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Introduction: Cerebral venous sinus thrombosis (CVST) is a rare but serious condition that poses increased risks during pregnancy, particularly in hypercoagulable states associated with late gestation, labor, and the postpartum period. This case report discusses the presentation, diagnostic challenges, and management of CVST in a primigravida following labor induction. Case Presentation: This case is of a 31-year-old primigravida at 38 weeks and 4 days of gestation who presented to the labor room with lower abdominal pain. Labor was induced with both mechanical and medical methods. Shortly thereafter, the patient developed disorientation, slurred speech, and left upper limb weakness. Obstetric examination revealed a contracted uterus with fetal bradycardia and blood-stained liquor with retroplacental clots, indicating possible placental abruption. Due to fetal distress, an emergency cesarean section was performed under general anesthesia. Postoperatively, the patient was extubated and transferred to the ICU, where she had sudden onset agitation, respiratory depression, and hemodynamic instability, requiring re-intubation, SIMV ventilation, and inotropic support. Multidisciplinary evaluation confirmed CVST with CT head revealing subtle cortical hyperdensities in the left temporal and left parietal lobe. The patient was then started on anticoagulation and antiepileptics, and the intracranial pressures were optimized. Over the following days, the patient stabilized, and was successfully weaned off inotropic support and extubated without further complications. Subsequent neurological evaluations showed gradual resolution of symptoms, with no significant residual neurological deficits. The patient was discharged in a stable condition, continues to be on anticoagulant therapy with no fresh concerns on her follow-up visits. Conclusion: CVST in pregnancy poses a diagnostic complexity, particularly in induced labor where in symptoms may overlap with other obstetric conditions. A multi-disciplinary management is the key to addressing such critical situations, and may allow good recovery if done in a timely manner.