Meningitis is an inflammatory process of the meninges that usually is secondary to infectious etiology, being the bacterial of special interest because its frequency has been diminished by the vaccines.The responsible microorganisms are different according, not only with age, but also to patient comorbidities.The meningitis complications are ventriculitis, empyema and brain abscess.In this paper, we describe a rare case of meningitis caused by Neisseria meningitides that had a very rare complication: pyogenic ventriculitis.