The authors of this article have evaluated the neuro-ophthalmological symptoms of 49 patients with cerebral venous sinus thrombosis. They have evaluated the onset of the disease as well as the symptoms reported. The authors present extensive clinical information for individual cases including clinical presentation, treatment and overall outcome. Patients present with signs of intracranial hypertension, with papilloedema being one of the most frequent findings. Papilloedema was revealed in 84.6% of patients with acute and subacute onset and in all patients in the chronic phase of onset. Patients with acute onset of cerebral venous sinus thrombosis were successfully treated with local endovascular thrombolysis. Patients with chronic onset, where visual disturbance was present, required lumboperitoneal shunting to prevent any further loss of vision. The article highlights the outcome of treatment for varying stages of onset, this should be considered when planning management for this patient group.