monitored more frequently for early detection of any complications and management.