Background and Purpose: Very little is known about the long-term outcome of patients with cerebral venous thrombosis (CVT), particularly regarding the risk of residual epilepsy and further thrombotic events. Methods : We retrospectively studied 35 patients with age range between 18 __ampersandsignndash; 37 years who were diagnosed CVT by clinical findings and confirmed by CT scan were followed up for mean of 21.8 months. Information on death, neurological status, seizures, recurrent CVT, other thrombotic events, and subsequent pregnancies was obtained from direct observation and mail. Results : 26 patients (74.28%) had no neurological sequelae while 9 patients ( 25.71%) had neurological deficit with 1 of these 9 patients initially presented with isolated intracranial hypertension had blindness due to optic atrophy ,while remaining 8 patients who had focal signs at presentation were left with various cognitive or focal deficits . __ampersandsignnbsp;Conclusion: CVT has an essentially good long term prognosis . The frequency of long term epilepsy is low , suggesting that long-term anticonvulsant treatment is not necessary in the majority of cases. A second CVT or another thrombotic episode occurred in 12% of patients, stressing the need in a minority of cases for long-term anticoagulation