Intracranial tuberculous subdural empyema originating from otitis media and mastoiditis is rare. Timely diagnosis and prompt surgical management, followed by microbiological confirmation of the causative agent is known to be life-saving. We report a case of a 10-year old child with subdural empyema with fronto-parietal involvement, who was managed by craniotomy and antitubercular therapy was instituted after microbiological investigations. We urge the necessity of clinical suspicion and immediate surgery for management of such cases.