It also said revenue grew faster than expected, increasing by 95% to $479m during the October to December period.
Total monthly active users were 288 million, an increase of 20% from the year earlier.
However, growth from last quarter was significantly slower: the site managed to add only four million users in the past three months.
Twitter tried to explain away the slowing growth, saying it lost approximately four million users during the period as a result of integrating various third-party applications.Twitter's user growth has slowed, and may have peaked in the United States
Twitter chief executive Dick Costolo sought to allay fears about user growth, saying in a statement accompanying earnings: "The trend thus far in [the first quarter] leads us to believe that the absolute number of net users added in [the first quarter] will be similar to what we saw during the first three quarters of 2014."
In a memo to staff leaked earlier on Thursday, Mr Costolo warned that bullying behaviour on Twitter was turning away users.
Worryingly for investors, user growth in the US has all but slowed - the company said it had 63 million monthly active users in the lucrative US advertising market, the same as in the previous quarter.
However, so far the slowing user figures have not deterred advertisers.
Twitter said its advertising revenue increase to $432m in the fourth-quarter, an increase of 97% from the year before.
On a conference call to discuss earnings, Mr Costolo also confirmed that Twitter and Google had struck a deal, but remained coy on the details.
"I do want to confirm that we have a relationship that we have agreed to with Google," he said, but declined to provide specifics.
Bloomberg and the New York Times had earlier reported that Twitter had struck a deal with the search giant to possibly make Twitter's messages more visible in search results.
Shares in Twitter rose more than 9% in after-hours trading.Trolling, or cyberbullying, on social networks appears to be a growing problem
Analysis: Rory Cellan-Jones, BBC technology correspondent
Twitter was born two years after Facebook, and its stock market debut happened about 18 months after the rival social network's IPO. But so far it has failed to match Facebook's trajectory in growing its user numbers and pleasing investors.
Revenue growth may have outpaced analysts' expectations, but Twitter investors know that a loss-making business can only justify an outlandish valuation if it promises to have a much wider audience in years to come.
20% annual growth in users might sound okay - but it represents a marked slowdown, and means that Twitter's audience is still just a fifth of the size of Facebook's.
A leaked memo from chief executive Dick Costolo expressed frustration at the fact that high-profile users were leaving because of abuse, and promised action to deal with trolls.
What is clear is this is now a vital financial as well as reputational issue. If users begin to see Twitter as an unfriendly place to spend their time, advertisers won't want to be there either.
For Dick Costolo and his senior team, the heat is on - they have much to prove in the coming months.