Cerebral venous thrombosis (CVT) is a rare condition encountered in third trimester and puerperium in the developing countries like India. An Indian primi, 28yrs old presented with thunderclap headache, diplopia, bilateral papilloedema, weakness of left upper limb in the first trimester. MRI revealed CVT involving superior sagittal sinus (SSS), bilateral transverse sinus and left superior frontal sinus. The case was managed mainly with anticoagulant therapy aiming to prevent further thrombus propagation and increasing recanalization of the vessels. The patient improved with heparin and her symptoms resolved and she was continued with the same until eight hours before delivery. The patient had caesarean section due to contracted pelvis, under general anaesthesia, delivered an alive male baby weighing 3 kg. She was started on warfarin and was doing well.