Ventriculomegaly in the pediatric age group is a very common pathologicalentity. It could be secondary to increased cerebrospinal fluid pressure in theventricular cavity (hydrocephalus), or to a lack of brain parenchyma due to(atrophic) involution or arrested development.TCUS & TCD achieve a major advance in the study of neonatal brain, theyare portable, safe, non invasive, low cost and highly effective techniques thatare of considerable value in evaluation of pediatric ventriculomegaly andshould be included within an integrated approach to CNS imaging in theneonates.