Thrombosis of the cerebral dural sinuses has been well described in the literature and rarely the dural sinus obstruction can result in unremitting papilledema (raised intracranial hypertension) causing blindness. We report a case of a 21-year-old man, who was diagnosed to have extensive sinus thrombosis involving superior sagittal sinus thrombosis and developed visual deterioration. The patient did not respond to conservative treatment and a thecoperitoneal shunt was performed; following which he developed intracranial hypotension with bilateral SDH needing bilateral burr hole evacuation. Patient is doing well at follow-up with good outcome.