Tuberculous meningitis is the most severe manifestation of extrapulmonary tuberculosis, with high mortality and morbidity rates. It usually presents with headache, fever, consciousness disturbances, and convulsions. Involvement of the eighth cranial nerve is rarely reported in patients with tuberculous meningitis. There are only a few cases in the literature who presented with unilateral sensorineural hearing loss, and the relationship between sensorineural hearing loss and tuberculous meningitis remains unclear. Acute deafness due to bilateral sensorineural hearing loss has not been reported in the literature previously. We present a 64-year-old man who presented with an acute-onset bilateral sensorineural hearing loss associated with tuberculous meningitis.