Objective: The purpose of this study was to analyze the clinicoradiological features of different cerebrovascular complications during late pregnancy and postpartum period. Study design: Descriptive case series study Place and duration: Department of Neurology, Jinnah Postgraduate Medical Centre (JPMC) Karachi, From 1st January 2011 to 31st December 2012. Methods: Total of 77 patients were included in this study who were referred from gynaecology and obstetrics department of JPMC in last trimester of pregnancy and post partum period with signs and symptoms suggestive of cerebrovascular disorder (thunderclap headache, seizures, focal neurological deficits, visual symptoms and altered mental status). Statistical software SPSS version 16.0 was used for data analysis. Results: 32 (41.6%) were in last trimester and 45 (58.4%) were in post partum period. Age ranged from 16-42 years with mean age of 28.6± 6.95 years. 35 (45.5%) patients had venous sinus thrombosis, 23 (29.9%) had eclampsia, 9 (11.7%) had ischemic cerebral infarction, 8 (10.4%) patients were diagnosed with reversible cerebral vasoconstriction syndrome (RCVS) while subarachnoid hemorrhage was diagnosed in two patients. Most common presentation was seizures, followed by focal neurological deficits, papilloedema, thunderclap headache and altered level of consciousness. Neuroimaging (CT brain/MRI/MRA/MRV brain) showed isolated superior sagittal sinus thrombosis in 16 patients (20.7 %), isolated lateral sinus thrombosis in 10 patients (13%) while 9 patients (11.7%) had thrombosis of superior sagittal and lateral sinus both. MRI findings consistent with PRLS were found in 16 (20.7%) patients. 4 (5%) patients had subarachnoid hemorrhage while findings consistent with RCVS were seen in 8 (10.4%) patients. Conclusion: Many patients who are referred to tertiary care centers from primary and secondary care centers with the diagnosis of eclampsia turn out to have many other diagnostic possibilities besides eclampsia after proper clinical and radiological evaluation [ABSTRACT FROM AUTHOR]