Cerebral venous sinus thrombosis (CVST) is a relatively rare disease with complex etiology and varied clinical characteristics. It is often difficult to make an accurate diagnosis of CVST and there is no effective treatment method. Neuroimaging techniques, including magnetic resonance imaging and cerebral angiography, have been continuously progressing and contribute to the diagnosis of CVST. Most patients respond well to systemic anticoagulation. The patients who are in a serious condition may require endovascular therapy such as local intravenous thrombolysis, mechanical thrombectomy and mechanical fragmentation. This article reviewed the therapeutic management progress of CVST.